HomeMy WebLinkAbout13-14852 � , CITY OF ZEPHYRHILLS �
' S335-8TH STREET
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� FIRE WORKS PERMIT
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Permit Number: 14852 Address: 5658 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: 11-26-21-0010-05700-0252
improv. Cost: 500.00
Date Issued: 12/26/2013 Name: ERIC HOOPER INC/WENDYS
Total Fees: 500.00 Address: 5658 GALL BLVD
Amount Paid: 500.00 ZEPHYRHILLS, FL. 33542
Date Paid: 12/26/2013 Phone: (813)782-5442
Work Desc: TEMP SPECIAL FIRE WORKS EVENT ON DEC 31, 2013 - JAN 1, 2014 (MIDNIGHT)
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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 shali 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 Section 791.01, Florida Statutes are considered as any combustible or explosive
composition or substance or oombination 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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C RAC OR IGNATURE PERMIT OFFICER "
PERMIT 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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5335 8`"Street
Zephyrhills,Fl.33542 � ���L/'�"� /�i��S/�L.✓'�-s
Phone:813-780-0020/Fax:813-780-0021 '-"`---' �
REQ MENTS
Detailed Plot Plan showing setup of location. Refer to Ord 1038-09, Sec 5 , j�,�/�
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Notarized letter from property owner stating their approval.
� A flame retardant certificate is required IF a tent is involved.Inspection r ance 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
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2 exits.
1_ 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.
1��p - 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
J� $30.00—City Registration(If Regulated by DBPR—Fee is Waived)
_� $500.00—Fireworks fee-Fire Department fee
$ 5.00—Temporary Sales Fee for 1�`two days
$ 1.00—Temporary Sales Fee per day for each consecutive day thereaf}er,not to
exceed duration of 7 consecutive days and no more thsn two occurrences
during a 12 month period on same property Ord#1038-09,Sec 6
$ 50.00—Tent Fee(40.00BD, 15.00*/FD)-{*$15.00 waived for Fireworks)
$40.00—Electrical Fee(if applicable)
Property Owner: JKY D� ���� L--��� /� �-
Applicant: � - �A"V 1 � ����( �.S '��C_
Phone Contact: _ ��3 °—S �� _ ��,�'f -
Address Site: Z�"I 1 5 Y � ��� �N ` ��/�'Q.Ff�C_LS 1=L ..�3S`� /
Date(s)of�es- F/�� Lt%��-KS �'1f-O�:u :
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Ordinance No. 1038-09 (for additional requirements)
TENT CHECKLIST
Plot Plan showing setup.
�/ Notarized letter from property owner stating their approval.
N l f� If tent is greater than 10 x 10, flame reta.rdant certification is required.
iv/A No smoking signs must be placed outside entrances.
N/�- If there is to be wire fencing or chain link fencing, this fence shall be set
back from the tent at least 5 feet and ha.ve at least 2 e�cits.
N�A If tent has sides, the sides sha11 be in the up position unless there is
inclement weather, than 2 sides must be in the up position.
✓ Proof of liability insurance.
� Minimum of 120"between stake lines.
� Adjacent tents sha11 be spaced to provide an area.to be used as a means of
emergency egress.
ri/A T'he ground enclosed by any tent and ground not less than 120" outside the
tent shall be cleared of all flammable or combustible material or
vegetation that is not used for necessary support equipment.
N f A If lighting is installed in tent, it shall be in the way that bulbs are not in
direct contact with the tent. (bulb/lamp cages)
N�A If power is supplied by generator, generator shall be a minimum of 20 feet
from the tent.
N;�� Any extension cords used sha11 be placed or positioned to cause a trip/fa11
� hazard.
A certified portable ABC fire extinguisher shall be located at each tent in
a visible and readily accessible location.
�IA If fireworks aze involved:
_,� Proof of state license.
✓� A pressurized water extinguisher(in addition!to the ABC)
� �J%f� List of a11 items to be sold.
_/� Copy of driver's license of personnel selling fireworks to
conduct background check
Jacqueline Boges �� �j7 3 0
From: Bill Burgess
Sent: Monday, December 31, 2012 9:50 AM
To: Jacqueline Boges
Subject: FW: Fireworks display for Skydive City Dec 31
Attachments: SkyrJive City Fireworks.pdf
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From: David TK Hayes fmailto:tk�sky�,p�.coml � --
Sent: Friday, Deoember 28, 2012 11:14 AM � ` ��/r`3/��
To: Bill Bunge.ss; Veme Riggall
Subiect: Fireworks display for Skydive City Dec 31
I attached a couple things in reference to the application for a fireworks display at Skydive City on New Year's
Eve.
Application filed at City Hall with a rough diagram,but I also have the attached file with my credentials from
ATF and an aerial shot of the planned launch location and spectator lines etc.
We aze skydiving at 8pm, l Opm, and right at midnight as well so I expect I will launch a few prior to midnight
and the remainder a$er everyone is on the ground and out of the way.
Consumer grade 1.4G fireworks ONLY will be used, I have plywood platforms I use to set up and launch from,
safety goggles helmets,etc and it will be only me out there unless you OK a hetper to work with me.
