HomeMy WebLinkAbout13-14191 � CITY OF ZEPHYRHILLS
5335-8TH SIREET
(si3)�so-oo20 9 4191
FIRE WORKS PERMIT
Permit Number: 14191 Address: 5953 GALL BLVD
Permit Type: FIRE WORKS ZEPHYRHILLS, FL.
Class of Work: FIRE WORKS Township: Range: Book:
Proposed Use: COMMERCIAL Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 10-26-21-0020-00000-0030
Improv. Cost:
Date Issued: 5/23/2013 Name: ZEPHYR LLC
Total Fees: 533.00 Address: 7162 READING RD#730
Amount Paid: 533.00 CINCINNATI. OH 45237-3845
Date Paid: 5/23/2013 Phone:
Work Desc: TEMPORARY SALE FIREWORKS- JUNE 10, 2013 - JULY 10, 2013 30 da s)
TEMPORARY SALES 28.00
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Chapter 633, Flonda Statutes,authorizes the City to charge and collect user fees to pay for the aosts 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 Acmmpany Application. Commencement of work without written approval of
the Fire DepartmenYs 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$100.00, whichever is greater. All
work shall be performed in accordance with City Codes and Ordinances.
"FIREWORKS" per Secfion 791.01, Florida Statutes are considered as any wmbustible or explosive
wmposition or substance or combination of substances or,except as hereinafter provided,any article
prepared for the purpose of producing visible or audible effect by combustion,explosion,deflagration,or
detonation.
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CONTRACTOR SIG RE PERMIT OFFICE `�—
PERM EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOURS NOTICE REQUIRED
ZEPHYRHILLS FIRE RESCUE DEPT- 813-780-0041
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Q� � Temporary Sales Checklist
City of Zephyrhills
— 5335 8"'Street �JiiMI1'jI'E�FSLANlS)F�AVE B'EEN R�=a�°kE°�'d�!►
� Zephyr6ills,F1.33542 �y Z ,j���LL$S R ' .�AR�}[AL'S vFF'ICE
Phone:813-780-0020/Fax:813-780-0�}� ��� 1 l S��
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REQUIREMENTS ��
Detailed Plot Plan showing setup of location. Refer to Ord 1038-09, Sec 5
✓Notarized letter from property owner stating their approval.
�A flame retardant certificate is required IF a tent is involved. Inspection required once tent
is erected and prior to opening for business.
Approved certified fire extinguishers per NFPA 10.
No Smoking signs must be placed outside entrances.
IF there is a wire fence or chain link fencing must have at least 5 Ft setback from tent and at least
2 exits.
IF tent has sides,the sides shall be in the up position unless there is inclement weather,
then 2 sides must be in the up position.
FIREWORK REQUIREMENTS-(In addition to the above)
Proof of State License. ��/�/
��, Proof of Liability insurance./ '„�,�(c,�y✓`�'�YIL°_c/1�� � � �
/ �=/ � f
� List of items to be sold at site.
V Copy of Drivers License and Social Security Number of all personnel dealing
with the sale of fireworks at the tent location.
FEEs �" °-�..�
$30.00-City Registr�tion(If Regulated by DBP -Fee is Waived)
�`� $500.00-Fireworks fee- Fire Departmen't fee
.___„ $ 5.00-Tempoxar�%.Sal.es-��e�-f�r��s`-twi5..d'ays
$ 1.00-Temporary Sales Fee per day for each consecutive day thereafter, not to
exceed duration of 7 consecutive days and no more than two occurrences
during a 12 month period on same property Ord#1038-09,Sec 6
$50.00-Tent Fee(40.00/BD, 15.00*/FD)�*$15 00 waived for Fireworks)
$40.00-Electrical Fee(if applicable)
Property Owner:_Z���u�r (,.�,�,.
