HomeMy WebLinkAbout3653 S ORLANDO DR 18-4351n
OCT 2 5 2018
D
,�-`f 3�
CITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No: Documented Construction Value: $ 1250
Job Address: 3653 S ORLANDO DR Historic District: Yes ❑ No ❑
Parcel ID: 11-20-30-50U-0000-0010 Zoning: o
Description of Work: TEMPORARY TENT PERMIT TO SELL FIEWORKS I21210� S' 1 �1" tl YQyf u 12/31/19
ROBYN CURRAN AREA MANAGER CENTRAL FL
Plan Review Contact Person: Title:
Phone: 352-299-2431 Fax: E-mail: CURRANR@TNTFIREWORKS.COM
Name WALMART STORES EAST LP
Street: PO BOX 8050
City, State Zip: BENTONVILLE AR 72712
Name ELITE EVENTS AND RENTALS
Street: 13818 WRIGHT CIRCLE
City, State Zip: TAMPA FL 33626
Name:
Street:
City, St, Zip:
Bonding Company:
Add ress:
Property Owner Information
Phone: 352-245-9151
Resident of property?
Contractor Information
Phone: 727-791-7082
Fax:
State License No.:
Architect/Engineer Information
Phone:
Fax -
E -mail:
Mortgage Lender:
Address:
PERMIT INFORMATION
Building Permit El
Square Footage: 1500 Construction Type:
No. of Dwelling Units: Flood Zone:
Electrical ❑
New Service — No. of AMPS:
Mechanical ❑ (Duel layout rcyuirL l for new systems)
No. of Stories:
Plumbing ❑
New Construction - No. of Fixtures:
Fire Sprinkler/Alarm ❑ No. of heads:
Shall be inscribed aide the date of application and the code in effect as of that dale (Code 2010 PRC) 731.135(5)(6) Florida Statutes.
REV 07.14
Applic 0 is hereby made to obtain a permit to do the work and installati m as ked. I certify that no
work or instillation has commenced prior to the issu mce of a permit and that all work will be pe*rrned to
meet standards of all laws regulating corlstrucd m in this ,jlrriI ander and that a separate permit
most be seenred for dedried work, Ftnmblon I signs, weld, pools, fu at=- baa, heater4 taala4 and
air eoaditioaers, et+G
OWNER'S AMMAVU-0 I eerft that s® of the foregoing inform is aeemte and that all work will
be done in eompliaoee with all applusble laws regabdog V_ a- tru dim and zoning.
WARNING TO OVVNER: YOUR FAILURE TO RECORD A NOTICE OF COMMM02dENT MAY
RESULT IN YOUR PAYING TWICE FOR DAPROVENDIN I S TO YOUR PROPERTY. A NOTICE
OF COhffdMCFZAZlff MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE
IBM IN PEOLION. IF YOU INTEND TO OBTAIN FINANCING CONSULT WITH YOUR
LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMCEMENT.
NOTICE: Lal SiffitiOn to the requIts of this peralk there may be additional"
mumous applicable to this
property that may be found in the public records of this county, and there may be additional permits required
from oilier governmental s such as water mmaa districts, state ate, or federal agencies.
Acceptance of permit is Vaificaflon that I will na ify thel owner ofdw property ofthe requRogofflorida.
Lien Law, FS 713.
The City of Sanford requires payment of a plan review fee. A copy of the ezetated contract is required in order
to calculate a plan review charge. Ifdw executed contract is not submitted, we reserve the right to calculate the
plan review fee based an past permit activity levels. Should cak ulat+ed ebarps exceed the documented
construcCM value when the executed contract is - 1 -nitbed, credit will be applied m your permit fees when the
permit is released.
o-zs-J8
Ewft
Fft_ �ob�n LUWpM
s dwomil .ateerno" Deme
OwnledAtt is P'► Known to Me or
Produced ID Type of ID
PtiatCaoamdodA�mCs
DEBBIE BLANTON
MY COMMISSION 0 FF 178696
EXPIRES: February 25, 2014
Banded Thru Notary Public Underwriters
ContracW/Agent is P+moamlly-K Town to Me or
Produced ID Type of ID
APPRQI/AW: ZONW ld - S : WASTE WATER:
ENGIIQMMG:;O�NM: * or 4 6p -t 5
FIRE:
BUILDING:
-9- r- 7N T Fr-?r,�
and ft code is eE'od (Code 2010 FBC7 731.135(5)(6) Florida Stabutea.
