HomeMy WebLinkAbout11-11928 CITY OF ZEPHYRHILLS
. � • ` - 5335 - 8TH STREET
(si3)�ao-oozo 11928
. FIRE WORKS PERMIT
Permit Number: 11928 Address: 5935 GALL BLVD
Permit Type: FIRE WORKS ZEPHYRHILLS, FL.
Class of Work: FIRE WORKS Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 10-26-21-0020-00000-0050
Improv. Cost:
Date Issued: 6/08/2011 Name: JOHN-MARY ENTERPRISES LTD
Total Fees: 529.00 Address: 5935 GALL BLVD
Amount Paid: 529.00 ZEPHYRHILLS, FL 3542
Date Paid: 6/08/2011 Phone:
Work Desc: FIRE WORK SALE TEMPORARY- JUNE 10, 2011 - JULY 5, 2011 (26 DAYS)
• 5 .
TEMPORARY SALES .00
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Chapter 633, Florida Statutes, authorizes the City to charge and coliect user fees to pay for the costs of fire
prevention and protection related activities such as inspections, plan review, administrative fees, and other
aosts related to the aforementioned.
Complete Plans, Specifications and Fee Must Accompany Application. Commencement of work without written approval of
the Fire Department's Fire Marshal or required permits or opening up for commercial activity without an approved final
inspection shall be charged double permit fee per day of operation or a minimum of $100.00, whichever is greater. All
work shall be pertormed in accordance with City Codes and Ordinances.
"FIREWORKS" per Section 791.01, Florida Statutes are considered as any combustible or explosive
composition or substance or combination of substances or, except as hereinafter provided, any article
prepared for the purpose of producing visible or audible effect by combustion, explosion, deflagration, or
detonation.
C��-�� �,
CONT CTOR SIGNATURE I IC R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOURS NOTICE REQUIRED
ZEPHYRHILLS FIRE RESCUE DEPT - Fire Marshal Office - 813-780-0041
CITY OF ZEPHYRHILLS
, • � , ' , 5335 - 8TH SIREET
(s13)�so-oo20 11928
, FIRE WORKS PERMIT
Permit Number: 11928 Address: 5935 GALL BLVD
Permit Type: FIRE WORKS ZEPHYRHILLS, FL.
Class of Work: FIRE WORKS Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
" Est. Value: Parcel Number: 10-26-21-0020-00000-0050
Improv. Cost:
Date Issued: Name: JOHN-MARY ENTERPRISES LTD
Total Fees: 529.00 Address: 5935 GALL BLVD
Amount Paid: ZEPHYRHILLS, FL 3542
Date Paid: Phone:
Work Desc: FIRE WORK SALE TEMPORARY- JUNE 10, 2011 - JULY 5, 2011
� 5 • 5.
TEMPORARY SALES 24.00
5-31- �( '
,
Chapter 633, Florida Statutes, authorizes the City to charge and collect user fees to pay for the costs of fire
prevention and protection related activities such as inspections, plan review, administrative fees, and other
costs related to the aforementioned.
Complete Plans, Specifications and Fee Must Accompany Application. Commencement of work without written approval of
the Fire Department's Fire Marshal or required permits or opening up for commercial activity without an approved final
inspection shall be charged double permit fee per day of operation or a minimum of $100.00, whichever is greater. All
work shall be pertormed in accordance with City Codes and Ordinances.
"FIREWORKS" per Section 791.01, Florida Statutes are considered as any combustible or explosive
composition or substance or combination of substances or, except as hereinafter provided, any article
prepared for the purpose of producing visible or audible effect by combustion, explosion, detlagration, or
detonation.
�
CONTRACTOR SIGNATURE I IC R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOURS NOTICE REQUIRED
ZEPHYRHILLS FIRE RESCUE DEPT - Fire Marshal Office - 813-780-0041
. �, ���„ �.. JJ• UV l,�� LLt il!lyR1LLJ DU,Lll11V� r�„ no. �1 j p. ���
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. Te�por.ary Sales �C�hecklist � * 2�5 �
' ' Gry of ZephyTbitts
�5335'6�' 6treet
. Zep6ythiUs� Fl. 33542
•Phone:'813�780•0020 /'Fu: 813-780-0Q21
itEQUIREMEIVTS ' �
� Plot Plan showing sStup oflocation.
