Pyrotechnics Permit Application

First Name *

Last Name *

Phone *

Email *

Location *

Date/Time of Pyrotechnics *

Name of Pyrotechnics Company *

Name of Insurance Company *

 

Add File

List of all Safety Equipment that will be present at time of activity: *

I hereby certify that I am the owner or authorized agent for the abovementioned property listed for a pyrotechnics event. All pyrotechnics will be in accordance with Chapter 33, Explosives and Fireworks, exclusively sections 3301.2.3 and 3301.2.4.2 of the International Fire Code.
Applicant Signature: