HomeMy WebLinkAbout12-13642 CITY OF ZEPHYRHILLS
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BUILDING PERMIT
Permit Number: 13642 Address: 7050 GALL BLVD
Permit Type: SPECIAL EVENT ZEPHYRHILLS, FL.
Ciass of Work: SPECIAL EVENT Township: Range: Book:
Proposed Use: MEDICAL Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 35-25-21-0010-10500-0000
Improv. Cost:
Date Issued: 11/27/2012 Name: FL HOSPITAL OF ZEPHYRHILLS
Total Fees: 530.00 Address: 7050 GALL BLVD
Amount Paid: 530.00 ZEPHYRHILLS, FL. 33542
Date Paid: 11/27/2012 Phone: 813)783-6189
Work Desc: SPECIAL EVENT FIRE WORK SHOW DECEMBER 2, 2012
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REINSPECTION FEES: Reinspection fees will comply with Florida Statute 553.80(2)(c)when extra inspection
trips are necessary due to any one of the following reasons: a) wrong address b)condemned work resulting
from faulty construction c) repairs or corrections not made when inspections called d)work not ready for
inspection when called e) permit not posted on job site� plans not at job site g)work not acoessible.
NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that
may be found in the public records of this county, and there may be additional permits required from other governmental
entities such as water management, state agencies or federal agencies.
"Warning to owner: Your failure to record a notice of commencement may result in your paying twice for
improvements to your properly. If you intend to obtain financing,oonsult with your lender or an attorney
before recording your notice of commencement."
Complete Plans, Specifications Must Acoompany Application.All work shall be pertormed in accordance with
Ci Codes and Ordinances. NO OCCUPANCY BEFO C.O.
ONTRACTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
Contractor/Homeowner: ' �%T ' L�=
Date Received: � 2's��-
Site: ��� � �- t--�. ��`�.��i�f� ��;� � ���")
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Permit Type: I(�1R. �,� "�-V�'�l
Approved w/no comments:O Approved w/the below comments: ❑ Denied w/the below comments: ❑
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T'his comment sheet shall be kept with the permit and/or plans.
Bill Burgess—Building Official Date Contractor andlor Homeowner
(Required when comments are present)
ZEPHYRHILLS FIRE DEPARTMENT
6907 Dairy Road, Zephyrhills, FL 33542
FIRE SERVICE USER FEES
Occupancy No.: l A
Plan No.: Contractor: pi�r-6�C;�1�CU�� ��L,�
Business Name: �` Gc_. s¢� Billing Address�
Business Address: �0 d �i4-J( �j
Business Phone No.: Billing Phone No.: 2 -/SZ/Z�4�,
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 1st Alarm N/C
Muui-Famiiy/Commerciai .O6 sf 1st Re-inspection N!C Standpipes $50 2nd Alarm N/C
(Minimum Charge$25.00 2nd Re-inspection $100 Fire Pump $50 3rd Alarm N/C
� Plan Revisions DBL 3rd Re-inspection $250 Hoods $50 4th Alartn $100
4th Re-Inspection $500 Fire Alarm $50 5th Alarm $150
SPRINKLER SYSTEMS (Business closed until LP Gas $50 6th Alarm $200
0-25 Heads $50 violations coRected) Natural Gas $50 NON CAMPLIANCE $150
26 plus Heads $100 SPRINKLER SYSTEMS Fuel Tanks- Per�a�k $50
STANDPIPE SYSTEM Hydro Undergrounds $45 Sparklers $100
� Per Riser $50 Hydrostatic Test $65 pe�sy5cem Fire Works $500
FIRE PUMP Acceptance Test $45 Pe�syscem Camp Fire $25
� Per Pump $100 Hydrant Flow $75 Controlled Bum $100
FIRE ALARM SYSTEM Hood/Duct $50
8 0-25 Devices $50 FIRE ALARM SYSTEM Place of Assembly $50 Mnual
26 plus Devices $100 System Acceptance $50 Fire Protection $25
SUPPRESSION SYSTEMS Recall Acceptance $50 Flammable Application $50 nnnuai
Wet $50 OTHER Waste Tire Storage $50 nnnuai
Dry $50 Fire waluSmoke Wall $15 Perwau Generator<KW $100
CO2 $50 LP Gas $25 per lank Generator>30 KW 150
Other $50 Natural Gas $25 Persystem Bio-Hazard Waste $100 ,nnnuai
KITCHEN EXHAUST FumigaUon Tenting $50
� Hood/Ducts $50 Tent 10'x10'or greater $15 per tent Torch PoUApplied $50
OTHER Fire Pump $45 Haz.Materials $100 nnn�ai
LP Installation per tank $50 Fire Suppression $30
Fuel Tank Installation $50 System Acceptance
(Per Tank) $50 Exhaust HoodlDuct $30
�Naturel Gas Installation $50 Re-inspection DBL
(Per System) (other than annual)
�Spray Booth $50 � Inspection scheduled DBL B
and cancelled less than
24 hours
