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Home My WebLink About2500 Ridge Wood Ave (2)q--71?e Wa2lCS �W4� CITY OF SANFORD FIRE DEPARTMENT FEES FOR SERVICES PHONE # 407-302-1091 * FAX #: 407-330-5677 DATE: 3 PERMIT #: 05- - 3g� BUSINESS NAME / PROJECT: ADDRESS: PHONE NO.: CFAX N .: UO_I7 CONST. INSP. [ ] C / 0 INSP.:[ ] REINSPECTION (J PLANS REVIEW F. A. [ J F.S. [ J HOOD [ ] PAINT BOOTH�-.1 BURN PER I ] TENT PERMIT ] TANK PERMIT [ J OTHER 'fi'•Y�l._ 42 TOTAL FEES: $ (PER UNIT SEE BELOW) �r000tj+— COMMENTS: Q�-Go f-- Address / Bldg. # / Unit # Square Footage Fees oer Bldg. / Unit 2. 3. 4. 5. 6. 7. 8. 9. 10. 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 1 will comply with all applicable codes and ordinances of the City of Sanford, Florida. Sanford Fire Prevention n Applicant' i n to e F1ug 23 05 01:20p Fire Prevention 407 302-2526 p.1 CITY OF SANFORD FIRE DEPARTMENT FEES FOR SERVICES PHONE # 407-302-11091 " FAX #: 407-330-5677 DATE:,�Aug. 25� 2005 PERMIT #: Andrew Nicholls dba Fireworks display for BUSINESS NAME/ PROJECT:.OrlandSeminole HS ADDRESS: 14222 Lake Mary Jane Rd. Or PHONE No.: 407-648-1$-6-7__. — FAX NO.: 407-273-0328 CONST. INSP. [ ] C f O INSP :( ] REINSPECTION ( ] PLANS REVIEW ( ] F. A. [ ] F S. ( ] HOOD (J PAINT BOOTH ( ] BURN PERMIT [ } TENT PERMIT 1 ] TANK PERMIT [ ] OTHER JX) TOTAL FEES: S 10 0 - 00 (PER UNIT SEE BELOW) This show is for Seminole HS Homecoming football game COMMENTS; Address / Bld . it / Unit 0 I, 2. 3. 4. 5, 6. 7. 8. 9. 10. 11. 12. 13, 14. 15, 16. 17. 18, 19. 20. Square FoQtaRe Fees er Bldg. / Unit od Ave. Fees must be paid to Sanford Building Department. 300 N Park Ave„ Sanford, FI. 32771 Phone M -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 1 will comply with all applicable codes and ordinances of the City of Sanford, Florida. — --- -- -plicant's Signature Andrew Nicholls Sanford Fire Prevention Division P AUG-19-2005(FRI) 13:34 CSI HEINTZ (FAX)763 559 7465 P.001/001 Certificate of Insurance. .: 714399 Iss . , OS/19/ ., ... .. , . ue.Dafe: 2005 PRODUCER THIS CERTIFICATE IS ISSUCD AS A MATTER OF INFORMATION ONLY AND Combinod Specialties International, Inc. CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER, THIS CERTIFICATE 8362 Tamarack Village DOES NOT AMEND, EXTEND OR LATER THE COVERAGE AFFORDED BY THE Suite 110 POLICIES BELOW. Woodbury Minnesota 55125 INSURERS AFFORDING COVERAGE INSURER A: Undyrwdter., Lloyds of London INSURED INSURER B: Orlando Spacial Effects INSURER C: 14222 Lake Maryinne Road Orlando Florida 32832 COVERAGES THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE NAMED INSURED ABOVE FOR THE 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 INCLUDING, BUT NOT LIMITED TO THOSE FOLLOWING: LIMITS SHOWN MAY HAVC BBCN REDUCED BY PAID CLAIMS, ADDITIONAL CONDITIONS AND. EXCLUSIONS: 1) THE INSURANCE EVIDENCED BY THIS CERTIFICATE IS LIABILITY INSURANCE ONLY, IT IS NOT A BOND OR ANY FORM OF SURETY AGAINST WHICH SOMEONE OTHER AN 'INSURED' MAY ASSERT A CLAIM OR BRING ANY ACTION. SUBJECT TO POLICY TERMS, CONDITIONS, DEFINITIONS AND EXCLUSIONS THE INSURANCE ONLY INDEMNIFIES AN INSURED AGAINST CERTAIN LEGAL LIABILITY. 2) THE INSURANCE DOES NOT COVER CLAIMS FOR BODILY INJURY OR PROPERTY DAMAGE OF THE NAMED INSURED'S SHOOTER(S) ASSISTANT(S) OR ANY OTHER PERSON(S) INCLUDING ANY VOLUTEERIS) PARTICIPATING IN ANY WAY IN ANY DISPLAY OR SPECIAL EFFECT PERFORMED OR EXECUTED BY THE NAMED INSURED. 