REV 07.14
STAR 1101A toy
Also 1.71�ItlIA7 It, 7,
M -v,-,vA 'top: will IM
10TVAT Ali! Pv J fc, .111, T*.,;,t,,,-.----,V,-,1
acs. r!7 :A: .4 ain't
W:it; 01; n; Any, Om W br.-,
too' 'At, v-,
O!
Y int vv, ta wil -
TNT FIREWORKS FUNDRAISING
Store Manager Pre -Sale Survey
t
rview
F
cipated Set -Up
r
Beginning Sate
Ending Date
Date
FIREWORKS SALE
/0-a5-19
Dec 26
Dec 27
Dec 31
On -Site Visitation
Anticipated Take -Dawn
before Jan 5
Tent/Stand Placement
See map
Electrical Provisions
Non -Profit Preferences
Notes/Special Instructions
[Date
e Info. / Date Block
on Spoke With kAA� AA,
ga Representathre Robyn Curran
lu - C� 5 - Id
Location # g�
Store #
City/State 9dM6& L
Manager
t Mngr
elephone
ress &03 -1 ownto A vff-/
<:�dAffud EL
ent/Stand Size
Unit Placement
N
E
`i
Please insure placement does not impede customer
access, visually impair store entrance, eliminate prime
parking or otherwise deter in any way from non -
fireworks customers.
STAMP BLOCK
Mae 11 p)(Wes
&VIO opuspp '$ ME
LSO iVVW1VM
THIS IS NOT A LEGAL AND BINDING CONTRACT
White - Office Canary - Area Manager Pink - Store Manager
i'.
1
1
Al
- . .
t ,.
Q I"
~'VENTS & RENTALS
To whom it may concern:
June 4, 2018
I Brandon Ahlgren owner of Elite Events & Rentals, LLC give Robyn Curran permission to pull tent
permits on behalf of Elite Events and Rentals, LLC. If you have any questions, please contact me directly
by phone or Email.
Thank you, Z�/
Brandon Ahlgren
Elite Events & Rentals, LLC
13818 Wright Cr.
Tampa, FL 33626
Qin `- t^
�,V°w. Notary Pub4c State of Florida �F0.ie• O� Y \ov. �C�
Y• Shannon Krizek
s�< Mycann=ionoG20W58
o,,M expueaoJrzs2ozz T CeYkt�.l fie_ e- \low �e�%su.(s�
�:.,.
QOLi aCkrvW�e�gi�ra�y+o -c -1i -\ Int or
(Q SS `�Qv juYQ4ow�1, t✓+cu+w�t�n-�'.
exo'j Vn f'^t�\Q,CCiIi O 0
nw....4 t?rJ�c;pot j
(0'y-fg
zt-
N Qio..f
TNT Fireworks
4511 Helton Drive
Florence, AL 35630
PERMISSION LETTER
TO WHOM IT MAY CONCERN:
TNT is hereby granted permission to erect a 20x40 tent on our property for the purpose of
having a fireworks promotion from Dec 26th, 2018 through Dec 31st, 2018
Walmart grants permission for all patrons of the sale to utilize the restroom facilities at our store.
TNT is responsible for obtaining all necessary permits and/or licenses.
3653 S Orlando Dr
Property Address
SANFORD
City
Signature
State of ,Ar—& -1 sa s )
County of :17,A )
Wahnart #857,
Store Name
FL
State
Tide
32773
Zip
Before me personally=me
'%— A kef lh,94'
to me well known and knowto b theperson described herein, and who executed the
foregoing instrument and acknowledged to and before me that he/she executed said instruments for
the purpose therein expressed.
wrrNESS my hand this 1,L -Lt day of , 20
Notary Public
MY COMMISSION # 12392230
•�•� EXPIRES: Febmary 25.2D23
White - Regional Yellow - Stare Benton County
� M�� Ma>�ger
10
ACOR" CERTIFICATE OF LIABILITY INSURANCE
k..,..� 11/1/2018
mm
/20 8
3/26
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 ALTER 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 pol"Ies) must have ADDITIONAL INSURED provisions or be endorsed.
N 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 Certificate holder In lieu of such endorsement(s).
