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Outline

The Texas SF044 form is an essential document for individuals or organizations seeking to conduct public fireworks displays within the state. This application is specifically designed for obtaining a Class B Fireworks Permit, which encompasses both singular and multiple display permits for fireworks classified as 1.3G. Applicants must provide detailed information, including their name, contact details, and the specifics of the planned display, such as dates, times, and location. The form requires that applicants be at least 21 years old and includes a certification that all information provided is accurate. Additionally, the application must be accompanied by a fee, which varies depending on the type of permit requested. The form also emphasizes compliance with Chapter 2154 of the Texas Occupations Code and the Fireworks Rules. It mandates the inclusion of a site diagram that outlines key safety features, such as the location of spectators and secured areas around the firing site. Furthermore, applicants must submit proof of general liability insurance and other relevant documents based on their business structure, ensuring that all safety and regulatory measures are met before a permit is granted.

Sample - Texas Sf044 Form

Texas Department of Insurance

State Fire Marshal’s Office Mail Code 112-FM

333 Guadalupe • P. O. Box 149221, Austin, Texas 78714-9221 512-305-7900512-305-7922 fax • www.tdi.texas.gov

APPLICATION FOR CLASS B FIREWORKS (FIREWORKS 1.3G)

SINGULAR OR MULTIPLE DISPLAY PERMIT

This application must be accompanied by the appropriate fee and all documents and information required by Chapter 2154 of the Texas Occupations Code and the Fireworks Rules. Complete answers must be given to all questions.

Please print or type.

A public fireworks display permit may not be issued to any person who is under 21 years of age. Any fraudulent representation on this application shall be cause for denial, suspension, or revocation of a permit. All fees are non-refundable, except for overpayments resulting from mistakes of law or fact.

PERMIT

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

CHECK ONE

TYPE OF PERMIT

PERMIT FEE

 

CODE

 

 

 

 

 

 

 

 

 

 

 

 

 

Singular Display Permit

$50.00

 

570-07

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Multiple Display Permit

$400.00

 

570-08

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

APPLICANT

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

NAME OF APPLICANT

 

 

 

 

 

Telephone No. ___________________

 

 

 

 

 

 

 

 

 

 

 

 

Fax No.

________________________

 

 

 

 

 

 

 

 

 

ADDRESS

 

 

CITY

 

 

STATE

 

ZIP

 

 

 

 

 

 

 

 

 

E-MAIL ADDRESS FOR NOTIFICATION PURPOSES (optional)

WEB SITE ADDRESS (optional)

Applicant doing business as (Check One)

Individual.

Yes

No

 

 

Is the individual 21 years of age or older?

 

Corporation

Partnership.

Yes

No

 

 

Is each partner 21 years of age or older?

 

Other – describe:

Federal employer's identification (FEI) number:

DISPLAY INFORMATION

 

Date of display

__________________________________

Time

________________________

 

 

Alternate date of display

__________________________________

Time

________________________

 

 

 

 

 

 

 

Exact location description or address of display and/or alternate location for the display

 

 

Pyrotechnic operator licensed in Texas who will be at the display site to supervise the display:

Name

License number

 

 

Name

License number

 

 

Name

License number

 

 

SF044 Rev. 12/13

Page 1 of 5

QUESTIONS

Size and estimated number of 1.3G fireworks to be discharged:

Other items (1.4G fireworks, flame effects, set pieces, etc.)

Manner and address of storage of fireworks prior to and during the display

Manufacturer or distributor licensed in Texas who is to supply the fireworks:

Name

License number

SIGNATURES

In applying for a fireworks permit, I certify that I am familiar with and will comply with Chapter 2154 of the Texas Occupations Code and the Fireworks Rules.

I hereby authorize the state fire marshal or any of his duly authorized deputies, upon notice, to enter, examine, and inspect any premises, building, room, or establishment used in connection with the permit for which I am applying to determine compliance with the provisions of Chapter 2154 and the Fireworks Rules.