Construction Insp. N/C
Emergency VehiGe A� $50 FALSE ALARM
PLANS TOTAL� � INSPECTION TOTAL�__J PERMIT TOTAL� l TOTAL� �
GRAND TOTAL �
Comments:
Date. ) � 1�-
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Inspector: �
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Zephyrhiils Fire Rescue
6907 Dairy Road,Zephyrhills,FL 33542
� Fire Marshal Bus (813) 780-0041
Kerry Barnett Fax(8l3) 784-004�
� E-mail: kUarnett@fire.zephyrhills.fl us
Plan Review#: 11-129
Project:Revision—Fireworks Display
Number of Pages: Packet
November 16,2011
I have received and reviewed the plans for the fireworks display located at 7050 Gall Blvd
and will allow the project to move forward at this time. Paying for permit, contractor
acknowledges complying uvith the items listed below. Permit must be on site with fireworks
company. Should anyone have any questions,please do not hesitate to contact the Fire
Marshal's office.
1. NFPA 1123 shall be followed to its entirety.Failure to follow the guidelines may
prohibit the show to be conducted.
2. Ensure shells have required labeling. (description, size,type,warning statement)
3. Ensure shells are inspected by the operator following their delivery to the site.
4. Preparation area for display shall b�secured from public by at least 100 feet in all
directions.
5. The minimum secured site for the display shall be 140 feet in all directions from
location of fireworks or 280 foot diameter around fireworks area. (2"shells)Being
a health care facility the distances are doubled,280 feet in all directions or 560
foot diameter.AHJ has ability to reduce distance when favorable conditions exist
and added safety precautions taken.
6. Ensure mortar racks are secured to prevent movement during the display or if a
shell explodes in the mortar.
7. Racks containing mortars shall be limited to 15 mortars per unit.
8. Discharge of shells shall not come within 25 feet of any overhead obstructions.
9. No spectator or spectator parking shall be within the secured site, including fallout
area. This also include employees of Florida Hospital.
10. The secured site shall be taped off showing no access. Florida Hospital and/or
Pyrotecnico shall post individuals around perimeter to ensure no admittance.
11. Parking of vehicle housing fireworks shall be on the outer perimeter of the
fireworks area.
2
12. During the display, support personnel shall be positioned to visually observe
roofs of any structure within the secured and fallout area.This can be done by
either Florida Hospital Security personnel or fireworks personnel. One person
shall be on the roof top area of Florida Hospital. These peopte shall have
� communication with fire service assigned to the display.
13. Operator is responsible to have a sufficient number of assistants for the display.
Assistants shall be at least 18 years of age.
14. All personnel in discharge site WILL HAVE head,eye, hearing, and foot
protection. Cotton,wool or flame resistant, long sleeve, long legged clothing will
be worn.
15. No smoking materials shall be within 50 feet of any fireworks
16. At least 2 pressurized water extinguishers shall be on site for the display.
17. Following the display,the firing crew shall conduct an inspection of the discharge
and fallout areas.An�unexploded shells found shall not be handled for a
minimum of 15 minutes and then doused with water and sit an additional5
minutes before handled.
18. The fire marshal or his designee reserves the right to stop the dispiay if, in his/her
opinion, feels a hazardous condition exists.
Inspections Required:
1. Site inspection with operator and Florida Hospital staff. Display and fallout
areas wil] be secured and fireworks will be in position for the display. This
meeting shall be conducted under daylight conditions. Contact fire marshal
with time.
2. Post site inspection.
KERRY BAR ,FIRE MARSHAL
***Please be advised this review of plans submitted is a cursory review to assist the contractor in
compliance with appiicable fire safety codes.This review is not intended to be a final approval of the
submitted plans.It 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 contractor'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.
.
HEADQUARTERS i�S.(OCnIIUNS
P.O.Box 149 Fnx Atlanta,GA Montgomery,At.