PRODUCER Lockton Companies
CONTACT
MAUL -
PHONE FAX
3280 Peachtree Road NE, Suite #250
Atlanta GA 30305
� JL
(404) 460-3600
11/1/2018
EACH OCCURRENCE s 1.0 000
AFPOtmam CovEPAOE Marc a
INSURER A: Everest Indemnity Insurance gam 10851
PERSONAL a ADV INJURY s 1,000,000
BRED American Promotional Events, Inc.
1359745 DBA TNT Fireworks, Inc.
INSURER s: Everest National Insurance Company 10120
INSURER C: Max= WdomftCawpw 26743
INSURER 0: Berkshire Hathaway Homestate Ins Co 20044
P.O. Box 1318
4511 Helton Drive
Florence AL 35630
093URM E •
N
SI8CA00012-171
IN.4ti>i£R F
COVERAGES CERTIFICATE NUMBER! IAI lAAw REVISION NUMBER! yv'yyyyy
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT 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.
LTR
TYPE OF DANCE
POLICY
POLICYEFF
POLICYEXP
LIWT8
A
X COWM2RCIAL GENERAL LIABILITY
CLAIMS -MADE FX OCCUR
Y
N
SIBGL00242-171
11/1/2017
11/1/2018
EACH OCCURRENCE s 1.0 000
s500,000
MED EXP Okay ane person s 5 OOO
PERSONAL a ADV INJURY s 1,000,000
GENL AGGREGATE LIMIT APPLIES PER:
POLICY F -I JERCT FRI LOC
OTHER:
GENERAL AGGREGATE s2,000,000
PRODUCTS - CoMPioP AGG s 2 000 000
$
A
AtmoteoBtLELtABtIm
X ANY AtnO
OYMED SCHEDULED AUTOS ONLY AUT
AUT MHIRED AY
X AUTOS ONLY Ix
AUTOS ONLY AIJT
N
N
SI8CA00012-171
11/1/2017
11/1/2018
tEm acaftm, s 1,000,000
BODILY RJURY (Per person) s )CX)OO XX
BODILY INJURY (Per accident) s X3XXXX
PROPERTYDAMAGE sXXXXXXX
$ XX3CXXXX
C
X UMBRELLA I"
EXCESS LIAR
X
OCCUR
CLAIMS -MADE
N
N
EXC6023470-05
11/1/2017
11/1/2018
EACH OCCURRENCE s 5 000 000
AGGREGATE s S 000 000
DED I I RETENTION $
$
D
WORKERS COMPENSATIONOTH-
EMPto�LNBaITY YIN
OFFICE EXCLUDED?ANY
PhridatoryIn N 1
yes,1w under
DESCRIPTION OF OPERATIONS below
N / A
Y
AMWC818062(AOS)
11/1/2017
11/I/2018
X A
EL EACH ACCIDENT $ 1,000,000
E.L. DISEASE - EA EMPLOY S 1 O00 000
E.L. DISEASE - POLICY LIMIT s 1,000,000
DESCRIPTION OF OPERATW018 ! LOCATIONS / VEHICLES (ACORD 101, Addt<lonal Rem oft Schedule, may be atbached If more space Is required)
THIS CERTIFICATE SUPERSEDES ALL PREVIOUSLY ISSUED CERTIFICATES FOR THIS HOLDER. APPLICABLE TO THE CARRIERS LISTED ARID THE POLICY TERM(S) REFERENCED.
ADDITIONAL NSURED; FFF0857; CITY OF SANFORD 300 N Park Ave, Sanford, FL 32771; Property located at Wal-Mart #1857 3653 Orlando Drive Sanford,
FL 32773; Aurora Kouri; Certificate holder is an additional insured on the General Liability as required by written contract subject to policy terms,
conditions, and exclusions.
14114802
CITY OF SANFORD
300 N Park Ave
Sanford FL 32771
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE VALL BE DELIVERED IN
ACCORDANCE W TH THE POLICY PROVISIONS.
TION. All rights reserved.
ACORD 25 (2016J03) The ACORD name and logo are registered marks of ACORD
------- - ---
ir
CITY OF
SANFORD
I PARKS & RECREATION
DEPARTMENT
City of Sanford, Special Events
P.O. Box 1788
Sanford, FL 32772-1788
407.688.5120
Special Event Permit
American Promotional Events INC East DBA TNT Fireworks
6255 SE 78th St.
Ocala, FL 34472
This is your Special Event Permit
Issuance of permit DOES NOT imply that Licensee/ Premises are in compliance with all
codes. This Special Event Permit is applicable only for the effective dates reflected
below.