By my signature, I verify that the information on this application and its attachments are true.

I understand that knowingly providing a false answer to any question or submitting false information or documents with this application may be tampering with a governmental record which is punishable under the Texas Penal Code Chapter 37, §37.10.

Printed name

Title

Signature

Date

Printed name

Title

Signature

Date

APPLICATIONS MUST BE SIGNED BY AN INDIVIDUAL APPLICANT, BY AN OFFICER OF A CORPORATION, BY THE SOLE PROPRIETOR, BY EACH PARTNER OF A GENERAL PARTNERSHIP, BY THE GENERAL PARTNER OF A LIMITED LIABILITY PARTNERSHIP OR BY AN OFFICER OR MEMBER OF A LIMITED LIABILITY COMPANY.

APPLICATIONS SUBMITTED BY A GOVERNMENTAL ENTITY MUST BE SIGNED BY THE APPROPRIATE OFFICER. FOR EXAMPLE, A CITY’S APPLICATION SHOULD BE SIGNED BY THE MAYOR, CITY MANAGER, CITY ADMINISTRATOR, CITY SECRETARY, ETC.

Check or money order should be made payable to the TEXAS DEPARTMENT OF INSURANCE.

Mail this completed application along with the appropriate fee and additional documents to:

Mail Address:

State Fire Marshal’s Office

Physical Address:

State Fire Marshal’s Office

 

Mail Code 9999

 

333 Guadalupe

 

P. O. Box 149221

 

Austin, TX 78701

 

Austin, TX 78714-9221

Fax No.

512-305-7922

 

512-305-7930

Web Site Address:

www.tdi.texas.gov/fire

NOTICE ABOUT CERTAIN INFORMATION LAWS AND PRACTICES

With few exceptions, you are entitled to be informed about the information that the Texas Department of Insurance (TDI) collects about you. Under sections 552.021 and 552.023 of the Texas Government Code, you have a right to review or receive copies of information about yourself, including private information. However, TDI may withhold information for reasons other than to protect your right to privacy. Under section 559.004 of the Texas Government Code, you are entitled to request that TDI correct information that TDI has about you that is incorrect. For more information about the procedure and costs for obtaining information from TDI or about the procedure for correcting information kept by TDI, please contact the Agency Counsel Section of TDI’s Legal and Regulatory Affairs Division at 512-475-1757 or visit the Corrections Procedure section of TDI’s web page at www.tdi.texas.gov.

SF044 Rev. 12/13

Page 2 of 5

SINGULAR OR MULTIPLE DISPLAY PERMIT SITE DIAGRAM/PLAN

Please make sure the below listed items are included on the site diagram

Address of display location

Show location of firing site

Show location of spectators

Show minimum secured area on all sides of firing site

Show method of restraint/security on all sides of firing site

Show location of health care, detention and correctional facilities. If there are no such facilities within the distance required by NFPA 1123, 1995 ed., please indicate such in a statement on the diagram.

Show location of school buildings and/or churches. If there are no buildings within 600 feet of the firing site, please indicate such in a statement on the diagram.

Show location of hazardous materials. If there are no hazardous materials within the distance required by NFPA 1123, 1995 ed., please indicate such in a statement on the diagram.

SF044 Rev. 12/13

Page 3 of 5

Texas Department of Insurance

State Fire Marshal’s Office

Application for Class B Fireworks (Fireworks 1.3G) Singular or Multiple Display Permit

Site Inspection Certification

1.Name of applicant ______________________________________________________________________________________

 

Address _________________________________________________

Telephone _______________________________

 

City __________________________________________________

State ____________

Zip Code ______________

2.

Date of display ___________________________________________________

Time

____________________________

 

Alternate date of display ___________________________________________

Time

____________________________

3.

Location and/or alternate location for the display ______________________________________________________________

 

______________________________________________________________________________________________________

 

______________________________________________________________________________________________________

 

______________________________________________________________________________________________________

4.