Applicant: G " F'
Phone Contact: $1 _ 2 y ( � Z `7cj - C��c.�/ � �.�^r�
Address Site: 5�'i,r,3 G�all ��V c�
Date(s) of Sale:
�Uar'� �U`� ZO� ' ���I �O�~ ZC��'�
Ordinance No 1038-09(for additional requirements)
a�saso-oa2o City of Zephyrhills Fir•e Fax-s�3aaaoozi
Permit Application
Date Received
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Phone Contact for Pe
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Owner's Name e � �, Owner's Phone Number g�3 � � Z,3 y P Z'z�
Owner's Address � ��a�y1 �
Fee Simple Titleholder Name Titleholder Phone Number � � C�
Fee Simple Titleholder Address
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JobAddress Q�) ,V ��
Lot#
Sub Division � Paroel# �Q–'j�(p – Z,��QQ � p
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� Bio-Hazard Wa e Storage-ANNUAL � Fumigation Tent
� Comm Exhaust ,itchen HoodlDuct � Hazardous Material(Tier ii or RQ Facility)ANNUAL
� Controlled Bum ' � Hood Installation
� Emergency Ge rator�30 kw � LPJNatural Gas-Installation
� Emergency Ge rator>30 kw � LP/Natural Gas-ANNUAL Sale
� Fire Protection aintenance-ANNUAL � Piaces of Assembly-ANNUAL
❑ r y emi � er �
Sprinkler ❑ p ❑ Recreational Bum
Fire Alarm � p ❑ ❑ Sparklers
Hood Cleaning � ❑ ❑ ❑ C] � Sprinkler System installations
Hood Suppress n � ❑ ❑ O �� � Standpipes(Sprinkler Sys)
� Fire Alarm Insta l�tion � Torch Ro�ngRar Kettle
Fire Pumps Q Waste Tire Storege ANNUAL
Fire Works
Flammable App ication-ANNUAL �—�� Valuation of Project
Fuel Tanks
QOther:
.�i�2:d::d:.:.«�:.i:�""..F�`� . tY , F .. . ��a'�.' '�£,..'`.'r:�'�.�kS �..': nfi;.5".�:.��e'-�'��€�-ki+ts���;n.�,�Yw�r.aaavr - > . �,.'_��'^?iS.�k,'�'aba.�*�
Contractor
Company —�
Signature Registered Y/N Fee Current Y/N
Address License#
ELECTRICIAN Company —�
Signature
Registered Y/N Fee Current Y/N
Address
License#
PLUMBER Company �—
Signature Registered Y/N Fee Current Y/N
Address
License#
MECHANICAL Company
Signature Registered Y/N Fee Gurrent Y/N
Address
License#
OTHER Company —"�
Signature Registered Y/N Fee Current Y/N
Address License# --�
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Directions: �> ,� �xrr ,..�.,_._.....,,a ,��.,.M�.�..�..�,....��,.,�,...�._.�,u.,,,�.�.»FUa �.. :�.,::
Fill out appiication com letely
Owner 8 Contrector sig 6ack of application,notarized(Or,copy of signed contrect with owner)
If over$2500,a Notice f Commencement is required{Mechanical work over$5000)
Supply two(2)sets of d wings with applicable documentation
Allow 16-�4 days for re iew after submittal date. Parcel#-obtained from Property Tax Notice(http://appraiser.pascogov.com)
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'NQTICE OF'DEED REST 1CTIONS: The.undersigned understands that this permit may_be subject�to-°deed":restrictions"
which may be more restric ive than County regulations. The_undersigned assumes responsibility for:�ampliance;with any
applicable deed restriction . �
UNLICENSED CONTRi4C ORS AND CONTRACTOR RESP.ONSIBILITIES: If-fhe awne� has hired;a°contractor or - -
contractors�to undertake w rk, they may be required to be licensed in accordance with state and locai-regulations. if the
can#ractor is not lic�nsed s required by law, both the owner and contractor may be cited for a misdemeanor violation
under state faw. If the ow er or intended contracfor are uncertain.as�to what licensing-requirements may apply for the
intended work, they are ad ised to contact the Pasco County Building Inspection Division—Licensing Section.at 727-847-
8009. Furthermore, if th owner has hired a contractor or cantractors, he is advised to have fhe contractor(s) sign
portions of the "contractor lock° o#this appiication�for which�fhey will be responsible. If you, as the owner sign as the
contractor, that may be an indication that he is not properly licensed and is not entitled to permitting.privileges in Pasco
County.
CONSTRUC710iV LIEN W(Chapter713, Florida Statutes,.as amended): If valuation of wark is$2;500.00 or more, I
certify that !, the appiica t, have been provided with a copy of the "Florida Construction Lien Law--Homeowner's
Protection Guide" prepare �by the Florida Department of Agriculture and Consumer Affairs. tf the applicant is someone
other than the"owner", I c ify that I have obtained a copy of the above described document and promise in good faith to
deliver it to the"owner'pri r to commencement.
- CONTRACTO 'S/OWNER'S AFFIDAVIT: I certify that all the information in this application is accurate and
that all work 11 be done in compliance with all app(icable laws regulating construction, Zoning and land
development. pplication is hereby made to obtain a permit to do work and installation as indica#ed. ! certify
that no work or instalEafion has commenced prior to issuance of a permit and that all work will be pertarmed to
meet standard of all laws reguiating construction, County and City codes, zoning regulations, and land
development r ulations in the jurisdiction. I also certify that I understand that the regulati�ns of other
government ag ncies may apply to the intended work, and that it is my responsibility to identify what acfions I
must take to b in compliance.
