HomeMy WebLinkAbout530 N Palmetto Ave (2)CITY OF SANFORD FIRE DEPARTMENT
FEES FOR SERVICES
PHONE # 407-302-2516 • FAX # 407-302-2526s�
DATE: 77 PERMIT #: 4
BUSINESS NAME / PROJECT:
I
ADDRESS: .t7 -1-K O
PHONE NO.: 606p C/,,me�qq ,5-S—F AX NO.:(�6j-
CONST. INSP. [ ] C / O INSP.:[ ] REINSPECTION [ ] . PLANS REVIEW [ ]
F. A. [ ] F. S. [ ] HOOD [ ] PAINT BOOTH [ ] BURN PER1y1IT [ J
TENT PERMIT ] TANK PERMIT [ ] OTHER Q Eka I.J ,�K5
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TOTAL FEES: $ l�S:Z) . o a (PER UNIT SEE BELOW) P->—S'fW
Address / Bldg. # / Unit # Square Footage Fees per Bldg. / Unit
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
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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
will comply with all applicable codes and ordinances
of the City of Sanford, Florida.
—71
San ord it"entionivision
Applicant's Signature
U.S. CORPORATE
HEADQUARTERS
P.O. Box 1463
NEW CASTLE, PA
16103
800-245-0397
724-658-661 1
724-658-831 B FAx
SOUTHERN REGION
299 NW 52ND TERRACE
SUITE 1 1 S
BOCA RATON, FL
334B7
BOO -1360-0955
561-395-0955
561-395-1799 FAx
WESTERN REGION
P.O. Box 9B6
SHAFTER, CA
93263
BOO -322-71 42
661-746-2B42
661-746-2844 FAx
WWW.ZAMBELLIFIREWORKS.COM
Friday, June 08, 2007
Senior Fire Inspector Robles
City of Sanford Fire Department
PO Box 1730
Sanford, FL 32771
Dear Inspector Robles:
BELLI411!0
W O R K �1 2� J
INTERNATIONALE o1�C
JAN 2 pao
0 *\V&
Zambelli Fireworks is proud to announce that we will be hosting a fireworks
display on July 4, 2007 in conjunction with the City of Sanford.
Attached you will find the shell listing, insurance documentation, location map
and, our occupational license, ATF license a check in the amount of $150.00 for
permit of this display. Once you have reviewed this information and granted us
permission to exhibit this display could you please FAX me a copy of the
approved permit to (561) 395-1799.
If you should require further information or documentation please contact me at
(800) 860-0955.
In advance, thank you for your assistance and cooperation on this matter.
Sincerely,
ZAMBELLI FIREWORKS MFG. CO., INC.
Danabeth Zambelli
DZ/ae
FAXED TO (407) 302-2526 THEN SENT REGULAR MAIL
"A"AMBELLI
F I R EW OR KS
INTERNATIONALS
CITY OF SANFOIZD
JULY 4; 2007
SHELL LISTING
***********************************************************************
DESCRIPTION QUANTITY
Three Inch Assorted Shells
1100
Four Inch Assorted Shells
420
Five Inch Assorted Shells
400<
Six Inch Assorted Shells
420
02/01/2007 16:36 3042601141 PAGE 02/02
DEPARTMENT OF JUS'nCE
Bureau of Alcohol, Tobacco,
Firearms and Explosives
Wanktrg. WV25401
February 1, 2007
Zambelli Fireworks Mfg Co Inc
Zaanbelli Fireworks Internationale 901090: CRR/BMT
PO Box 1463 5400
New Castle, PA 16103-1463 File Number: 9 -PA -00147
Premises Address; 20 South Mercer Street, New Castle, PA 16101
Dear Sir/Madam:
This letter acknowledges receipt of your timely application to renew your Federal explosives
license/permit (8 -PA -00147) as aImporter Of High Explosives. The Bureau of Alcohol,
Tobacco, Farms and Explosives (Alt) is not able to process your application prior to the
expiration date of your license/permit. However, Federal law allows you to continue operations
under your current license/permit until such time as ATF completes processing your application.
See 5 U.S.C. § 558. This letter, or as explained below, a follow-up letter, will serve as your
license/permit until we complete action on your renewal. It is referred to as abetter of
Authorization (LOA).
Since we have not completed processing your application, you may supply a copy of this letter to
other licensees/permittees, e.g., your distributors, for the next six months (or until we complete
action on your renewal, if that occurs in less than six months) as evidence of your
licensed/permitted status. If we have not completed processing your application for renewal
within six months of the date of this letter, we will send you another letter, which will also be
valid for six months (or until we complete action on your renewal, if that occurs in less than six
months). This is of course contingent upon your remaining entitled to continue operations under
your current license/permit.
Please direct questions or concerns regarding this letter to Betsy Teyssier at (877)283-3352.
Sincerely,
Christopher R. Reeves
Chief; Federal Explosives Licensing Center
ATF web address: Mnn .atf &qv
III
w
m
an
PRODUCER:
Allied Specialty Insurance
10451 Gulf Blvd
Treasure Island, FL 33706
1-800-237-3355
CERTIFICATE OF INSURANCE
Issue Date MM/DD/YY
5/9/07
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND
CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERIFICATE
DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE
POLICIES BELOW.