New Castle,PA 16103 724. 652.1288 Auburn,NY New Castle,PA
°FFi�k wis Dallas,TX New Orleans,LA
724, 652.9555 www.pyrotecnico.com
Fort Lauderdale,FL Saluda,SC
PYROTECNICO�M i���� 'µ�� ���T"
800.854.4705 info@pyrotecnico.com JafFrey, NH Tampa,FL
Las Vegas, NV Vineland,NJ
V 1 T A l E F A M�L Y F i R E W 0 R K S • 1 B 8 9
November 5, 2012
City of Zephyrhills
Attn: Jackie
Please see the attached permit application for the Florida Hospital Zephyhills on 12/2/12.
Please contact me if you have any questions or concerns at 800-854-4705
or email the address below.
Please fax or email me a copy of the signed permit when it is issued.
Thank you
Pyrotecnico
��� �'��-��C'�-
Marsha LeFebvre
mlefebvre(�a,pyrotecnico.com
FX: 724-652-1288
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. ;sOV/15/'Z0071�HU 04:59 P�r{ Z�PHYRHII.LS BUILDII�G FAX Na, $13-780-0�21 P, 002
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�T�mporary S�.`Ies;�h�c�st � I
. . . ' .City of7x�rhyi'hills
�533�8°i 5treet
. . . .��sp�yrF�flla,l'.+1.83542 .
• ' � . P�one:813;?$0•+0024/�nx:813=7R8-OD21
RE(�'(7IRTM�NTS ' � � ' .
M�.P1at PIa�st�awi.u�s�tup of Iocation. • . . .
' �Iofarized lettei from pxap�rrty avvner sta�i�;their approval.
�A,'flaruexetard�nt certffxeate is'req�xire�7�'a tent is'invalved.Tzispect3ou is requirad onoe teut
is erected a�ld;prior to operiing for busin.ess,
A�prdv�ed ee��tified fixa o�ttinguishers per N��'A 10.
. No Sm.qkiug si�ns must be placed outsid�ex�tt'anaes.' . ,
' IT there zs��vire�enoe or cliai�n litak fencing musC have aY Ieast�5 Ft setbaok�i'om tent a�ui at least
2 exits.
XF tent has sides,the sldes shalt be in t�.e up�osition anl.ess th�xe is ineleme�t wea[�aer,
then 2 sides must be.in the�1p�SOS#.tion.. ' �
�IltPWORK REQInRLM:EI'.�TTS-(�ii atiditiou to the above} ' _ ' �
�"Pzaof af State Licetase. � •
� ��raof o�S�iabi]ity i�surauce. �
� �.ist of items'to I�e aold�t site. ' . , ,
._,,,�� Cvpy of br'tvers Lice�se and Social Security N'umber o£all gersonuel dealing
, r�vith the sale af fizeworks at tt�e tent lac�tt3on. � ,
��s � °� --
�$30,00�CiEy Regish•ation(�Regulated,b�.D�3�'R—Fee is V�ai�'ed) __ --- ----
. X . $SOO.QQ—Fireworks fee-Firs Departinen�fe� '
:__., � 5.U0-�Tetn�ar�Sal�s Fea��r 156ttivo ciays �
� 2'.O(3—'S'e�porazy Sales�'eo�er day for eac�i cozsseeutive day t�iere�er,not to
' exc�ed duration Q�9Q conseouti'v�d&ys ari�l�.o rnore thail one occt�rz'enc�
. ' �ar ca�encinr�e�x per Urdivanec t�08. �
$SQ.00--`�"etlt�e�(35.QQJ$�}, 15.0(�'�/.�)-{wS15.Q0 waived for�ixati✓orks)
• $35,0o—Eleab.icalFee�i;f a�plicable) � ' . �
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�'roperCqd��zex: Florida Hosptial Zephyrhills
' Applicant: Pyrot�cnico _ _
Phone Contact: Marsha Le�ebvre - $00-854-4705 � '
�dtlress Sfte: 7050• Ga11.Hlvc1. Zeplzyrhil.t.s, FL 33541 ' _
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Date o£Sale: �
� . . , . • ,�, .