813-598-6981 if you need to reach me _-� �
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Dav�d TK Hayes
��e�dcM
www.SkvdiveCi .com
800-888-JUMP \
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Bobbie Swetland
From: Verne Riggall
Sent: Monday, December 23, 2013 4:54 PM
To: Bobbie Swetland
Subject: Fireworks
Bobbie;
I completed my review of Sky Dive City's fireworks plan and approve the plan.
Chief
Verne E. Riggall, Chief
Zephyrhills Fire Rescue
6750 Dairy road
Zephyrhills, FL 33542-1631
813-780-0041-Office
813-780-0044- Fax
813-714-6328-Cell
vri��all@fire.zephvrhills.fl.us
1
Bobbie Swetland
From: Bill Burgess
Sent: Monday, December 23, 2013 3:35 PM
To: Verne Riggall
Cc: Jacqueline Boges; Bobbie Swetland
Subject: FW: Vacation
From: Michael Handrahan
Sent: Monday, December 23, 2013 3:15 PM
To: Bill Burgess
Cc: Kalvin Swi�er; Nathan Coleman
Subject: RE: Vacation
TK Just left the FBO office and the airport has NO objection to the Fireworks display. We coordinated some
aviation concerns that I had and all of that has been worked out.
Thanx
�l�lik,e9`f�anclrahan, C.�t�l.
Airport Manager
City of Zephyrhills
39450 South Ave.
Zephyrhills, FI. 33542
Voice 813-780-0030
Fax 813- 780-0032
mhandrahanCa�ci.zephvrhills.fl.us
From: Bill Burgess
Sent: Monday, December 23, 2013 2:23 PM
To: Michael Handrahan
Subject: RE: Vacation
s
Thanks Mike. Hey T.K. is applying for his yearly fireworks display New Years Eve and I would like him to obtain your
approval. He said he is coming to see you in a few on unrelated items. Let me know if he has your approval...Thanks, Bill
From: Michael Handrahan
Sent: Monday, December 23, 2013 10:41 AM
To: Bill Burgess; Jim Drumm
Cc: Department Heads
Subject: RE: Vacation
Enjoy Bill — Thanx for your support.
�►�tike`tfandraFian, C.�I�t.
Airport Manager
City of Zephyrhills
39450 South Ave.
1
ZephyrhilJs, FI. 33542
Voice 813-780-0030
Fax 813- 780-0032
mhandrahan@ci.zephvrhills.fl.us
From: Bill Burgess
Sent: Monday, December 23, 2013 10:40 AM
To: Jim Drumm
Cc: Department Heads
Subject: Vacation
Good Morning,
As a reminder, as scheduled I will be off Dec. 26`n, 27`n and 30th. Kalvin will be glad to help if anything should arise that
needs building department attention.Thanks and Happy Holiday's.. Bill
William A. (Bill) Burgess
Certified Building Official
Certified Fire Safety Inspector
Director of Code Enforcement
City of Zephyrhills
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Certificate of Insurance
Falcan Inaurance Agency,Inc.
P. O.Box 92409
Austin,Te$as 78709-2409
512-891-8473
February 5,2013
This is to certify.to: City of Zephyrhills and Zephyrhills Municipal Airport '
39450 South Avenae
Zephythilts FL 33542
That insurance has been renewed 2/18/2013 for: Skydive City,Inc
424] Skydive Lane
Zephyrhills FI,33542
tnsurance Company—U. S.Specialiy Ins�arance Company Policy No.—UA00167344-03
Effective: 2/18/2013 Bx iration: 2/18/2014
AiRCRAFT LIABU,ITY LIMT'FS OF LIABILITY ATRPORT LIABILTTY LIMiTS OF LIABILTfY
Bodily Injury fiach Pe�son Bodily Injury Each Person
Each Occurnenco Each Occunenca
PropeRy Demage Each Occunence Pmperry Damage Each Accident
Pessenger Each Person 5ingle Limit Pren�ises Each pccurrence:$1.000,000
Each Occuaence Linbility Annual Aggregate•$2,000,000
Each Person:$100,000
Singie Limit including Each Qccurrence Products Liability Each Occurreaee&Annual
Passenger but not to exceed Each Passenger p�n��
Single Limit excluding Each Occunence Contractual Liability Each Occurtence
Passenger
Hanga�•keapexs'Legal One Aircratt
Liability All Aircrsft
Deductible
The City of Zephyrhitis and the Zephyrhills Mtuiicipal Airport are included as additional insureds with respect
to the airport premises liability insura��ce described herein,but only with regard to the non-operxtional interest
of addressees in the aviation premises occupancy of Skydive City,lne.at the Zephyrhills Municipal Airport.
The certificate issuer will endeavor to provide the addressee with tt�iriy(30)days advance notice in the event
the above described insurance policy is cancelled prior to 2/18/2014.
This Certificate of Tnsurance neither affirmativety nor riegatively arnends,alters or extends the coverage
afforded by the above numbered poIicy.
�jac�,�{aYr��
Iack Harrison
Falcon lnsarance Agency
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