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Home My WebLink About15-16283 CITY OF ZEPHYRHILLS � _,.� 5335-8TH STREET (si3)�so-oozo 16283 FIRE SPARKLERS PERMIT PERMIT INFORMATION LOCATION INFORMATION - Permit Number: 16283 Address: 7838 GALL BLVD Permit Type: FIRE SPARKLERS ZEPHYRHILLS, FL. Class of Work: FIRE-SPARKLERS Township: Range: Book: Proposed Use: NOT APPLICABLE Lot(s): Block: Section: Square Feet: Subdivision: CITY OF ZEPHYRHILLS Est. Value: Parcel Number: 35-25-21-0010-00700-0000 Improv. Cost: OWNER INFORMATION Date Issued: 5/19/2015 Name: PRIMERICA GROUP ONE Total Fees: 130.00 Address: 3629 MADACA LN Amount Paid: 130.00 TAMPA FL 33618 Date Paid: 5/19/2015 Phone: (813)933-0629 Work Desc: SPARKLER SALE PUBLIX � CONTRACTOR S APPLICATION FEES TNT FIRE ORKS P BLIX FIRE PERMIT FEES 100.00 CONTRA TOR CERTIFICATE 30.00 f � � Ins ections Re uired FIRE INVENTOR NSITE I SP Chapter 633, Florida Statutes,authorizes the City to charge and collect user fees to pay for the costs of fire prevention�and protection related activities such as inspections, plan review,administrative fees,and other costs related to the aforementioned. Complete Plans, Specifications and Fee Must Accompany Application. Commencement of work without written approval of the Fire Department's Fire Marshal or required permits or opening up for commercial activity without an approved final inspection shall be charged double permit fee per day of operation or a minimum of$100.00, whichever is greater. All work shall be performed in accordance with City Codes and Ordinances. "SPARKLERS" per Section 791.01, Florida Statutes, means a device which emits showers or sparks upon burning,does not contain any explosive compounds,does not detonate or explode, is handheld or ground based,can not propel itself through the air,and contains not more than 100 grams of chemical compound which produces sparks upon burning. CON R SI ATURE PERMIT OFFIC PERMIT EXPIRES IN 30 DAYS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED ZEPHYRHILLS FIRE RESCUE - 813-780-0041 ' ais-�so-oozo City of Zephyrhills Fire Fax-813-780-0021 ` " Permit Application Date Received Phone Contact for Permit 800 868 9151 c-._-��..,�.__ - ..,r_.�._--°n°--_°•,.r..,.„ ..R,��.<_,�.____�.._.....___.......- .�k..�_��..._. - _• Owner's Name Publix#1245 Owners Phone Number 813 782 1957 Owners Address 7838 Gall Boulevard,Zephyrhills, FL 33541 Fee Simple Titleholder Name Titleholder Phone Number � � � Fee Simple Titleholder Address ----�--p•---�-,--•,.,-..;....�,..w ..�,-•.;•,°�, ._�---.-��----�...--.-.e.—. .—°--�-�°a--.T��-;_-.--.�......-,----°--°-r�—;---�,^-°-•-----w----°°a JobAddress 7838 Gall Boulevard Lot# � Sub Division Parcel# �M�., - - - _..�.__ .�..._ ..�...�..____.'-,�.-"'-°,�:.-�:i......_....�........_,,__. ° _..�o,. - - _�. ,.e_�_,�_,_...,,_...�`°""�--�-----__.