Ordivance No.40� dated 1/26/1987(�or arlai.ti4nal r�quixerxteatts) •
Nov 30 d4 1�2s36p Fublio Relatinns 91�-7���6109 p.�
SI'TE P.*IF�DR.I�ATI�I�I`FOR FIRE�SJ'4�TCS DISPLAY
Prganfzationspansaringevent: Florida HOSpital ephvrt�ills, 7050 Gall. �31vd. ,
Zephy�liills, FL 33541 - Brenda Welcher - 813.783.6192
I3a�r�nd sitna af pxoduction:����,/��� {a an�r�:OOPri
- :�
t,oc�t�onofproductian: Florida Aospital Ze�hyrhills
Neme a£ma�n crperator:�Charles FlanaQ�n - S 13.�L2.33R 1 CELT
N'umt}er and agi�vf all asslstar�ts:
Confirmation vfLicense held b.y op�r�tar: see attached
F,vidcr�ee ofparnuttC's insurance�83CI�Y: See attachect
Numtser arscl types of�yrai�chn3c d�vices and ina�erials to ba
�+se�• See_ att�.gl�d -
o.
hiS�S forpyrot�s�hnlys ttsed. See attached
Lxiin�tushers on sltes(pressuriud watar-at icast 2):, 2 __�
Diegram of where pxoductiQ�t ta be conduc:ted{ta ircclude p4inr ar�ring,ft�ll a�st radius,
and&udi�nc�lacatian�: sec �ttached
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.E irit�sate�unrds in plac�;
• ci��i;it tcstcrs no morc ft�n�S znA
� po�ver£or firia��sourees ts�restricted t`ri uatterie�or isal3tcd�wer sit�piies
� �u-i�ng systea�ns er,�tiues egainst a�idencRl�uing(2-steg i�terlock)
• erat to f�left unetiended
• smoking piahibitad wit}un 2S'of thc�'iring/handling area
• appropriate distance&t�n1 audicncc(not less than cwice tha f�tlaut radius)
� aIl acaess�oints are biaoked bfFlnto firinglh.�ndling area
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315 Total Opei�ir7g Shells
l3c�dy � Speciaf C:fFect� t3tirr�j+�c�s
1 3b Shot 2" l3arr�age
3 99 Sflot Barr��ycs
4 130 5hot Barrac�es
1 150 Sf�ot BarE�age
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TECHNICIAN RESUME
Charles Flanagan
544011`"Street
Zephyrhills,FL 33542
Ceil: 813.310.5524
chodyrock69 @gma il.com
Display Experience:
Charles has been a lead technician for 5+years;he has experience with electrical fired dispiays and
Is familiar with all safety standards
Past Display experience:
lead Tech:
Seminole Tribe of Ft.Pierce—7/2/11
St. Lucie Mets—7/4/11
St.Leo University-10/22/11
lobloily Pines Golf Club—12/31/11
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����� tVfate�ial Safety Data Sf�e�t
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DATE PREPARED: �c�ilUary`I�, 2�d�7 ��� � t �i��
P��ROT'L�C� ICO"
VITALt tAl/ilY l�RFWORKf � Ilb1
From: PYRQTEGNICO
299 Wilson Rd Telephone Nun�ber: 8Qa-854-475 M-fi 8AM—� PM
New Castie,PA 16101 Emergenoy :CHEM.TEL INC– 800-255-3924-24 HR
�I�.EUVt��.K� `1 .�G un ��3�
5eetion il — Haz�rdous tngredi�nts 1 Identity Inforir�ation
Cantains F�yro#echnic Ct�mpositlons that are mixtures of solid oxidizers �nd fuels that
contained in paper and cardboard cantainers. Na Hazard ��cist durin� n�rma[ handling
and storage.
CiSHA PEL–N/A
AGGIH TLV�-NtA
OTHER LtM173–NIA
Sectic�n 11t — Physica! J Chemical Ghar�cteristics
Boilinc� C'oint: -N/A S�ecific Gravify: -N1A
Vapar Pressure: -NiA Moifing PoEnt : -N!A
Vapor C1�i�sity: -N!A Evaporation Rate: -N/A
Solubility ir�Water: -h!/A
Appearance and t3do�•; �Pyratechnic Camposition is cantained in paper or cardboard casings
that it7ay bc�shaped as cyiinders,balls or fubes. Ocl�r is not appa.rent.
Sectian !V — Fire and Expiasion Nazard Data �
Flash Pcxi�}t; -N/A Flammable Liit�its: -N/A
LEL;-NlA UEL:-N!A
E7ctinguishing Media: Deluge vvlEh large quantities of waEer as quickly as passible by FIRE
N�SE fram a PFZOTEGTEb locatiar�, Materia(s are seEf-oxidizing.
Sp�ci�t �ire Fighting Praced�.�res: Do nof aftem�t to figf�E a fire in the irnmediaEe area of 1.3G
Firewarks- EVAGUATE TH��iREA.