As the fire prevention officer, I approve of the display site and have reviewed the site diagram.

Yes

No

5.

I approve of the location and manner for storage of display fireworks before and during the display.

Yes

No

6.

I approve of the potential landing area for fireworks debris.

 

 

 

Yes

No

7.

The display is to be conducted in compliance with TX Occupations Code,

 

 

 

 

 

Regulation of Fireworks & Fireworks Displays and the Fireworks Rules.

 

 

 

Yes

No

8.My approval is subject to the following conditions.

List conditions, if applicable, or indicate “None” _______________________________________________________________

______________________________________________________________________________________________________

______________________________________________________________________________________________________

9.As the appropriate fire prevention officer, I have inspected the display site(s) to determine whether this proposed display is of a nature or in a location that may be hazardous to property or dangerous to any person. This form is my notice to the state fire marshal of the results of the inspection as required in Sec. 2154.206, Chapter 2154, Texas Occupations Code.

Signature of fire prevention officer ________________________________________

Date

_________________________

Printed name of fire prevention officer _____________________________________

Title

_________________________

Department __________________________________________________

Telephone No. ________________________

Email address:_________________________________________________

Mobile Phone No. _____________________

Telephone No.

512-305-7930

Fax No.

512-305-7922

Web Site Address

www.tdi.texas.gov/fire

SF044 Rev. 12/13

Page 4 of 5

APPLICATION FOR CLASS B FIREWORKS (FIREWORKS 1.3G)

SINGULAR OR MULTIPLE DISPLAY PERMIT

APPLICANTS FOR A SINGULAR OR MULTIPLE DISPLAY PERMIT MUST SUBMIT THE FOLLOWING:

1.An application for a singular or multiple display permit.

2.A certificate of general liability insurance.

ITEMS TO BE INCLUDED ON INSURANCE CERTIFICATES:

1.The name of the insurer and the policy number.

2.The name of the insured, which must be the same name as on the display application.

3.Effective dates (or days) of the policy.

4.The amount of coverage must not be less than $500,000. The policy shall be conditioned to pay those sums the insured becomes obligated to pay as damages because of bodily injury and property damage caused by an occurrence involving the insured or the insured’s servant, officer, agent, or employee in the conduct of a public fireworks display.

5.The words “fireworks display” and the dates(s) of the display should appear under description of operations on the certificate. Any alternate date(s) should also be included.

6.The State Fire Marshal’s Office should be listed as the certificate holder.

7.Must be issued by an insurer authorized to do business in Texas and countersigned by an insurance agent licensed in Texas.

ADDITIONAL DOCUMENTS

If you are a

Texas or Foreign

Corporation

submit the following

Certificate of general liability insurance

Corporate Charter, Certificate of Existence, or Certificate of Authority issued by the Texas Secretary of State

Franchise Tax Account Status must be ACTIVE with the TX Comptroller of Public Accounts

Assumed Name Certificate from Texas Secretary of State (if using a d/b/a)

If you are a

Sole Proprietorship or General Partnership

submit the following:

Certificate of general liability insurance

Assumed Name Certificate from your County Clerk (if using a d/b/a)

If you are a

Texas or Foreign

Limited Partnership

submit the following

Certificate of general liability insurance

Certificate of Limited Partnership, Registration Application for Foreign Limited Partnership

Franchise Tax Account Status must be ACTIVE with the TX Comptroller of Public Accounts

Assumed Name Certificate from Texas Secretary of State (if using a d/b/a)

If you are a

Texas or Foreign

Limited Liability

Company

submit the following

Certificate of general liability insurance

Certificate of Organization, or Certificate of Authority issued by the Texas Secretary of State

Franchise Tax Account Status must be ACTIVE with the TX Comptroller of Public Accounts

Assumed Name Certificate from Texas Secretary of State (if using a d/b/a)