✓N'otazized lettcr fromproperty owner stating their appzoval.
`'�A flame retardaat certificate is rcquired �F a�ieat �s iuvvlved. L�spcctioa is required once tent
is erccted and, prior to op Ph� for bvsiness. '
Approved certified fire extiag�uishe� per NFPA 10. ,
No Smpldng sigas must be placed outside ea�aaces.
IF there is a wire fence or chain ]ink fencing must b�ave at least 5 Ft setback from tent and at lcast
2 exits.
IF teat bas sides, the eides shall be in the up position unless there is iaclement weather,
then 2 sides must be.ia the up positian.
FZRPWO�LK RF,QU]REMF,NTS -(In addition to the above)
Proof of Stat� Iaccnse. . '
V Proof of Liability insuran,ce.
� v List of items to be sold at site. '
Copy of Drivers License and Social Sxurity Numbcr of all persopael dealing
with the sale af firewnrYs at the teat location
fiEEs
$ 30,00 - City Registration (If Ragulated.by DBPR - Pee is Waivcd)
$500.00 - Firewarks foe - �re Department fee
�Z $ 5.00 - Temparary Sal�e Fee for 1" two days
2 ���S ,�. $ 1.00 - Temporary Salos Fee pe day for cach eonsecutive day th�reafter, not to
excad duration of30 consecutive days �R�I�� REt�IEWEi
par caIendar year per Ordinaace #408.
$ 50.00 - Tent Fee (35.00/B,D, 15.00t/F'D) -(•S35.O��ni��i�cwor�Cs� �RE � �� O �
$ 35.00 - Elechical Fee (if applicable) Date:
�vie�vex: �
��`/ `�Z�
Psoperty owna: 1`r(� h I� C�- f�. � CC� -#- /Y/ A R y 3S) ls !� ��.C�
Applican�: __ U N i�1k Q.� � lnr��l�� ��- Fi�f G� ��fs
Phone Contact; _ �J,� - �, •� � _ I �r� �r � '
Address � _.---.��__.._ . , ____
Site� -_ _ ...�.__..._
_���� ..-��-� ��, t! D � , '
bato of Sal��`' ;T ' (� - � � �'.' �i - _ `" ..
-- --- _ � - _ ___.-...�
Ordin�nce No. 408 dated 1/26/1987 (for additiooal rcquirements)
- JaN 0a 1�9G 00: e6- - ---- - -_ . _ _. ._.......,__. .. _..-. __...-.- - -- _.� _ _ ._.
��phyrhills �ire Rescue
69U7 f)airy� 12i�ad, �r��h��rhills, F[. ; �y4'
Firc Iviarshal Rus (R I 3) 78()-U041
herry 13arnett 1 a� (�31 ;) 7�;U-00�44
f�,-n���il: kbarrictl�it,firc.zephyrhills.il.us
Plan Review #: 11-065 � �
Project: Fireworks Tent (retail sales)
Number of Pages: Packet
Mav 27, 201 1
1 have received and reviewed the plans for the fireworks tent for retail sales located at 5935 Gall
Blvd and will allow this project to move forward. Paying for permit, contractor acknowledges to
the comments listed below. Should anyone have any questions, please do not hesitate to contact
the Fire Marshal's office.
1. Copies of all sales shall be given to this authority every couple of days.
2. Attached guideline sheet shall be followed.
3. In addition to the 1 ABC fire extinguisher, an additional pressurized water
extinguisher shall be present.
Inspection Required:
l. Site Inspection once set up and prior to sales
, ✓�
/^�, �°
KERRY�BA ETT, FIRE MARSHAL
***Please be advised this review of plans submitted is a cursory review to assist the contractor in
compliance with applicable fire safety codes. This review is not intended to be a final approval of the
submitted plans �t is the contractor's sole responsibility to ensure that the plans are in complete compliance
with all applicable NFPA codes and local ordinances. In the event that further examination or site
inspection reveals areas of non-compliance, it shall be the cartractor's sole responsibility, at their sole
expense to bring those areas in compliance. The City assumes no responsibility for the contractor's failure
to be in compliance with all applicable NFPA codes and local ordinances.
