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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 // 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. 13. 14. 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 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