COMPANIES AFFORDING COVERAGE
INSURED:
COVERAGES
COMPANY
A T.H.E. INSURANCE COMPANY'
POLICY
LETTER
Certificate#5697
ZAMBELLI FIREWORKS MFG.CO. INC.
COMPANY
B Show#07100
ZAMBELLI FAMILY PARTNERSHIP
LIBER
LIMITS
COMPANY
C
20 SOUTH MERCER
LETTER
GFNFRAL AGGRFGATE $3.000.000
NEWCASTLE, PA 18103.1463
COMPANY
D
--------------------------------------------------------------
LETTER--------------
------------------------------------------------------------------------
----------------------------------------------------------
COVERAGES
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE
FOR THE POLICY PERIOD INDICATED, NOT WITHSTANDING 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.
CO
TYPE OF
POLICY
POLICY
POLICY
LTR
INSURANCE
NUMBER
EFF DATE
EXP DATE
LIMITS
GENERAL LIABILITY
GFNFRAL AGGRFGATE $3.000.000
❑ COMMERCIAL GENERAL LIABILITY
M7MF2885
211107
211108
PRODUCTS-COMPIOPAGG $1,000,000
A
❑CLAIMS MADE GOCCUR
PERSONAL 8 ADV INJURY $1,000,000
❑ OWNER'S 8 CONT PROT
EACH OCCURANCE $1,000,000
❑
FIRE DAMAGE (any one fire) $50,000
MED EXP (anyone NA
AUTOMOBILE LIABILITY
❑ ANY AUTO
M7MF2885
211107
21V08
COMBINED SINGLE LIMIT $1,000,000
A
❑ ALL OWNED AUTOS
BODILY INJURY $
13 SCHEDULED AUTOS
(Par Person)
❑ HIRED AUTOS
BODILY INJURY $
NON -OWNED AUTOS
(Per accident)
PROPERTY DAMAGE
GARAGE LIABILITY
AUTO ONLY EA ACCIDENT $
❑ ANY AUTO
OTHER THAN AUTO ONLY: $
❑
EACH ACCIDENT $
AGGREGATE
A
EXCESS LIABILITY
❑ UMBRELLA FORM
M7XF2888
211107
211108
EACH OCCURENCE $1,000.000
OOTHER THAN UMBRELLA FORM
AGGREGATE $1,000,000
WORKERS COMPENSATION AND
❑ STATUTORY LIMITS
A
EMPLOYEES' LIABILITY
THE PROPRIETOR/ ❑ INCL
WC062598
121`30/08
12130/07
EACH ACCIDENT $1,000,000
PARTNERS/EXECUTIVE
DISEASE -POLICY LIMIT $1,000,000
OFFICERS ARE: EXCL
DISEASE -EACH EMPLOYEE $1,000,000
A
OTHER
EXCESS LIABILITY
M7XF2887
2(1107
211108
EACH OCCURRENCE $3,000,000
AGGREGATE $3,000.000
HIRED PHYSICAL DAMAGE
M7MF2885
211107
2nroe
LIMVT$100,000 $2.5WDed.
DESCRIPTION OF OPERATIONSROCATIONS/VEHICLES/SPECIAL ITEMS Sanford Memorial Stadium
DISPLAY DATE:7/4/07 or akarrmato daft as par aontraaL LOCATION:
THE FOLLOWING ARE NAMED AS ADDITIONAL INSUREDS AS RESPECTS COMMERCIAL GENERAL LIABILITY INSURANCE PERTAINING TO
THE OPERATIONS OF THE NAMED INSURED ONLY:
City of Sanford, Florida Collegiate Summer League - ATIMA
CERTIFICATE HOLDER
CANCELLATION
City of Sanford
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED
PO BOX 1788
BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY
WILL ENDEAVOR TO MAIL 3Q DAYS WRITTEN NOTICE TO THE
Sanford, FL 32772
CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL
SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY
KIND UPON THE COMPANY. ITS AGENTS OR REPRESENTATIVES.
AUTH- // ' _ 1
f/V. 1 �
r
BUSINESS TAX
RECEIPT # 07 000221
ZAMBELLI FIREWORKS MFG.
ZAMBELLI, DANABETH
1 W CAMINO REAL 100
ZAMBELLI FIREWORKS N
1 W CAMINO REAL 100
BOCA RATON FL 33432
zuuumuzflu
THIS IS NOT A BILL
Any changes in name, address,
suite, ownership, etc. will require
a new application within 15 days to
avoid penalty or the license is
null and void.
Business Tax fee:
105.00
Penalty fee:
.00
Late fee:
.00
Additional fee:
.00
Transfer fee:
00
Total paid:
105.00
tax at the above address for the period
of October and ending the 30th day of
in the business, profession or occupation of:
4TTVF. 0F'FTCF.
�Jill auumun io ana not in lieu of any other license required by law or munici