Z�������I�I�LS FIRE C3��ARTENEI��
690�7 Dairy Road, Zephyrhills, FL 33542
�er� Chief Ke�rh Wifiiams �us (�13)780-Ot�41 F�x (813)7�0•pU�l�
FIRE SERVICE USER FEES
Occupancy No.:
Plan No.: l/ — Contractor: �� (1 � �?: � �' �
— � /�i cc�t.�' /CJ
Business Name: - Billing Address: �
Business Address: � � � i9 � • ;,,,�. -. �
Bus�ness Phone No : Billing Phone No.: : 1_ �� y - 7
Business Fax No. Billing Fax No.:
Contact� Contact:
PLAN REVIEW FEES INSPECTION FEES PERMIT FEE FALSE ALARM FEE
8 Site Plan N/C Annual N/C Sprinkler $50 1 st Alarm N!C
MuNi-FamilylCommercial O6 sf 1st Re-inspection N/C Standpipes $50 2nd Alarm N/C
(Mirnmum Charge $25.00 2nd Re-inspection $100 Fire Pump $50 3rd Alarm N/C
� Plan Rev�sions DBl 3rd Re-inspection $250 Hoods $50 4th Alarm g�pp
4th Re-Inspection $500 Fire Alarm $50 Sth Alarm $150
SPRINKLER SYSTEMS (Business closed until LP Gas $50 6th Alarm $2(�p
0- 25 Heads $50 violations corrected) Natural Gas $50 NON COMPLIANCE $150
26 plus Heads $100 SPRINKLER SYSTEMS Fuel Tanks- �r��k $5p
STANDPIPE SYSTEM Hydro Undergrounds $45 Sparklers g�pp
� Per Riser $SO Hydrostatic Test $65 per system Fire Works �^�` "�
_ /
FIRE PUMP Acceptance Test $4S per system Camp Fire ��5""
� Per Pump $100 Hydrant Flow $75 Controlled Burn $100
FIRE ALARM SYSTEM Hood/Duct $50
8 0- 25 Devices $50 FIRE ALARM SYSTEM Place of Assembly �SO Annual
26 plus Devices $100 System Acceptance �550 Fire Protection $25
SUPPRESSION SYSTEMS Recall ACCeptanCe $50 Flammable Application $50 nnnua�
Wet $50 OTHER Waste Tire Storage $50 Annual
Dry $SO Fire WaIlfSmoke Wall $15 perwall Ge�fetOf < KVV $100
CO2 $50 LP Gas $25 pertank Generatar >30 KW 150
Other $SO Natural Gas $25 persystem BiaHazard Waste $100 Annual
KITCHEN EXHAUST Fumigation Tenting $50
� Hood/Ducts $50 Tent 10'x10' or greater $15 Pe�tent Torch Pot/Applied $50
OTHER Fire Pump $45 Haz. Materials $100 Annual
LP Installation per ta�k $50 Fire Suppression $30
Fuel Tank Installation $50 System Acceptance
❑ (Per Tank) $50 8 Exhaust Hood/Duct $30
Natural Gas Installation $50 Re-in5P2CtlOn DBL
( Per System ) (other than annual)
� Spray Booth $50 � Inspection scheduled DBL 8
and cancelled less than
24 hours
Construction Insp. N/C
Emergency Vehicle Ac� $50 FALSE ALARM
PLANS TOTAL L__] INSPECTION TOTAL � PERMIT TOTAL���"- i TOTAI I ---- I
GRAND TOTAL �
Comments
Date. - �
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Ins9��ctor� - — `__��
FEB 06 1996 02�59 FR TD 2698432 P.01i02
DA'I'� APRII.2U,"lUll
I, C_}TVF. PL1�M.15SI N T0:
T TNTV F[LSL' NUV�LTY & FTR.EWORI�S CC�MPANY, INC;.
