Georgia > Statewide > Probate Court
Application For Permit To Conduct Public Fireworks Display GPCSF 31 - Georgia
| Application For Permit To Conduct Public Fireworks Display Form. This is a Georgia form and can be used in Probate Court Statewide . |
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GEORGIA PROBATE COURT STANDARD FORM Application for Permit to Conduct Public Fireworks Display I. Specific Instructions. 1. This form is to be used for any time there will be a Fireworks Display pursuant to O.C.G.A. §25-10-4. The form is to be completed by the person, firm, corporation, association, or partnership desiring to conduct a public exhibition or display of fireworks and filed in the probate court of the county in which the exhibition or display is to be held, no less than ten (10) days prior to the date of the proposed display. The permit must contain the license number issued by the Safety Fire Commissioner for the person, firm, corporation, association, or partnership that will cause the combustion, explosion, deflagration or detonation of pyrotechnics at the exhibition or display. The application must be accompanied by a bond of no less than $10,000.00 or such amount as the Probate Judge requires, if greater, or in the alternative, evidence that the applicant carries liability insurance in the amount of not less than $25,000.00 for each person and $50,000.00 for each accident and property damage no less than $25,000.00 for each accident and $50,000.00 aggregate, or such policy limits greater if the Probate Judge so requires, with an insurance company duly licensed by the Commissioner of Insurance. The bond or insurance certificate must name the permitting county's Board of Commissioners as a named insured for the specific event for which the application is made. Notice shall be sent to the Fire Department or Department of Public Safety that will provide the fire protection services during the display who may object or waive further notice. The local fire official responsible for the area where the display will be held will make a determination of whether or not the site for the display meets his or her approval and is in compliance with all applicable codes and, if so determined, shall issue a certification that shall be returned to the probate court of such county. 2. 3. 4. 5. 6. Effective date 7/09 1 GPCSF 31 American LegalNet, Inc. www.FormsWorkFlow.com GEORGIA PROBATE COURT STANDARD FORM 7. The judge of the probate court shall receive $25.00 for his or her services in granting or refusing the original permit and $1.00 for each copy issued, to be paid by the applicant pursuant to O.C.G.A §15-9-60 (k) (11) . The judge of the probate court shall provide the Safety Fire Commissioner a copy of each permit granted prior to the proposed date of the exhibition or display. 8. 9. No permit shall be granted unless the applicant has met all the requirements of and is in full compliance with the rules and regulations promulgated by the Safety Fire Commissioner pursuant to O.C.G.A. § 2510-4 and the display shall be of such character as to not be hazardous to persons or property. II. General Instructions. General instructions applicable to all Georgia probate court standard forms appear in Volume 255 of the Georgia Reports and are available in each probate court. Effective date 7/09 2 GPCSF 31 American LegalNet, Inc. www.FormsWorkFlow.com GEORGIA PROBATE COURT STANDARD FORM APPLICATION FOR PERMIT TO CONDUCT PUBLIC FIREWORKS DISPLAY State of Georgia, To: Probate Court of County County hereby applies for a permit to (Name of person or corporate entity) conduct a public fireworks display as provided under O.C.G.A. § 25-10-4. The public fireworks display is sponsored by (Sponsoring organization) at (Location of fireworks display) __________day of_____________________, 20_____, to begin at approximately _____________________ p.m., and last for approximately minutes. This application is being made at least 10 days prior to the proposed display. 1. on the The display will be conducted by _________________________________________, of (Operator/person who will discharge fireworks) ______________________________________________, a competent and experienced (Fireworks or pyrotechnic company) operator who has conducted (# of displays) A copy of the operator's ATF License (labeled and attached hereto as Exhibit "A") and/or the corporate entity's ATF License (labeled and attached hereto as Exhibit "B"). displays over the past years. Effective date 7/09 3 GPCSF 31 American LegalNet, Inc. www.FormsWorkFlow.com GEORGIA PROBATE COURT STANDARD FORM 2. This display will not be hazardous to persons or property. No persons other than the operator and the operator's employees will be allowed within _________ feet of the launching or detonation site. 3. The display (will) (will not) be a proximate audience display as defined by Georgia law. If the display is a proximate audience display, then a copy of the operator's Georgia License issued by the Safety Fire Commissioner, number _________, (labeled and attached hereto as Exhibit "C") and the corporate entity's Georgia License issued by the Safety Fire Commissioner, number _____________, (labeled and attached hereto as Exhibit "D"). 4. A. The site for the display is described as follows: __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ B. The fireworks and/or pyrotechnics to be used in the proposed display are described as follows or labeled and attached hereto as Exhibit "E". __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ Effective date 7/09 4 GPCSF 31 American LegalNet, Inc. www.FormsWorkFlow.com GEORGIA PROBATE COURT STANDARD FORM C. The __________________________________Fire Department or the (County/City) __________________________________will provide the necessary and required (Name of Department or Entity that will provide services) fire protection services and the following special services: (list below) __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ Attached hereto is a certification by the _________________________ Fire Marshal that (County/City) the site for the display meets his or her approval and is in compliance with all applicable codes. 5. This application is accompanied by a bond in the principal sum of (Dollar amount) more, payable to the , or (County) Board of Commissioners,
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