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� a • � �i��e�s �tsP��-i�S�� + Temporary ��s Checklist City of Zephyrhills , 5335 8'h Street Zephyrhills,FI.33542 I Phone:813-780-0020/Fax:813-780-0021 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. I FIlZEWORK REQUIIZEMENTS—(In addition to the above) � Proof of State License. �Proof of Liability insurance. �/�83� ' . � f6z��o�S � fS� Cf-��i � Copy of Drivers License and Social Security Number of all personnel dealing with the sale of fireworks at the tent location. ss� 5�y— ��1, —�L� I I ✓ ! FEEs $30.00—City Registration(If Regulated by DBPR—Fee is Waived) � $500.00—Fireworks fee-Fire Department fee , $ 5.00—Temporary Sales Fee for 15`two days $ 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 $ 55.00—Tent Fee(40.00BD, 15.00*/FD)—(*$15.00 waived for Fireworks) $40.00—Electrical Fee(if applicable) Property Owner: J`I�I D� v✓ �"<<� ��C Applicant: �� -�� v � �S �Al�f�I�N��5 �`-fVIAC� C'D/✓� , Phone Contact: � — � � Address Site: ��y 1 S 1�-� � �V � L/� Z{�ILUS 3 7 Z i Date(s)of�: �I��i.t�G�-(�5 �� S p L.�Y �J �, 3 i �vt �.��v f�Ff- i Ordinance No. 1038-09 (for additional requirements)