ISSUE DATE: October 25, 2018
EVENT:
TNT Firework Sale
December 26-31, 2018 9 AM — 9 PM
EVENT LOCATION:
Walmart at 3653 South Orlando Dr., Sanford, FL 32773
EMERGENCY CONTACT INFORMATION:
Jennifer Brooks
Supervisor of Special Events
Leisure Services, City of Sanford
321-377-4967
OTHER PERTINENT INFORMATION:
Robyn Curran 352-299-2431
Applicant has provided General Liability insurance.
This event is approved provided that applicant and/or sponsors/vendors meet all
other licensing and permitting requirements -by the City of Sanford, the County of
Seminole and the State of Florida.
Please contact Jennifer Brooks, Supervisor of Special Events, if there are any
questions!
THANK YOU FOR BRINGING YOUR EVENT TO SANFORD!
(9jertificate
cad SEMENT Dare tre»led ur
, AlP1PUCATtONANVAS ft
mat�utmcterrpd
•, a uOSC ft.0 'i'FiTT{ERS
�4} •.i M�' .;. =3 H. NEBgA M, TAMPA, R A. 3MCD
�: r Y�►� -'122.02 013124 .2NS FAX 8$3124» Nlar. 497
F
—' .._ e,'iO4iiT1l# i vr�nn. w�oiw�ts a �at�
This is to certify that the materials described on this cerlifrcate have been flame.
retardant treated or are inherently nonflammable and were supplied to:
NAME:.. Rama W...FRF.M AL CE141ES AT 436 Do. M. i... K 1 e. Wo ....
CITY ._ SEFFNER. STATE FL 33584
. Certification is hereby made that.
the articles described on this Certificate have been treated.with a flame-retardant 2spproved
chemical and that the implication of said chemical was done in conformance with Federal
Specif ication NEEA 701 --••
_m tao"iappacatiQo; .�liyl�E �' 1aY FL,4�E RES I STAN;T'
Trade name of flame -resistant fabric or material used ..,HF RCUL 13:E_
Chem. Reg. No. E-122 _iia
The Flame Retardant Process Used WILL M -F Be Removed By Washing
(will ear will nail .
and is good for the life of the fabric. Renewal Certification unnecessary.
Golan and weight of fabric: �I,H_1-r,•,14 az, PSY, �._._._..._...._........_ _._.
Description of item certiiisd:.__..� '__7S, Z� _.RAhtE TENT TOPS
•
OUDE FRAM 2'0 X 4 Uy LXPANDASLUSY
_....
..._....—__ TUMMi.. �1 QRT ! N(3 _,_._..__...— .. • s� ._..—_.....�. .._SHaP FOREMAN ..... _�...
----------
Name of Appikafot pr f'tnductfon Superintendent Mto?
We hereby certify this to be a true copy of the original "CERTIFICATE E OF FlANE
RES8S'a'AM CK" Issued to at,, '1"osr1q' jnsl.aaj$y'0 of which hms bom filed with the California
State Fire Marshal.
Signed Bey._......__..�__....•-
to
N
C9
W
z
i—)
rh
0
N
0
N
C0
N
�trttftrate of Mame lesistance
'' r�'�` . REOItt'!'1QfittrD MEMEtrI'1' �
�..a�.• {. j?�:411S4:AK1�.:I �•�
`. '•. �� APPUCATit�1 A%iVAS m.�feeri�car� ;
do."Clw no. T 3T TER S
September 2011
10 V
19.0Tent Renters Suppty 29480—]
1
L5408 F Hanr►a Ave. %mpa, Ft 33510
__...�....
800465.5464 Fax 8231740.8370
This is to terri!y that the maferraJs desc4bed on ln,s certrricarA rime beenj iMMI-e-
rt�tarda>'£4te ventsr&'h{enfa>#s���fa�r�f�zanre
I�AiUIE• ... _.__..� .:._..........._._ AT 'FE:." 34695 ....�.............._.._ .......... .
CITY Safei Harbor._._. _....... .... STATE ....�. ........ ..,.... .... _ ........._
Certification is hereby made that:
The aartii;les described on ihis Certifi-cate have been treated with a tiarrie•rotardant atpv:e:s•�: d
Chemical and t fh, plieSt*NF-in o! said chemical was @rne in cc�� loortance w,,Ih r'-ederel
Specificationi�A'7'b _..km* �. _.. .