3)COVLRAGE DOES NOT APPLY TO CLAIMS FOR BODILY INJURY OR PROPERTY DAMAGE ARISING OUT OF THE INSURED'S FAILURE TO FOLLOW NEPA OR OTHER APPLICABLE REQUIREMENTS, LAWS OR RECOMMENDATIONS, INCLUDING THOSE RELATING TO POST DISPLAY OR SPECIAL EFFECT SEARCHES OR CLEAN UP.' CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS LTR DATE (MMIDDKY) DATE (MMIDD/YY) A GENERAL LIABILITY 111D3110831005 March 07, 2005 March 07, 2DOG EACH ACCIDENT $1.000,000 CLAIMS MADE MEDICAL EXP $5,121DO (any ane pennon) FIRE LEGAL LIABILITY $50.DOO GENERAL AGGREGATE $2,ODD.000 PRODUCTS-COMP/OPS AGG S1.000,00 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ (Ea accident) ANY AUTO BODILY INJURY $ ANY OWNED AUTO (Per person) SCHEDULED AUTOS HIRED AUTOS BODILY INJURY S NON -OWNED AUTOS (Por accldont) PROPERTY DAMAGE S Perperson) EXCESS LIABILITY EACH ACCIDENT S FOLLOWING FORM AGGREGATE $ WORKL•FISCOMPENSATION WCSTATU- OTHER AND TORY LIMITS EMPLOYERS' LIABILITY S E.L. EACH ACCIDENT S E.L. DISEASE -EA EMPLOYER S E.L. DISEASE -POLICY LIMIT $ OTHER DESCRIPTION OF OPERATIONS/LOCATIONSNEIiICLESIEXCLUSIDNS ADDED BY ENDORSEMENTtSPECIAL PROVISIONS Seminole High School and Oily of Sanford aro Additional Insured or respects the September 23, 2005 Special Effects at Seminole High School football field, 2701 Ridgewood Avenue, Sanford, FL CERTIFICATE HOLDER CANCELLATION Seminole High School SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE 2701 Ridgewood Avenue THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE Sanford, FL 02773 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 RGPRCSENTATIVES i AUTHORIZED REPRESENTATIVE �� 4 DEPARTMENT OF THE TREASUPY - BOREAL) OF ALCOHOL, TOBACCO AND FIREARMS Ply LICENSERERMIT'(18 U.S.C. CHAPTER 40. EXPLOSIVES) In accordenro with the proviftlons otlftllp XI, Orqmrilled CrIMe Control Act of 1970, and the requiallom. Imidd thereunder (77 CFR Part 551, you may engage In the schvity --kreellind In lhl-s NNIncelparMit within the writtations of Chapter 40, T1119 16. United .51616a Code And Ilse regiA8110PA WWII thereunder, unill the expiration date ShDwn. Sm "WARMNG," and "NOTICES" on bock, 14;-)22 LAKSjMARY LANE ROAD ORI AAIpO,.:FL ORLANDDSP!� :32832- TYPF OF 11CMEOR pr-MIAT 20-M CHIEF. MTIO Wrw9M(.cKTF4 PURCHASING I crAily Mai INS W True C issued 10 MA tiqtgn�W in UGH EXPLOSIVFS.�,:,. :110ENSF-rc 64.11EII11FATTEE MAILING A13DRESS ORLANDO 150WAL..EFFECTS INC 14222:1-AKr.MA9*.%JANE ROAD ATF FS400,1419400-115,Pett 1 (8189) STATF OF F1,;OKJUA DEPARTMENT OF FINANCIALi FRVICT!'S DIVISION Of' S YA'11', 11 IR111 1,11AW01AL TA1.1,A111A,"EE, FLORIDA STATE EXPLOSIVE LICENSF -SER OF 1411MILOSIVI"Is. ISSUFIDTOT A(\I)111';W I N)CI 101. J.'Mj1j_0Yj'R- 14212 I.,AK1:1 NIARYJANF. 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MTIO Wrw9M(.cKTF4 PURCHASING I crAily Mai INS W True C issued 10 MA tiqtgn�W in UGH EXPLOSIVFS.�,:,. :110ENSF-rc 64.11EII11FATTEE MAILING A13DRESS ORLANDO 150WAL..EFFECTS INC 14222:1-AKr.MA9*.%JANE ROAD ATF FS400,1419400-115,Pett 1 (8189) STATF OF F1,;OKJUA DEPARTMENT OF FINANCIALi FRVICT!'S DIVISION Of' S YA'11', 11 IR111 1,11AW01AL TA1.1,A111A,"EE, FLORIDA STATE EXPLOSIVE LICENSF -SER OF 1411MILOSIVI"Is. ISSUFIDTOT A(\I)111';W I N)CI 101. J.'Mj1j_0Yj'R- 14212 I.,AK1:1 NIARYJANF. UP ORLANDO, 11 ,2812- I �'. N'T UZ T A I�:k, r, N T DOIJ; Height: 511` W6,011: 200 Him: FIAT, SeN vi uacc TYPES OF F`API-,0N1Vl::S1 III.A(.'I< IPOWDH, rtl,A.% AGFN 1S. 91,AS 1 IN(i C 1;1'1 A I IN D% NAMI-11.7.S. F III-.Rr(.)T(,,\ FORS AND I AVPIL*R�. P1 IIN-USSIM.I.a. NUNIAri iM":.� 5'37 3 71 J24 00 o.) 301 20051 ("o'l. 07 509 i600004'9, L10 Lo I 1-1 ........ T,11I T-- Irl 'cel I