If I am the AGENT FOR T E OWNER, 1 promise in good faith to inform the owner of the permitting conditions set forth in
this affidavit prior to comm ncing construction. I undersfand that a separate permit may be required for electrical work,
plumbing, signs, wells, po 4s, air conditioning, gas; or other installations not specificaily included in the application. A
permit issued shall be con trued to be a ficense to proceed with the work and not as authority to violate, cancel, alter, or
set aside any provisions af s tachnical codes, nor shall issuance of a permit prevent the Building OfFcial from thereafter
requiring a correction of e rs in plans, construction or violafions of any codes. Every permit issued shali become invalid
unless the work authorfzed by such permit is commenced within six months of permit issuance, or if work authorized by
the permit is suspended or bandoned for a period of six{6} months after fhe time the work is commenced. An extensian
may be requesfed, in writi g, from the Building Official for a period not to exceed ninety (90) days and will demonstrate
justifiable cause for the e�ct nsion. 1f work ceases for ninety(90)consecufive days,the job is considered abandoned.
WARNlNG TO OWNER: OUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT !N YOUR
PAYING TW10E FOR IMP OVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSUl.T
WITH YOUR LENDER OR N ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
FLORIDA JURAT(F.S.117.03) � �
.
OWNER OR AGENT �� CONTRACTO , f 1,��
S b and svi+o ( r affi �me th�s Subs i�be�and swom a r me this
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Who is/are personally kno W m or has/have produced Who is/are p�rsonally krtown to e or has/have produced
s identificatlon. as identification.
� Notary Public �-�✓�
Notary Public
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'� ::a Commission =�eti'!+ �,:. " .
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LEASE AGREEMENT
This Lease Agreement is entered into as of the 10`� day of March
Fireworks,Inc,a F(orida Corporation,having its principal place of business at 204 East Dr Martin Luther King,Jr Boulevard,Tampa Florida 33603
("Lessee(s)")for the purpose of establishing tlie terms and conditions by sor lOeases certain p operry to Lesseedersigned Lessor and Galaxy
I n c o n s i d e r a t i on o f t he fo l lowing covenants and conditions,and ofother consideration the receipt and sufficiency ofwhich aze acknowledged,Lessor and
Lessee agree as follows:
I Premises Location:The property that is d�e subject of this Lease Agreement(the"Premises")is located at the following address
5943 Gall Blvd.Ze h hills FI
2. Occupancy:Lessor represents and warrants that it owns the Premises,and Lessor hereb
Premises undisturbed during each Term(as hereinafter defined),access thereto(including the r ght to cross surround�nsive riglit to occupy and use the
any),along with all otfier rights provided to a tenant under the laws of the state of Florida. g Properry belonging to Lessor,if
3 Term: The periods during which Lessee will be entitled to occupy the Premises("Terms")are as follows:
Term 1 is from June 15th 2011 until
2016. Thereafter occup determined by,L st ee's�elect o pursuantt o�Sectiontl]]ZOThis Agreement shall continue in fu11 force and effect until
--__unti] Janua�12�<��tial L,ease Period")2011-
the Option Periods identified in Section I1 below expire;
4 Use:Lessee may use the Premises to sell seasonal products,including but not limited to fireworks and items incidental tliereto.
5 Rent:Lessee will pay Lessor the sum of e
applicable Term. -�for Term] and�or term 2 which will be due and payable on the first day of tlie
6. Permits:Lessee agrees to acquire any and ail permits re uired b
not approved for any reason,tliis Agreement wil]be null and void,and aIl deposits will be refunded to Lessee. If,after any necessary permits have been
y governing authorities for Lessee's intended use ofthe Premises. Ifthe permits aze
issued to Lessee,Lessee is prevented from using the Premises for the intended purpose of selling fireworks during any part ofa Term because ofan act of
God,war,executive order,ordinance,change in law,or other reasun�eyond Lessar's oi Lessee's control,Lessce will be relieved of its obligation to pay
rent for that Term,and any rent paid for that Term wi1]either be refunded to Lessee or applied to tlte next Term,as Lessor chooses. Lessor shall malce
that choice and notify Lessee within ten days of being informed by Lessee that it has been prevented from using the Premises.
7 Indemnification:Lessee sliall indemnify and hold Lessor harmless from any and all actions and claims resulting d'uectly and solely from Lessee's use
of the Premises,inc]uding but not limited to claims by Lessee's licensees,or invitee,and trespassers.
