Fillable General Requirements APPLICATION FOR DISPLAY FIREWORKS PERMIT (Town of Cave Creek)

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General Requirements APPLICATION FOR DISPLAY FIREWORKS PERMIT (Town of Cave Creek)

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BROWSE TOWN OF CAVE CREEK (AZ) FORMS

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General Requirements
The firework company/provider is responsible for obtaining the permit and scheduling
the inspection.
A plan establishing procedures to follow and actions to be taken in the event that a shell
fails to ignite in, or discharge from, a mortar or fails to function over the fallout area or
other malfunctions shall be included with the permit application.
Outdoor fireworks displays shall include a diagram of the location at which the fireworks
display will be conducted, including the site from which fireworks will be discharged; the
location of buildings, highways, overhead obstructions and utilities; and the lines behind
which the audience will be restrained shall be included with the permit application
Pyrotechnics before a proximate audience shall include plans indicating the required
clearances for spectators and combustibles, crowd control measures, smoke control
measures and requirements for standby personnel and equipment shall be included with
the permit application.
Approved fireworks and pyrotechnic articles shall be handled by an approved, competent
operator. A copy of an approved certificate of fitness shall be included with the permit
application.
A CERTIFICATE OF INSURANCE OF ONE MILLION DOLALRS ($1,000,000)
GENERAL LIABILITY PLUS FIVE MILLION DOLLARS ($5,000,000.00) IN
EXCESS LIABILITY NAMING THE TOWN OF CAVE CREEK AS AN
ADDITIONAL INSURED MUST ACCOMPANY THIS APPLICATION.
Evidence that a Fire Department has been contracted with, or has agreed, to provide
ONSITE equipment & personnel in the event of a fire or emergency during the shoot.
The Fire Inspector may immediately discontinue the firework or pyrotechnic display if a
hazardous condition exists.
A permit is required for all fireworks displays, use of pyrotechnics before a proximate audience
and pyrotechnic special effects in motion picture, television, theatrical and group entertainment
productions. The indoor use of fireworks and pyrotechnic special effects are prohibited.
Town of Cave Creek
Building and Fire Safety Division
APPLICATION FOR DISPLAY FIREWORKS PERMIT
37622 N. Cave Creek Rd
Cave Creek, AZ 85331
(480) 488-6622
Town of Cave Creek
Building and Fire Safety Division
APPLICATION FOR DISPLAY FIREWORKS PERMIT
37622 N. Cave Creek Rd Cave Creek, AZ 85331
(480) 488-6622
The complete permit application must be submitted 20 days prior to the shoot date. Once the
complete application is received and approved, the permit technician will contact the applicant
to pick up the permit and collect the $300.00 permit fee.
Firework/Pyrotechnic Company/Provider
Company____________________________________________________________________________
Address_________________________________City____________State____________Zip__________
Contact Name________________________ ____Office # ______________ Cell# ______________
Email _________________________________
Event Information
Event Address_______________________________________________________________________
Set up Date ________________________ Set up Time ________________________________
Discharge Date _____________________ Discharge Time _____________________________
Head Pyro Name ___________________________________ Cell # ___________________________
Event Sponsor Information
Business Name _________________________________________________________________
Address_________________________________City____________State____________Zip__________
Contact Name________________________ ___Office # ______________ Cell# ______________
Email _________________________________
Apply in person or mail application and fee to:
Town of Cave Creek Building and Fire Safety
37622 N. Cave Creek Rd
Cave Creek, AZ 85331
Make checks payable to: Town of Cave Creek
For questions please contact Mike Baxley at 480-488-6637 or mbaxley@cavecreek.org
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General Requirements APPLICATION FOR DISPLAY FIREWORKS PERMIT (Town of Cave Creek)

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Completed 2 August 2020

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