Texas Secretary of State: 512-463-5578

Texas Comptroller of Public Accounts 800-252-1386

SF044 Rev. 12/13

Page 5 of 5

Form Information

Fact Name Details
Form Purpose This form is used to apply for a Class B Fireworks Display Permit in Texas.
Permit Types Applicants can choose between a Singular Display Permit for $50 or a Multiple Display Permit for $400.
Age Requirement Applicants must be at least 21 years old to qualify for a fireworks display permit.
Governing Law The application is governed by Chapter 2154 of the Texas Occupations Code.
Fee Policy All fees are non-refundable, except for overpayments due to errors.
Fraudulent Representation Any false information on the application may lead to denial, suspension, or revocation of the permit.
Insurance Requirement A certificate of general liability insurance is required for all applications.
Inspection Requirement A fire prevention officer must approve the display site after an inspection.
Application Submission Completed applications must be mailed to the State Fire Marshal’s Office in Austin, Texas.
Contact Information For inquiries, contact the State Fire Marshal’s Office at 512-305-7900.

Detailed Guide for Filling Out Texas Sf044

Completing the Texas SF044 form is essential for obtaining a permit for a fireworks display. This process involves providing accurate information and submitting necessary documentation. Once the form is filled out, it must be mailed along with the appropriate fee to the designated address.

  1. Obtain the Texas SF044 form from the Texas Department of Insurance website or the State Fire Marshal's Office.
  2. Indicate the type of permit you are applying for: either a Singular Display Permit ($50) or a Multiple Display Permit ($400).
  3. Fill in the applicant's name, telephone number, fax number, and address, including city, state, and ZIP code.
  4. Provide an optional email address for notifications and a website address if applicable.
  5. Specify the business structure by checking the appropriate box: Individual, Corporation, Partnership, or Other. Confirm age requirements as necessary.
  6. Enter the Federal Employer's Identification (FEI) number if applicable.
  7. Detail the display information, including the date and time of the display, alternate date and time, and the exact location description.
  8. List the licensed pyrotechnic operators who will supervise the display, including their names and license numbers.
  9. Estimate the size and number of 1.3G fireworks to be discharged, along with any other items involved in the display.
  10. Describe the storage method and location for the fireworks before and during the display.
  11. Identify the manufacturer or distributor of the fireworks by providing their name and license number.
  12. Sign the application, certifying compliance with Chapter 2154 of the Texas Occupations Code and the Fireworks Rules. Include the printed name, title, and date of signature.
  13. Ensure the application is signed by the appropriate individual, such as the applicant, an officer, or a partner, depending on the business structure.
  14. Prepare a check or money order made payable to the Texas Department of Insurance for the required fee.
  15. Mail the completed application, fee, and any additional documents to the State Fire Marshal’s Office at the designated address.

Obtain Answers on Texas Sf044

  1. What is the Texas SF044 form?

    The Texas SF044 form is an application for a Class B Fireworks permit, specifically for singular or multiple display permits for fireworks classified as 1.3G. This form must be completed and submitted to the Texas Department of Insurance, State Fire Marshal’s Office, along with the required fee and supporting documents as outlined in Chapter 2154 of the Texas Occupations Code.

  2. What types of permits can be applied for using the SF044 form?

    Applicants can choose between two types of permits:

    • Singular Display Permit for a fee of $50.00
    • Multiple Display Permit for a fee of $400.00

    It is important to select the correct permit type based on the nature of the fireworks display being planned.

  3. What are the age requirements for applicants?

    Any individual applying for a fireworks display permit must be at least 21 years old. This requirement applies to individuals, partners, and corporate officers. Failure to meet this age requirement will result in the denial of the permit application.

  4. What documents must accompany the SF044 form?

    Along with the completed SF044 form, applicants must submit:

    • A certificate of general liability insurance.
    • Additional documents specific to the type of business entity, such as a Corporate Charter or Assumed Name Certificate.

    These documents ensure compliance with state regulations and provide necessary coverage for the fireworks display.