8. Fixtures:All structures(including tents)shall be placed on the Premises under the approval of Lessor Any p]acement shall not interfere with
Lessor's use of property surrounding the Premises. Any installation shall not damage any of the Lessor's improvements on the Premises.
9 Insurance:Lessee shall provide Lessor with proofof liability insurance before ti�e Term begms. Liability insurance shall be in an amount of not less
than$1,000,000 for each occurrence.
10. Maintenance:Lessee sha11 maintain the Premises in an orderly manner and will haul<iway any and all trash made by Lessee,its customers,and
vendors prior to vacating the Premises.
11 Option:Following the Initial Lease Period,this Agreement will remain in effect for an addrtional iive years("Option Period"). However,ifLessee
notilies Lessor 30 days in advance of a particular yeaz during the Option Period that Lessee elects to not exercise its option for that year,Lessee will not
be required to pay rent for that year,and Lessor will be free to rent the Premises to someone else for that year,subject to Lessee's right of first refusaI set
forth below Such election will not affect subsequent years. In the event that Lessee elects to not exercise its option for a particular year,Lessee has the
exciusive right of refusal to match any and all offers to lease the Premises during that year Lessor shall notify Lessee in writing ofany such offer and ffie
terms thereof,and provide Lessee thirty days to elect to exercise or waive the right of first c•efusal.
12. Non-compete:Lessor agrees to not sell or permit the sale of fireworks by anyone other than Lessee on any property owned or leased by Lessor
wifl�in 2 miles of the Premises.
13 Canccllatiou: If the Premises is sold,master leased on a long term basis other than for the sale of fireworks,or the law is changed to prohibit the
sale of fireworks for all remaining Terms,this Agreement may be canceled by either pazty providing thirty days written notice to the other party
1N WITNESS WI-IEREOF,Lessor and Lessee have each caused this Agreement to be executed and to take effect as of the date first above written,as
evidenced by the signatures oftheir respective duly authorized representatives appearing below
y Fireworks,Incorporated(Lessee) ��'��� ��
'� (Lessor)
, � c
�y. . "'�('� sy:—r�\,� ��
Signature
Signature
Rickv Johnson Vice-President
Na c and Title �'(��� � ' �2��1'�L ! "" '—�� _�
_ � � �� Name and Title
ivate��gned '� �'� 1 �
Date Signed
Before me,the undersigned Nolary Public,persoually appeared ,.'.� -.,
executed the foregoing Lease Agreement,and she/he acknowledged to and be ore me that sh��xecu ed such inst�rnmento me to be the person who
therewith. and agrees to fully comply
Ac°� CERTIFICATE OF LIABILITY INSURANCE DATE�MM/DDlYYYY)
3/5/2013
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR AITER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED �
, REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to
the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the
ceRificate holder in lieu of such endorsement s.
PRODUCER NAME: '�
Britton Gallagher PHONE FAx �
One Cleveland Center, Floor 30 - - ac "°: - _
E-MAIL �
1375 East 9th Street nnoRess: I
I, Cleveland OH 44114 INSURER S AFFORDINCa COVERAGE NAIC# '
INSURER A:
�I INSURED INSURER B.
� Galaxy Fireworks Inc. �r,suReR c.
204 E. Martin Luther King Blvd INSURER D.
Tampa FL 33603 �NSUReR e: �I
INSURER F. �
COVERAGES CERTIFICATE NUMBER:�624783743 REVISION NUMBER: �,
THIS IS TO CERTIFY THAT THE POLICIES OF INSURAN�ED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT, R CONDITION OF AMY C�NTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
' EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR 7ypE OF INSURANCE POLICY EFF POLICY EXP
LTR IN R WVD POLICYNUMBER MMlDD/YWY MM/DD/YYYY LIMITS
A GENERAILIABILITY 4200908-03 /10/2013 /10/2014 EACHOCCURRENCE $1,000,000 I
X COMMERCIAL GENERAL LIABILITY PREMISES Ea xcurrence $50,000 �
CLAIMS-MADE �OCCUR MED EXP(Any one person) $ I
�, PERSONAL&ADV INJURY $1,000,000
GENERAL AGGREGATE $2,000,000
GEN'LAGGREGATELIMITAPPLIESPER PRODUCTS-COMP/OPAGG $2,000,000
POLICY PR� X LOC $
AUTOMOBILE LIABILITY ,
Ea accident '
ANY AU70 BODILY INJURY(Per person) $
AUTOS NED AUTOSULED BODILY INJURY(Per accident) $ I�
NON-OWNED PROPERTY DAMAGE
HIREDAUTOS AUTOS Peraccident $
, $
' UMBRELLA LIAB OCCUR EACH OCCURRENCE $
EXCESS LIAB CLAIMS-MADE AGGREGATE $ �
DED RETENTION$ � '
WORKERS COMPENSATION WC STATU- OTH-
AND EMPLOYERS'LIA8ILITY Y�N ,
ANY PROPRIETOR/PARTNER/EXECUTIVE E L.EACH ACCIDENT $
OFFICER/MEMBER EXCLUDED� � N�A
'� (Mandatory in NH) E L.DISEASE-EA EMPLOYE 5
If yes,describe under
DESCRIPTION OF OPERATIONS below E.L DISEASE-POLICY LIMIT $
DESCRIPTION OF OPERATIONS I LOCATiONS!VEHICLES (Attach ACORD 107,Additional Remarks Schedule,if more apace is required) '�
Stand Location. 5943-5953 Gall Bivd.Zephyrhills, FI 3542
Additional Insured: City of Zephyrhills, Pasco County Board of County Commissioners, Mark Ayer and all their agents, representatives and
subsidiaries
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
City of Zephyrhills, Pasco County Board of County ACCORDANCE WITH THE POLICY PROVISIONS.