PCl4T (�Ft�IUL; JiUX 1$62
RIVP,RVTBW, F�.ORIDA 335G8
(R13)677
(� ] 3) 677
TO SET UP AND OPLsR ATF. A T�Nll'UR11RY STAND OIrT MY PR4PF.RTY
LUCAT'�D AT:
5936 GAr�. �r.Vn
ZEPHY'�IILLS FLU1t1llA
JUN� 12. �O1 I TO JUL� i.2011
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SWORN TO ANT) gTiRSC[�111L'll liEFORE NI� THIS DA�'
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JA� 10 1996 01�47 FR TO 7800021 P.02iO3
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** TOTAL PAGE.03 **
JAM 09 1396 22�35 FR TO 7800021 P.01/01
A °� cEa
oF ��ae��irY iNSU�►nrc� °���
"R Allied Specialty �nsurarice, Zric. THl# CERTIFrCATE IS IgSU�D AS A IAATTFR O�INF�OR1aqTION
1�451 Gulf Boulevard ��Y ANd �NFERS NO RIQFIT$ UPON THE CERTIFICATE
Treasure 2sland, FL 33706�4814
AL7ER 7iiE COVER�11 �G 1 AF BYTNE POL�ICIE�S BEL�
1� 8 0 - 7� 3 INSURERS AFFORDING COVERpGE
�su�E° Universe Ncvelty 8 F�reWOrks Company, lnc. r►�Ea�: T.N.�, �osurance corn Nac *
88�0 US Hwy 3Q1 South m
�nsu�a e:
Ftiverview, FL 33569 n�suR� c:
IM9URER D:
COVERA ES i"SU� E,
THE PQLICIE3 OF INSt1RANCE LlSTED BEI.OW yqyE g�� �Sg�� TO THH INSUREQ N/UNEp qppyE FOR THE pp�ICY AERIOb INDICATED. NOTWITI�IS7ANDING
ANY REQUIR�WENT, TERr„� �R CONpmp� OF /WY
MAY PERTAIN, TNE INSURANCE qFFpRpED BY TH@ pOL�CIES DESCRIBED HEREIN IS BUBJECT 1b AL17ryE 1'ERMg� �(CLUSIONS ANb CpNDIT10NS OF SUCH
OR OTHER DOCUMENT WITN RESpECT 7'Q WFIICH THIg CEFi2'IFICqTE MqY 8E ISSUQD OR
POLICIES, AGGREGATE I,IMIT� gNpyyN MqY MANE BEEN REDUCED 8Y pAlb CLAM�tS,
M MS
GENERAL LIABILITY �� �R �'�7NE Y
CPPOi00$25.b1 `""�"
x � MM E�� �ME� LIqBILT' �2/17/2011 0 7Y2012 �"�'' ����E s 9 OOQ 00
A � CwMS MADE � or,cua s 10Q Od0
� MED E?� I ons er�on S
PERSOWU. d, AbV INJURY S � QQ� OQ�
GEN'L AGGREGATE LIM1T APPUES pER GBNERAI. AGGREGATE S 2 OO OO �_
P�LICY P�' LOC ��QUCTS . COMP/0P AGG
S
AUTOMpW�E WBI�Y
ANY AUTO ( C�OM61� � MIOLE LIMIT =
ALL OWNED AUTOg
SCMEDUIED qUTq6 (� `��)� S
NIRE� AUTOS
� �� 9oDILY INJURY
(Paraodeanq S
--��
GAw►r� �eM.ITV ( j �� s
ANYAI,ITO �TOONLY-EAACCIbENT S
or►,� �, �►ax s
EXCESE / uY�,1�1 �gµ,�y AurO ONLr: � i
�c � �LP009009p OZ/17/�01t 0?J17/,2092 �HO�� s�,000�Q00
� ❑ CWMS MADE
AC+C+REOA7E s �Q��Q�
DEDUCTiBl6 =
RETENTTON S =
� �IP�OYERS' WOILp'Y S
���������0 ���� o�
E.L FaCF! AC�ID@NT s
5 CU�I R�CWS�lOMS bdow El, 018F�1SE - EA EMP =
QTNER
E.l.� DISEA9E . POLICY LiMR t
REV�Yq�aKS s�T�AND m, A'�rE� ' r ' ssa � 6�v� d".°.1ON° nooea er e�oonseMO�r,a�.aowa
�R TFIE DATES OF p 071�d71 �y�+'�, FL
�oR1onWL iNBURED AS ReSpECTg rp �E ap��nON OF THE N�MEp INSURED CNLY: John Greeo ana Nlay da arec�,,
°RTIFICAYE HOlDER