1
2
Sectian IV — �ire and Explosion Hazard Data- Confinued
Unusual Fire and Expinsion Hazards: �ireworks 1.3G MAY MASS EXPLODE IN A FIRE.
d� NOT AL.LOW FlREWORKS 70 GET WET-Hazardous Decomposi#ion May Result in a F1RE or
EXPLOSION. EXP�OSIC7N MAY�CCUR IF EXPOSED TO SPAF2{<S OR FLAME.
Section V -- Reacfivi#y Data
Stahility: -Stable
Conditions to Avoid: -OE�en Flames, Spa�ks, Nigh Temperatures, Friction or ImpacE.
Incornpatibifity(Materials to Avoid):- Do Not Ailow Fireworks to Get Wet.
Hazarclous DecamposiEion or Byproducts: -becomposition does not occur under normal
circ��mstances. Smoke Generated by Fireworks iray contain gasses that are irritating to the
eyes or mucous membranes. Prolonged Exposurs and Inhafafian of smalce�t�ay cause sharfness
of breath or more serious problems�vhen a chronic respiratory condition exist.
Nazardaus Polyrnerization:Wi[) Not Occur
Conditians to Avoid: -Storage in High Temperatures, Moist or Wet Conditions, Keep away
From Open Flan�e nr Sparks,
� Sec�ic�n Vt — Nealth Hazard Dafa
_...� �
Roufe(sj of Entry: -NIA Inhalation:-N/A Skin:-N/A inc�estion: -NtA
H�altl� Hazards(Ac��te and Chronic} : - NtA
Carcinagenicity: N/A NTP?: - N1A IARG Moi�oc�raphs?: -N/A OSMA Regulated: -NC7
Sigr�s and Sympfoms of Exposure: -Prolonged Exposure ta St7ioke that is Generated during '
Normal use of�ireworks may cause Irritatian to Eyes and to Mucous Membranes. I
i
Medlcal Canditions Generalty Agc�ravated E�y Ex�osure: - Eye Sensitivity, Respiratary
Candifions.
Emerc�ency and First Ald Procedure:-EYES Should be flushed with Water. Move to Fresh Air
and avaid additional inhalation of Smoke. 9
2
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3
Section VII — Precautions for Safe Handting and Use
Steps to Be Taken in Case Material ts Reteased or Spilted; -If Fireworks are spflied, car�fully
pick up the material and place 1n a Cardboard Carton. Keep OPEN FtAMES and Sparks AWAY
and NO SMOKING.
Waste aisposal Metiiacl: -Fireworks that faii to go off should be soaked in a t�ucket of water ancl
returned#o the source where it was obfained. Dry coi��ponents or powder sho��ld be carefuliy svdept
up and placed in a cardboard container then soaked with water.
Burning of�Ireworks Waste must be perFormed in compliance with local and state laws,
Precautians in Nandling and Storing: -Keep frQr�OPEN FLAMES, NO SMOKING,AVOlD
IMPAC7 of MAT�RIALS and CONTAINERS of MATERlALS, STOR�FlREWOR{<S IN A C�01_
AND DRY ENV[ORMENT. FlREWORKS 1.3G MUST BE STORED AND TRANSPORTEn IN
COMPtiIANCE WlTH FEDERAL, STATE AND LOCAL LAWS.
Ofher precautions: - Fireworks 1.3G un 0335 can cause SERIOUS INJURY or DEI�TH. They
Should only be Handled by Praperiy 7rained and Qualified Personnel, When Shooting these
Fireworks; PERSONNEL SHOULD WEAR PROPER EYE PF20TECTI�N, NEAD PROTECTION
�ND NON-SYN7HETIG CL�TNlNG, '
Section Vlil — Control Measures
Respiratory Pratecfio�� : NtA
Ve��til7tion: -N/A Local Exhaust: -N/A S��ecial. -Nl/�
Mechanical: -N/A t7ther: -N/A
Protective Gloves.-h!!A Eye t�rotec#ion: - Wf7en Shoa#ing Fireworks 1.3G
Other P��otective Clothing or Equipment: -Protective Head Gear and Nort-Synthetic Clothirig
when Shaating Fireworks 1.3G.
Work!Nygtenic Practices:»Stare Fireworks.in a Cool Dry and Well Ventilated area. Protect
Aga(nst Physica( Damage and Moisture. Flreworks should be Isalated from aEl Heat Sources,
Sparks and Open Flame, No Smoking. ,
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