Commissioners and Mark Ayer
7162 Reading Rd. Suite 730 qUTHORIZED REPRESENTATIVE
Cincinnati OH 45237
��F�x���
O 1988-2010 ACORD CORPORATION. All rights reserved.
ACORD 25(2010I05) The ACORD name and logo are registered marks of ACORD
ILetter View Page 1 of 1 J �
� Jeff Ahvater
Casia 5inco
i CffiEF FINANCIAL OFFICER BUREAU CFTIEF
j 7ulius Halas
i DIVISION DIRECTOR Keit6 McCarthy
I �� SAFETY PROGRA':VI NiANAGER
� FLORIDA DEPARTMENT OF FINANCIAL SERVICES
DIVISION OF STATE FIItE MARSHAL _
2Q0 East Gaines Street -Tallahassee,Florida 32399-0342
Tet.850-413-3644 Fax.856-410-2467
� CERTIFICATE OF REGISTRATION _
RETAILER
OFFICL4L COPY
THIS CERTIFIES THAT: Gal�y Fireworks
204 E Martin Luther King Blvd
Tampa FL 33603
Has registered pursuant to the provisions of Florida Statues to engage in the business of selling sparklers to
consumers at retail at the following fixed pIace of business:
5932 Gall Blvd,Zephyrhills,FL 33542 Pasco
Issue Date: 02/01/2013
Type: 07
Class: 64
County: Pasco
License/Permit#: 186104-0008-2010
Expiration Date: O1/31/2014
..,.C.i�Pr�
� � �
��,•
Chief Financial Officer
https://www.citizenserve.com/Admin/PermitController?Action=CheckPrintingConditions... 1/30/2013
r z,
�_ _ i 3�Z 1 Of �
,�eff.4h�ater �""KtiE"`^•,, C'asia 'yinco
�FIt�FFl7�'ANCI.ALQFTICER �a;��_ __ ��'y`
�,� �� BURE.�I�CHZEF
Julius Halas �� �
Dtt'ESI�'.�'DIRECTOR ;�3 � ,��F Keith �fcCarth}
'°;:��..,u; f SAFETYPROGRAMRIANAG�:R
'.�µ��.�'
�'LO��b�s���ARTi 1l�IENT OF FI1�T.��IC'I�,L SE➢2�'�C��
�IVISIQ�N O��'STAT�FI�MA.RS�I,
�00 East Gaines Street -Tallahassee,Florida 32399-0342
Tel ��0-41�-3Gd4 Fax.8�0-410-2do7
����'I�'��f�.�'� ��' ���r�s��.����
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THIS CERTIFIES 1'HAT: Galaxy Fireworks Inc
204 E Martin I,uther King
Tampa FL 33603
Has registered pursuant to the provisions of Florida Statues to engage in the business of selling sparklers to a
retailer.
Issue Date: 02/O1/2013
�rYPe� 07
,-r,s�-; -�,�..
Class: Ei2 � , ��
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Report Generated Tue Feb 26 09:36.32 2013
Galaxy Fireworks - Tent La out Re o
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Tent Number: 39
Address: 5953 Gall Blvd, Zephyrhills, FL 33542
Tent Size: 60x30
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5953 GALL BLVD Layout
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This site meets the following requirements as set forth in the Florida Fire Prevention Code:
l. Tent is not within 300' of any above ground bulk storage or bulk dispensing areas for flammable
or combustible liquids, flammable gas, or flammable liquefied gas per NFPA ], Section
65.11.3.12.6(1)through 65.11.3.12.6(3).