�_._.,r � Bio-Hazard Waste Storage-ANNUAL � Hazardous Material(Tier II or RQ Facility)ANNUAL � Comm Exhaust Kitchen Hood/Duct � Hood Installation � Controlled Burn � LP/Natural Gas-Installation � Emergency Generator<30 kw � LP/Natural Gas-ANNUAL Sale � Emergency Generator>30 kw � Places of Assembly-ANNUAL � Fire Protection Maintenance-ANNUAL � Recreational Burn� try emi � er Sprinkler � ❑ ❑ ❑ � � Sparkiers Inside Retail Sales of State Approved Sparklers Fire Alarm � ❑ ❑ ❑ � � Sprinkler System Installations � n � �� J Hood Cleaning � ❑ ❑ ❑ � � Standpipes(Sprinkler Sys) Hood Suppression � ❑ ❑ ❑ � � Torch oofinglTar Kettle � Fire Alarm Installation � W ire Storage ANNUAL � Fire Pumps /C�� Fire Works -SPARKLERS v�" � Flammable Application-ANNUAL Valuation of Project Fuel Tanks Q Other: .:.�:�..�--- -=�e}=-=�-°�..�,a...-��---f----�._-.. �-��,�,,------ _.�.....�_.,_.e._...._._.� _ .__._._.,.— - _`="`�'___.----� Contractor Company Signature Registered Y/N Fee Current Y/N Address License# ELECTRICIAN Company Signature Registered Y/N Fee Current Y/N Address License# PLUMBER Company Signature Registered Y/N Fee Current Y/N Address License# MECHANICAL Company Signature Registered Y/N Fee Current Y/N Address License# Vendor company TNT Fireworks Signature Registered Y/N Fee Current Y/N ,4ddress 6255 SE 78th Street, Ocala, FL 34474 �icense# ��_:.;�.�� - - ..�_..,.._.____,.__._.. ..�..�...... � . . ,. . - . .: .... _.._.�..... ,_..ys��.. . . .,__ ,.--�r.-_---,-�,� Directions: �` - - Fill out application completely. Owner&Contractor sign back of application,notarized(Or,copy of signed contract with owner) � If over$2500,a Notice of Commencement is required(Mechanical work over$5000) Supply two(2)sets of drawings with applicable documentation Allow 10-14 days for review after submittal date. Parcel#-obtained from Property Tax Notice(http://appraiser.pascogov.com) -Site plan at store-placement dictated by Fire Marshals office -State Sparkler Licence attached -Product List attached 1 i -'-`}� TNT° F I REUUORKS Site Plan Worksheet ADDRESS �'"C� �� Ct I � ��'�`'� c��Y �.e�.�� Is sra�rE ��. z�� 3�5�1 c p��r�� t�- ��,�-��t STOR�NAME 1 Lt}CATIQN# �U��I}� .� �Z�j� TYPE QF EVENT: In-sfore sales of Florida State-approved s�arklers NORTH �.�� u�� *�'�� `�`'� �� f'Y�a��: .�,'4. - ��:�"°��' ° �`- '• ��r �7�.P, z.+ �t?y° ��F. Y�iq_ .,,�.it�e �� tn , �� IIII ��s ��.�� SQUTH SPEClAL INSTURCTfONS Iacated ap raxima#EI�75ft fram an exit -� ��„ � r - 1 �53-01967867 � I - REPRINT - TNT FIREWORKS PACK LIST - REPRINT - 21362 Order #: 1967867-53-00002 Chain Store Sales-FL Chains Order Date : 3/24/15 Terms : Net 30 Days CUST PO: SLSMN: Chain Stores - East Sold To: 1420005 Ship To: 2056670 - PUB1245 PUBLIX - COMPANY 0002 PUBLIX 1245 PO BOX 32008 7838 GALL BOULEVARD LAKELAND, FL 33802 ZEPHYR COMMONS ZEPHYRHILLS, FL 33541 Desc/Case Packing Item Quantity Selling Suggested CP # Ordered Units Sell Price -------------------------------------------------------------------------------- *************************** Counter Cases *****************�***** DSP PUB LG SSS J15-NR 673396 1 CS 1 EA 3139 . 