  5. How should the application and payment be submitted?

    The completed application, along with the appropriate fee, should be mailed to the State Fire Marshal’s Office at the specified address. Payments can be made via check or money order, payable to the Texas Department of Insurance. It is advisable to keep a copy of the submitted application for your records.

Common mistakes

Filling out the Texas SF044 form for a fireworks display permit can be a straightforward process, but many applicants make common mistakes that can lead to delays or denials. One frequent error is failing to provide complete answers to all questions. Each section of the form is designed to gather specific information, and incomplete responses can raise red flags. Applicants should ensure that every question is answered thoroughly. Omitting even a small detail can result in significant complications down the line.

Another common mistake involves the selection of the appropriate permit type. The form offers options for a singular display permit and a multiple display permit, each with different fees. Misunderstanding the requirements for each type can lead to selecting the wrong option, which may incur additional costs or necessitate reapplication. It is essential to carefully consider the nature of the event and choose the permit that accurately reflects the applicant's needs.

In addition, many applicants overlook the importance of providing accurate information regarding the pyrotechnic operator. The form requires the names and license numbers of licensed pyrotechnic operators who will supervise the display. Failing to include this information or listing operators without valid licenses can jeopardize the application. Ensuring that all operators are properly licensed and that their details are accurately recorded is crucial for compliance and safety.

Lastly, applicants often neglect to sign the form correctly. The application must be signed by the appropriate individual, whether that be the applicant, an officer of a corporation, or a partner in a partnership. Each signature must be accompanied by the printed name and title of the signatory. Without proper signatures, the application may be considered incomplete, leading to unnecessary delays. Taking the time to review the signature requirements can save applicants from frustration and potential denial.

Documents used along the form

The Texas SF044 form is an application for a Class B fireworks display permit, which is required for individuals or entities wishing to conduct public fireworks displays in Texas. Along with this form, several other documents are typically needed to ensure compliance with state regulations. Below is a list of forms and documents that are often submitted with the SF044 form.

  • Certificate of General Liability Insurance: This document provides proof of insurance coverage, ensuring that the applicant is protected against claims for bodily injury or property damage during the fireworks display. The coverage must be at least $500,000.
  • Site Diagram/Plan: This diagram outlines the display location, including the firing site, spectator areas, and safety zones. It helps authorities assess the safety and compliance of the display site.
  • Site Inspection Certification: This form is completed by a fire prevention officer who inspects the display site. It certifies that the site meets safety requirements and is approved for the fireworks display.
  • Certificate of Existence: For corporations, this document confirms the legal existence of the business entity in Texas. It is issued by the Texas Secretary of State.
  • Franchise Tax Account Status: This document verifies that the business entity is in good standing and has an active status with the Texas Comptroller of Public Accounts.
  • Assumed Name Certificate: If the applicant is using a "doing business as" (d/b/a) name, this certificate must be obtained from the Texas Secretary of State or the county clerk.
  • Corporate Charter: Corporations must submit this document, which outlines the company's formation and structure, as part of their application.
  • Registration Application for Foreign Limited Partnership: This document is required for foreign limited partnerships wishing to conduct business in Texas. It must be filed with the Texas Secretary of State.

Submitting the appropriate documents along with the Texas SF044 form is essential for obtaining the necessary permits for fireworks displays. Ensuring all requirements are met can facilitate a smoother approval process and help maintain safety standards during the event.

Similar forms

  • Application for Special Events Permit: Similar to the Texas SF044 form, this document requires detailed information about the event, including location, date, and safety measures. Both forms emphasize compliance with local regulations and safety standards.
  • Fireworks Display Site Diagram: This document outlines the layout of the display area, specifying safety zones and spectator locations. Like the SF044, it ensures that safety measures are in place to protect attendees and property.
  • Certificate of Insurance: Both the SF044 form and this certificate require proof of liability coverage. They ensure that applicants are financially responsible for any damages or injuries that may occur during the event.
  • Public Event Notification: Similar to the SF044, this document informs local authorities and the public about the planned event. It includes details about the timing and nature of the event to ensure community awareness and safety.
  • Permit Application for Outdoor Events: This application shares similarities with the SF044 form, as it requires information on the event’s specifics and safety protocols. Both documents are essential for obtaining the necessary approvals for public gatherings.
  • Fireworks Safety Plan: This plan outlines the safety measures and protocols to be followed during a fireworks display. Like the SF044, it aims to ensure compliance with safety regulations and protect participants and spectators alike.