2. No Smoking and No Fireworks Discharge signs placed near the entrances as required by NFPA
1, Section 65.11.3.11.1, 65.11.3.11.2 and NFPA 1, Section 65.11.4.6.3 respectively. All text will
be in 2" letters, red in color and placed on a white background.
3. Tent is not within 50' of any motor vehicle dispensing station dispensers(NFPA l, Section
65.11.3.12.2), above ground storage tanks for flammable or combustible gas, or flammable
liquefied gas,compressed natural gas dispensing station dispensers, or retail propane dispensing
station dispensers per NFPA 1, Section 65.11.3.12.1(1)through . 65.l 1.3.12.1(3).
4. This tent meets all clearance criterion regarding buildings, combustibles, other tents, stands,
generators(and their applicable fuel storage location),as well as any storage location for
consumer fireworks. Tent parking shall be identified as located not less than ]0' from the tent.
See NFPA 1, Section 65.11.4.9.2.2, Section 65.11.4.9.2.3, and Table 65.]1.4.7.2.
5. Interior of this tent follows the diagram provided above and meets all aisle width, exit width, aisle
placement and arrangement criterion as noted at NFPA 1, Section 65.11.4.8.1, 65.11.4.8.1.2,
65.]1.4.8.5, 65.11.3.14.3.1.1 through 65.11.3.14.3.1.4. There are no dead-end aisles.
6. This facility is equipped with two emergency/exit light sets per NFPA 1, Section 65.11.4.8.3 and
65.11.4.8.4. Hours of operation are suggested as from 9:00 AM through 12:00 AM. This varies as
it gets closer to the holiday sales event.
7. All battery operated equipment, electrical equipment, and electrical cords in this facility are used
in accordance with their listing per NFPA 1, Section 65.11.4.9.1.
8. All temporary wiring in the tent shall comply with NFPA 70(2005 Ed.)article 590 "Temporary
Wiring"and shall be secured to prevent damage caused by civilian or vehicular traffic per NFPA
1, Section 65.11.4.9.1.1.
9. Generators (if applicable)used at this location operates on a Class II or Class III combustible
fuel. Specifically any generator utilized at this location operates on diesel fuel.
This location has consumer fireworks products from
the following list on site for sales to the public:
Inv. # SAFE/SANE ASSORTMENTS
000000000103 Comet Collection 18/1
000000000111 Cosmic Cluster g��
000000000107 Cosmic Countdown 4/1
000000000116 Final Countdown 6/1
000000000106 Just for Kids 24/1
000000000108 Ninja 6/1
000000000109 Party Time 5/1
000000000100 Star Gazor 24/1
000000000113 Warp Speed 12/1
lnv. # FOUNTAINS
705108306404 4th of July Picnic 12/1
754471202011 7th Heaven 6/1
705108310500 Acrobatic Monkey 4/1
754471202110 Barrel of Fun 12/1
8052531142607 BREATHLESS 18/1
705108304103 Brilliant Shower Ftn. 48/1
705834220722 Bulk Cones #3 Conic 18/4
761507114088 Bulk Cones #4 Crackling 18/4
761507118062 Bulk Cones #5 USA Spring Blossom 96/1
754471200215 California Dreamin' 24/1
754471200611 California Sunrise 36/1
754471200017 Call of the Wild 36/1
676551050216 Cuckoos 24/6
754471201410 Electric Rainbow 12/1
8052531200406 EYE TRIX 12/1
754471201113 Far Out 12/1
000000000231 Fire Invioable 12/3
705834221170 Firetongue Fountain 24/1
676551000921 Flamenco (100 gr) 18/1
8052531204701 FLIPPIN AWESOME 24/1
705834640063 Floro Glo 6/1
80525311420 Fool's Gold 24/1
000000000208 Friendship Flower Fireworks Lg 144/1
705108302703 Gadzooks 12/6
8052531141808 GO GIRL GO 24/1
754471202219 Grand Illusion 6/1
754471201212 Havana Heat 18/1
754471202714 Hearts A-Fire 4/1