0100 1/1 Containing: SUPER VALUE PACK REV J09 200722 5 EA 5 EA 10 . 00 12/3 912288 TNT CRACKLING SALUTE J07 320474 24 EA 24 EA 2 . 00 4/24/10 958451 PARTY PAK SS-USA J09 101933 17 EA 17 EA 15 . 99 16/1 804227 STORM SHOCK USA PDQ SS J10 102023 36 EA 36 EA 9. 99 24/1 939667 #20 NEON SPARKLERS J11 380266 48 EA 48 EA 5 . 00 48/7 958454 LASER RAINBOW W/YP 200573U 12 EA 12 EA 5 . 00 16/1 944810 SMOKE BALLS BOX OF 8 J12 351052 48 EA 48 EA 2 . 00 4/24/8 807590 CAL ROCKET FOUNTAIN 3-PK 200967 30 BG 30 BG 5 . 00 2/30/3 188308 DOUBLE PAK MORNING GLORY J 380276 108 EA 108 EA 1. 00 i 4/54/8 188305 THUNDER BOOM USA SS J12 WO 102024B 26 EA 26 EA 19. 99 � 10/1 27736025992 CRAZY FUN PAK SS N12 PDQ 102126A 24 EA 24 EA 2 . 00 4/21 27736027545 MINI CALIFORNIA RKT 3PK J 200849A 48 EA 48 EA 2 . 00 6/24/3 27736025602 SHORT STACK J13 200924B 28 EA 28 EA 1 . 00 8/28 27736028054 SIGN -NFPA SM FRWKS NO SMO 730644E 1 EA 1 EA 0 . 00 1/1 LIGHTNING BLAST SS AM BOX 102309 12 EA 12 EA 29. 99 12/1 27736023745 MEGA STORM USA SS AM BOX J 102310 8 EA 8 EA 49 . 99 8/1 27736023714 Page No 1 - REPRINT - TNT FIREWORKS PACK LIST - REPRINT - �� °. . . Order #: 1967867-53-00002 Desc/Case Packing Item Quantity Selling Suggested CP # Ordered Units Sell Price -------------------------------------------------------------------------------- #8 SPARKLERS ASST 2 PDQS J 380247A 42 EA 42 EA 2 . 00 2/42/6/5 27736022755 2 PAK SNAP 4 PDQS J14 320516J 120 EA 120 EA 1. 00 4/40/2/50 27736022922 GROUND BLOOM FLOWER 20 CT 290157A 20 EA 20 EA 5 . 00 2/20/20 27736030255 FDP SNAP&SPARKLER DOM VSl X13 673266 1 CS 1 EA 341. 0000 1/1 Containing: #$ SPARKLERS ASST 2 PDQS J 380247A 68 EA 68 EA 2 . 00 2/42/6/5 27736022755 2 PAK SNAP 4 PDQS J14 320516J 205 EA 205 EA 1. 00 4/40/2/50 27736022922 *************�************* Promotional Supplies ********�************** PALLET WRAP, RED J13 730659 1 CS 1 EA 0 . 0000 1/1 Case Totals : 2 CS Total Pallets : PL Total Repack Cases : CS DECLARATION OF COMPLIANCE American Promotional Events, Inc. , dba TNT Fireworks, certifies that all consumer fireworks identified on this invoice have been tested by the American Fireworks Standards Laboratory and found to conform with all applicable regulations, standards and bans enforced by the U. S. Consumer Product Safety Commission. I Testing and certification for these items complies with rules, standards and bans applicable to consumer fireworks : Performance Standards 16 CFR 1500 . 17 (a) (9) 16 CFR 1500 . 17 (a) (11) 16 CFR 1500 . 17 (a) (12) 16 CFR 1507 'i Powder Content Bans 16 CFR 1500 . 17 (a) (3) 16 CFR 1500 . 17 (a) (8) 16 CFR 1500 . 85 (a) (2) Cautionary Labeling 16 CFR 1500 . 14 (b) (7) 16 CFR 1500 . 83 (a) (27) Contact information for laboratory that performed conformity testing. American Fireworks Standards Laboratory (AFSL) 7316 Wisconsin Avenue, Suite 214 Bethesda, MD 20814 301-907-9115 ' ', afslhq@afsl.org ', CONTACT INFORMATION FOR INDIVIDUAL MAINTAINING RECORDS ON WHICH ' DECLARATION IS BASED: Page No 2 I.