Dos and Don'ts

When filling out the Texas SF044 form for a Class B Fireworks permit, consider the following guidelines:

  • Do provide complete and accurate information. Ensure that all sections of the form are filled out thoroughly.
  • Do check the age requirement. Confirm that the applicant is at least 21 years old, as this is a legal requirement.
  • Do include the appropriate fee. Submit the correct payment for the type of permit you are applying for, whether singular or multiple.
  • Do sign the application. Ensure that the application is signed by the appropriate individual, such as an officer or partner.
  • Don't leave any questions unanswered. All questions must be addressed to avoid delays in processing.
  • Don't submit false information. Providing inaccurate details can lead to denial or revocation of the permit.
  • Don't forget to attach required documents. Include all necessary documentation, such as insurance certificates and corporate charters, as applicable.
  • Don't ignore the submission deadline. Ensure the application is submitted in a timely manner to allow for processing before the display date.

Misconceptions

  • Misconception 1: The Texas SF044 form can be submitted without any supporting documents.
  • This is incorrect. The form must be accompanied by the appropriate fee and all required documents as outlined in Chapter 2154 of the Texas Occupations Code and the Fireworks Rules.

  • Misconception 2: Anyone can apply for a public fireworks display permit.
  • This is not true. Only individuals who are 21 years of age or older can apply for a permit. This age requirement is strictly enforced.

  • Misconception 3: The application fee is refundable.
  • In fact, all fees are non-refundable, except in cases of overpayments due to mistakes of law or fact. Applicants should be aware of this policy before submitting payment.

  • Misconception 4: The site diagram is optional for the application.
  • The site diagram is mandatory. It must include critical details about the display location, firing site, spectator area, and any nearby health or correctional facilities.

  • Misconception 5: A single signature is sufficient for the application.
  • This is a misunderstanding. The application must be signed by the appropriate individual, which may include an officer of a corporation or each partner in a partnership, depending on the business structure.

  • Misconception 6: The insurance requirement is not strict.
  • This is false. Applicants must provide a certificate of general liability insurance with specific coverage amounts and details. Failure to meet these requirements can lead to application denial.

  • Misconception 7: The application can be faxed without any additional steps.
  • While faxing is an option, the application must still be accompanied by the appropriate fee and any required documents. Applicants should ensure that all materials are properly submitted to avoid delays.

Key takeaways

Filling out the Texas SF044 form for a fireworks display permit requires careful attention to detail. Here are some key takeaways to ensure a smooth application process:

  • Eligibility: Applicants must be at least 21 years old. No permits will be issued to individuals under this age.
  • Application Fee: The fee for a singular display permit is $50, while a multiple display permit costs $400.
  • Complete Information: All questions on the form must be answered completely. Incomplete applications may lead to delays or denials.
  • Supporting Documents: Include a certificate of general liability insurance and any other required documents relevant to your business structure.
  • Site Diagram: A detailed site diagram must be provided, showing the firing site, spectator areas, and any nearby facilities.
  • Signature Requirement: The application must be signed by the appropriate individual, such as the applicant or a corporate officer.
  • Inspection Approval: A fire prevention officer must approve the display site and storage methods, ensuring compliance with safety regulations.
  • Non-Refundable Fees: All fees are non-refundable, except for overpayments due to clerical errors.
  • Submission Method: Mail the completed application along with the fee to the State Fire Marshal’s Office, or fax it if applicable.

By following these guidelines, applicants can navigate the process more effectively and increase their chances of obtaining the necessary permits for their fireworks displays.