Mel hod ot applicHtiGrj:.1nhe(ent�.Fa resisfant.... .
Tradr: name of frame -resistant Unbric or material used Ni-Gtvss .
C:tpm RP,— ran F•419.01
will not
The 1:1=emn Retardant Pfgr:es:. USt�d. Be FtF�c�tc;�re�; r^,y Y'����i:il;g
�fwii cr aiii nn
and is good to., the lite of the fabric. Renewal Cefiificatizin tinne;ces#r)/.
t`t:ic: andp:aht of tahriri: Sunblock White 15-16 oz. psy
Description of it,
cc�rtiiiertl:.���' � r •�����r.. r �t O�� _1"Qt�t_`�'���.._
Thomas Sciortino ey Production Supervisor
�ii4fN •?� dr•?:�;'.�•A! r! •.�: Ilex-lf.1R j�•rfl�tr:ll afS.7?r ••.•.w i
We hereby cortity this to b-* is tru+r copy of th• ariytiaet "CBR71FICATL CP IFLAME
RESISTANCE" lesued to us, "original copy" of which Mat bean filed with th* Cm3lMrnles
State lclre Morahet.
Lori Walker
Signedby .,.,........._�._ _....�. ...; .. .__
i
I
Tertificate of 3,flame Riesigtance
9YiE013TERED USEMENT
Akk
APPLM AT)ON
Jr A NVAS
A TFITTEP
co"CRAN No. IS
Fla March 2006
Tera flelltfns SUI)Piy if 18877
p
-419.01
500S ma.-sna Ave. 'ra(r,pa. 'L 3:3610
SM/865. 5C.&I lrw< B! 31740-8370
I C -A (-z-rri/k, rht-2,# the P? a t e', deqr:rir)ecf orr thlc., comhcafe; ri,i Is
xt
0 rk-n! :arnmaiDip anp&F." g6�,�j le%
"'
Lite EventsI S
N AIM r
Sc e STATE
C,. I y if I Ha'rb6r'-- "FL, ' 34695'
Y
C-.1vtific'n-liorl is h f r eb Y made
Is, es, C'. F e -d' i a v een irealeci i- ;Ja r,
rt ui t' L)IJ L%4
-if%,d thaj A I
NFPA 701
Nip -t ir il i apphraUory Inherently. Flame resistant
C <<�c ,: rialug, flam[- Hi -Gloss
N
will not
j .. . A i .. I
t.: a rn e Re f -a rd P, ct,,-sj. s ""i s rn, el"vt"! hi r I(.
:1111! :11 wd: m. 04
.a.ndf Is go -d fc--tr lh(� We (-,.f H-te labilic. Renev.1,31 Cert;
Sunblock White 15-16 oz. psy
Frame b6 (c
ilefl., 20'x 40' F me Tent 4- an set up as 20x20,20x30)
Thomas ..Sciortin.o...Y Production Supervisor
P�., ; rn o, � i ' 4 :-11-* r .4 -o -• 71 t .!.-. i'.*,. oor- -It 1 .11- 1
We baraby certify this to ba a true copy of the originnI "CERTIFICATE OF FLAME
RESISTANCE" Istued to Liu, "original copy" of which has boon filed with the California
Sinto Fire Rlarishol. Signed by Lori Walker
CLa
c o n 0
N w
A = o
N N
7 r
N O
A
i
^
N
1 u`
� o
A
M �
qN
7
N
0
S_ 0,
� N
W
O d
N_ h
n
N
FL 0857 Sanford
Note: Walmart owns the
storm water pond on the
opposite Side of
Americana Boulevard.
4 WrM
I
-U
34 1 Trill ij
Ti
;JM.
L
In= t ===z—
te
21 u '•q'T
Er
A
t
I "I'Vol,
je-
z
W
LO
0 0
F -
LL
W
z
0
4P,
0-1
EP
1 x1l
Olt
lEtZ-66Z-ZSE itk*
a uwjnD uACIOU-JaleueW eamp b�
j7
ELRE 1A PIO)UBS
ja OPuel'O E59C
JjeLujempjo;uesLsaojjjtire,Z,
C.
7�
"IR