000000000302 HN-60 Asst. Fountain 36/4
000000000303 HN-89 Asst. Fountain 18/4
000000000304 HN-90 Asst. Fountain 18/4
676551001669 Hot Roll 16/1
8052531200505 INTENSE 12/1
754471201311 Just Another Stinkin Fountain 24/1
000000000305 Killer Bees 24/4
80525311421 Lava Lamp 6/1
754471199816 Malibu Madness 36/1
754471202912 Mystic Rain g��
80525311370 National Treasure Ftn 6/1
8052531134404 ONE UNBELIEVABLE FOUNTAIN 4/1
74471201915 Perfect Storm 6/1
80525311423 Psychedelic 4/1
754471201519 Quiet Riot 6/1
705108301607 Star Club 18/1
754471199717 Star Dust Ftn. 24/1
17544712019 Stars Over America 24/1
8052530300008 WAKING THE DEAF 4/1
000000000204 Whistling Dixie (Phx Tailj 48/6
705108304608 Wonderland 36/1
8052531137801 WORLDS HIGHEST FOUNTAIN 18/1
805253113794 Worlds Strongest Fountain 18/1
Inv. # SPINNERS & WHEELS
676551051442 Ground Bloom Flower (Gorilla) 20/12
000000000513 Spinning Wheel 12/6
000000000514 Tri-Rotating Wheel 24/12
Inv. # NOVELTIES
676551033479 Black Snake 15/48
000000000519 Crackling Balls 16/12/6
000000000507 Party Poppers Champagne �2/72
676551033431 Snap-n-pops 6/40
000000000510 Tanks 40/12
Inv. # SMOKE ITEMS
676551033486 Mammoth Smoke 6/24/1
676551033462 Smoke Balls (color, 12 pk.) 20/6/12
676551033509 Smoke Balls (white, 12 pk.) 20/6/12
000000000602 Smoke Grenades 12/48/1
Inv. # SPARKLERS
000000000709 #10 Color Sparkler 24/12/8
000000007177 #10 Gold Sparkler 24/12/8
000000000701 #8 Color Sparkler 24/12/6
000000000700 #8 Gold Sparkler 24/12/6
000000000705 10" Morning Glories 24/12/6
000000000704 14" Morning Glories 15/8/12
705834480034 36" Galaxy Morning Glories 48/1
Inv. # FULL "C" ASSORTMENTS
000000000810 Alien Attack 6/1
000000000801 Cosmic Countdown 4/1
000000008133 Galaxy Collection g��
000000008003 Galaxy's Next Generation 6/1
000000000809 Night Fire 1/1
000000000811 Saturn's Revenge 4/1
Inv. # CAKES (Repeaters)
705108510009 Aerobatics Show 12/1
705108506200 Armegeddon 12/1
8052531326410 Beware g��
000000000931 Big Snow �g�2
805253633056 Buggin Out 12/1
8052531333111 Burn Out 12/1
705108512508 Cherry Bomber 12/1
000000000938 Cloud Dragon �g�2
000000000923 Coconut Grove 12/1
676551050490 Color Pearl-48 shot 20/4
676551050728 Color Pearl-96 shot 10/4
805253131774 Crazy Exciting 12/1
705108512201 Eye Candy g��
612037206067 Galaxy's Warrior 72��
000000000939 Green Bamboo �g�2
705834231773 Happy Firework-16 shot 48/1
705834231780 Happy Fireworks-36 shot 24/1
000000000906 Kaleidoscope 50/1
805253013018 Land of the Free 18/1
8052531330813 Mean Machine 24/1
705108513000 Mega City 10/1
705108513109 Mexican Wave 10/1
805253632462 Motor Mouth 12/1
805253132009 Splitter Splatter 18/1
8052530136614 Stadium Pride 12/1
805253132375 Tail Gator 24/1
805253131293 Wreckless 12/1
000000000919 Yellow Bees �g�2
Inv. # ' S00 GRAM CAKES
754471293712 Above the Law 4/1
612037567793 Act of God 6/1
705108531707 Amazing Ballet 1/1
612030642251 America The Beautiful 4/1
705108541300 Big Mother Clucker 3/1
805253150126 Breathless 3/1
805253150523 Can You Handle It 2��
612037541496 Carnival Attack 6/1
612037577778 Catastrophic Storm 4/1
8052531514206 CHAOS 6/1
805253150393 Crazy Exciting on Steroids 4/1
813559008553 Cruel Mistress 2��
805253131279 Extreme Machine 4/1
80525302902 Fanaticon 2��
000000015271 Galaxy's Desire 4/1
000000015264 Galaxy's Eye Opener 4/1
000000001600 Galaxy's Golden Star g��
612130664321 Galaxy's Thunder 6/1
812038509253 Galaxy Assault 2��
705108532209 Galaxy Explosion 4/1
000000001566 Galaxy Gate 4/1