CANCELLATION
hn 8 Mary Er�rprlses, Ltd. swoui.o�rno�rHe�eov�o�aca�a�o
35 Gall elvd. P°���neE�e���,�
owre �e�o� THE Is�UING INSYRE'R YWLL ENDEAVOq 70 MAIL 10 a►rs wRrrr�,
phyrhills, FL 354�2 �+arrce ro r� ce�icntE �w,.o�e �
H# 11 Y3 wu�o ro n� �r eur Fawne fo 0o ao ��
IMPOSE NO oBt.l0�r10N oR �IAB�I.RY oF ANY 1QNh
REPRE6ENTA7IYES. �� 7N! M�7{IRER. R8 ENTB OR
��0 REPRESEMTAI�'
DRD 25 (�008/p1) i�� '' / , � ,
Tho ACORD narr� snd loso a►e reglster.d ma of q�pRp a� CORRO TI�N, Alr Mghty raserv•d.
** TOTAL PAGE.01 **
STATE OF FLORIDA
DEPARTMENT OF FINANCIAL SERVICES
�DIViSION OF STATE FIRE MARSHAL
TALLAHASSEE, FLORIDA
CERTIFICATE OF REGISTRATION A `'"'
WHOLESALER OF SPARKLERS
THIS CERTIFiES THAT UNIVERSE NOVELTY 8c FIREWORKS CO INC
8820 US HIGHWAY 301 S
RIVERVIEW, FL 33569-
HAS REGISTERED PURSUANT TO THE PROViSIONS OF FLORIDA STATUTES TO ENGAGE [N THE BUSINESS OF SELLING SPARKLERS TO A
RETA[LER.
���,��
,/ Chief Financisl O[tice�
r/
02 01 2Q11 07 62 Hi(lsborough 66213200012999 2179030001 ]000.00 O1 31 2012
Issue Date Type Class Counry License/Permit Number Application it Taxes & Fees Expire Date
�6/04/2009 1�:
q 40�ea473aZ -rr_�.,7u��� �� •••
�������� �Q�p�
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E('t)NUM1' T' i � I� Ihi fl":1�1►`IA f IONA�
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REVISIONS
Global Headquarters � , C#:
�� �o�o s. �och se. Universe Novelty Fireworks 3
� Oak Creek wt ss�sa Tent Structure Drawings a Drawn By: DTT
�ata)e3t-7000 Date: 20101229
i: v E N T 5[ it v i c E s www.karls.com 20' x 40' Frame Tent fi
rnw.ww.,rn •W.hIM��C•BdNNIN,NJ•NwYat,NY•OhMaFI•Mewbn,iri•M�1ow,G•RIMn,CA e SHEET 1
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O1/18/101 1�:10 FA3 81387208
1:rillla� r++umn.n.,
Chrls's Port�b/o Tollats. fnc.
p,Q, Box 3389
Rlverview, Ft 33588
Phona (813) 623-6830 � Fax (8� 3) 672-0886
ch�issplumDinp.com
Universa Novelty � Fireworks Cc-, Inc.
January 18, 2d10
p.0. Box 1862
Riveniiew, FL 33569
To Whom it May Concern;
Thank you ior choosing Chns's Porhble To�lets, Inc•
This is to confirm that we wfll beTreoii onsa Del�l e ary dependtng on lac�tionaun o herwise
l o c a t i o n s f o r t h e 2 0 �„� S e a s o n a
specified.
We sre excited to havo the opportunity ta woric wiRh yau egain this year. Thank you for your continued business,
Sinoerely,
Mlke Jones
Directer of Operations
Chris's Poriable Toilet Inc.
JRN 30 1996 23�00 8136720886 PAGE.01
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UNIVERSE NOVELTY 8� FtREWORKS� C�MPANY, INC.
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