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HomeMy WebLinkAbout530 N Palmetto Ave4- CITY OF SANFORD FIRE DEPARTMENT FEES FOR SERVICES PHONE # 407-302-1091 * FAX #: 407-330-5677 DATE: iv (-- BUSINESS ADDRESS: PERMIT #: 0; •' T 9,q PHONE NO.1900 . 7 7/ - 77 T y FAX NO.:Lgoo - 77-k -- 7 9 7 rJ C-S CONST. INSP. [ 1 C / 0 INSP.:[ ] REINSPECTION [ J PLANS REVIEW F. A. [ J F.S. [ J HOOD [ ] PAINT BOOTH 1 BURN PERMIT,[[ ] TENT PERMIT J TANK PERMIT [ ] OTHER •[: TOTAL FEES: S © (PER UNIT SEE BELOW) vJ? S • V, ``) ` COMMENTS: -I Address / Bldg. # / Unit # Square Footage Fees per Bldg. / Unit 1.' 2. 3. v Af Io s'JS 4. 6. 7. R . 8. 9. 10. f 1 at Flo ll. 12. 13. 14, tl= o GC 15. ' 16. 17. 18, 19, 20. Fees must be paid to Sanford Building Department, 300 N. Park Ave., Sanford, FI. 32771 Phone # -407- 330-5656. Proof of Payment must be made to Fire Prevention division before any further services can take place. I certify that the above is true and correct and that I will comply with all applicable codes and ordinances of the City of Sanford, Florida. Sanford Fire Prevention Division tsc_O 4 Fo Applicant's ignature I 1 DEPARTMENT OF THE TREASURY - BUREAU OF ALCOHOL.. TOBACCO AND FIREARMS LICENSE/PERMIT (18 U.S.C. CHAPTER 40, EXPLOSIVES) I'$ In accordance with the provisions of Title XI, Organized Crime Control Act of 1970, and the regulations issued thereunder (27 CFR Part 55), you may engage in the activity specified in this license/permit within the limitations of Chapter 40, Title 18, United s`%/ States Code and the regulations issued thereunder, until the expiration date shown. See "WARNING" and "NOTICES" on back. PCRI.!r DIRECTATF CHIEF, NATIONAL LICENSING CENTER. NUMBER CORRESPONDENCE ATF, P.O. Box:2994 To Atlanta, GA 30301-2994 EXPIRATION DATE O• NAME — -- --- Premises Address'.. MELROSE SOUTH PYROTECHNICS INC 46`? CATPWBA RIVER RD CAI AWBA, SC 29704-0000 TYPE OF -- - - — -- - - UCENSE OR PERMIT 34-USER OF LOW EXPLOSIVES CHIEF, t1ATIONAL LICENSING CENTER / ` PURCHASING CERTIFICA.T ON 1 LICENSEE OR PERM TTEE MAILING ADDRESS- I certify that this is a true copy C" a ieense;perirnt issued to me to en a e in the actively specifies MELROSE.SOUTH PYROTECHNICS INC P $OX 209 SIGNATURE OF CENSEE/PERMITTE),;' CAT:AWBA SC_:29704-0000 i The licensee/permittee named herein shall usA r'Apr9ductipn of tEJii license/permit to assist a transferor of explosives to venf the.idert9t and status of the licensee/permittee as provided in 2'f CFR :P 5::,:::,:, The signature on each reproduction must be an ORIGINAL sfgnafuFe,';'.'._ >s : <. ::;_:;,:;...:..... ATF F 5400.14/5400.15, Part 1 (8/89) A CORD M .Ft LI DATEINS4/15/02 440-248-4711 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATIONBritton -Gallagher & Assoc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 6240 SOM Center Rd. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR Cleveland, OH 44139-2985 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. COMPANIES AFFORDING COVERAGE COMPANY A Lexington Insurance Company INSURED Melrose South COMPANY B Pyrotechnics, Inc. P.O. Box 209 COMPANY C Catawba, SC 29704 COMPANY D ry C THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THISCERTIFICATEMAYBEISSUEDORMAYPERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECTEXCLUSIONSANDCONDITIONSOFSUCHPOLICIES. LIMITS SHOWN MAY TO ALL THE TERMS, HAVE BEEN REDUCED BY PAID CLAIMS. T TYPE OF INSURANCELTR POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION DATE (MM/DDNY) DATE (MM/DDNY) LIMITS A GENERAL LIABILITY 0427470 4/01 /02 4/01 /03 GENERAL AGGREGATE S 2000000COMMERCIALGENERALLIABILITY a PRODUCTS-COMP/OPAGG $ 2000000CLAIMSMADEOCCUR OWNER'S 6 CONTRACTOR'S PROT PERSONAL & ADV INJURY S 1000000 EACH OCCURRENCE S 1000000 FIRE DAMAGE (Any one fire) $ 50000 MED EXP (Any one person) $ AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT S ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY( Per person) - S HIRED AUTOS NON -OWNED AUTOS BODILY INJURY( Per accident) S PROPERTY DAMAGE S GARAGE LIABILITY SAUTOONLY - EA ACCIDENT ANY AUTO OTHER THAN AUTO ONLY: EACH ACCIDENT S AGGREGATE EACH OCCURRENCE SAEXCESSLIABILITY X 5642250 4/01 /02 4/01 /03 S 4000000 UMBRELLA FORM AGGREGATE S 4000000 OTHER THAN UMBRELLA FORM WORKERS COMPENSATION AND WC STATU- OTH- EMPLOYERS' LIABILITY T RY LIMITS RI EL EACH ACCIDENTTHEPROPRIETOR/ PARTNERS/EXECUTIVE INCL- EL DISEASE - POLICY LIMIT OFFICERS ARE: EXCL EL DISEASE - EA EMPLOYEE SOTHER DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS Display Date: July 4, 2002 Additional Insured: 1)Chancellor-WOCL/FM & WMOX/FM, 2)City of Sanford, 3)Sanford Parks & Rec., 4)Sanford Main Street, Inc. CERTIFICATE HC3LDE) > :: CANC£LLATILN ..........:... SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE Infinity Radio, Inc. EXPIRATION DATE THEREOF, THE ISS G/COMPANY WILL ENDEAVOR TO MAIL DRA_JdNt1)X___..._ 30 DAYS WRITTEN NOTICE TO E CE TIFIC E HOLpETft NAMED TO THE LEFT, 1800 Pembrook Dr BUT FAILURE TO MAIL SUCH N ICE $HALL I 'OS Oib B LIGATION OR LIABILITY u Llite--.400 OF ANY KIND UPON TH CO- NY. 1T AG TS OR RFOWFQFNTATIVES Orlando, FL 32810 a r% nJ I AUTHORIZED REPRESENTATIVE AGORb zS s #{951 0A 5 CORFORATIdN 1.58 c-ram y •sOr- a • h i r LLLI r 5 pp-aFo. ED dI C o r (C) Sanford Main Street, Inc. P.O. Box 1741 Sanford, Florida 32772