000000015233 Galaxy Magic 4/1
8052531512011 Gangster 4/1
8052531515401 GHOST RIDER 4/1
8052531511205 GITTIN IT DONE 4/1
8052531511304 Hustler 4/1
8052531521204 ICU 6/1
805253151610 Ignite The Night 2��
8052530156605 Independence Series 500 Gr. Cake 4/1
8052530290415 MAGNUM TREMORS 2��
805253150775 Makin Thunder 2��
612030658856 Need for Speed 12 Shot 4/1
805253132238 Not in My Yard 4/1
805253029019 One Bad Mother 3" 2��
805253131859 One Bad Mother 4/1
805253150379 One Bad Mother in Law 4/1
805253450509 One Big SOB 2��
805253150867 Oriental Dragon 500 Gram 6/1
8052531515708 PURE INTENSITY 3/1
805253150591 Pure Seduction 3/1
80525315060 Rolling Thunder 2��
8052531514817 TOO MUCH FOR U 4/1
705108534500 USA Conquerer 1/1
805253132245 Widow Maker 4/1
6950165411002 Wife's Revenge 2��
000000001526 Winter Blast 1/1
805253150515 XXL 3" 2��
fnv. # FIRE CRACKERS
680140008823 Bad Boy Crackers 100/100
000000001001 Celebration Crackers-1388 12/1
000000001002 Celebration Crackers-2492 6/1
805253005242 Firecrackers-16000's 1/1
000000001010 Firecrackers-2000's g/�
000000001007 Firecrackers-200's 8/10
000000001004 Firecrackers-40/16 (Gorilla) 24/40
000000001011 Firecrackers-4000's 4/1
000000001012 Firecrackers-8000's 2��
000000001515 Gorilla Burst 12/1
000000001527 Junior Burst 12/12
000000001017 M-1000, Assorted (36) (Galaxy) 40/36
Inv. # Roman Candles
000000001129 Blue Thunder 24/6
0200000014007 Galaxy Special Rom. Candle (36/4) 36/4
000000011105 Roman Candle - 5 Ball 48/6
000000001111 Roman Candle - 5 Ball (w/rpt) 72/4
000000011140 Roman Candle 10 Ball 24/6
0000000011150 Roman Candle 10 Ball (w/rpt) 36/4
000000001113 Roman Candle 8 Ball (w/rpt) 54/4
000000011129 Roman Candle-8 Ball 48/6
705834250392 Smash Tactic Candle 24/4
705108400409 Super Galaxy Candle 18/4
16932352130019 Turbo Boost 24/4
Inv. # WINGED � PARACHUTE NOVELTIES
000000001103 Bombing Planes 60/6
705108508303 Military Parachute 24�2
000000001106 Reconnaissance Plane 60/6
000000001119 Two Color Space Ship 36/6
Inv. # MISSILES
676551050018 Saturn Battery 25 shot 120/1
000000001117 Saturn Battery-100 shot 30/1
000000015028 Saturn Battery-300 shot 12/1
000000015356 Saturn Battery-750 shot 2/�
Inv. # ROCKETS
000000001200 Bottle Rockets (Gorilla) 25/12
000000001212 Cluster Bee 72�g
000000001228 Emerald Meteor 96/6
000000001215 Flying Color Butterfly 72�g
612026121210 Galaxy Explorer 10/9
805253001411 Need for Speed Rocket 24/4
000000001221 Parachute Rocket 96/6
000000001213 Red Meteor Rocket 96/6
805253001428 Ring Shell Rocket 24/6
000000001205 Rockets 4oz (Galaxy) 36/12
000000001206 Rockets 6oz (Galaxy) 36/12
000000001207 Rockets 8oz (Galaxy) 36/12
8052534016480 Rockets in Motion g�g
805253401556 Smiling From Ear To Ear 20/5
0921432100338 Whistle Bottle Rockets 20/12
000000001203 Whistle Bottle Rockets-3 20/12
000000001214 Wild Geese 48/6
8052530015100 X Marks The Spot 18/1
Inv. # RELOADABLES
676551071181 Artillery Shell 12/1
705108481309 Attack Force 1/1
676551071198 Crackling Artillery 12/1
805253131545 Excalibur 6/1
6944112607419 Exterminator 4/1
000000001344 Ghost Killer Shells 6/1
000000001341 Goliath 4/1
000000014021 Gorilla 12 Shot Artillery 12/12
805253023680 Instigator 1/1
000000005000 MOAB 2��
676551071204 Ninja Shells (Galaxy Evil Balls) 12/1
612192182183 Power Man 12 6/1
676551033455 Prime Artillery Shells 6/1
000000013024 Small Festival Ball 15/1
70510880308 Super Bomb 6/1
805253414082 Super Magnum 12/1
000000001342 Trilogy 6/1
8052530147214 Zeus 2��