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Home My WebLink About15-16768 CITY OF ZEPHYRHILLS 5335-8TH STREET _ � ; (si3)�so-oozo 16 8 FIRE SPARKLERS PERMIT ', � PERMIT INFORMATION � " LOCATION INFORMATION � • Permit Number: 16768 Address: 7631 GALL BLVD Permit Type: FIRE SPARKLERS ZEPHYRHILLS, FL. Class of Work: FIRE-SPARKLERS Township: Range: Book: Proposed Use: COMMERCIAL Lot(s): " Block: Section: Square Feet: Subdivision: CITY OF ZEPHYRHILLS Est. Value: Parcel Number: 34-25-21-0110-00000-0010 Improv. Cost: � OWNER INFORMATION - � Date Issued: 11/24/2015 Name: SUPER WAL-MART Total Fees: 100.00 Address: 7631 GALL BLVD Amount Paid: 100.00 ZEPHYRHILLS, FL. 33542 Date Paid: 11/24/2015 Phone: (479)204-1063 Work Desc: SPARLKER SALE WALMART . CONTRACTOR S - ' � - • ` =APPLICATION.FEES - �� TNT FIREWORKS WALMA T FIRE PERMIT FEES 100.00 � � � - 1 � � � � � �� d�.�� ' Ins ections e uired '� FIRE INVENTORY ONSITE INSP 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$100.00, whichever is greater. All work shall be perFormed in accordance with City Codes and Ordinances. ' "SPARKLERS" per Section 791.01, Florida Statutes, means a device which emits showers or sparks upon burning,does not contain any explosive compounds,does not detonate or explode, is handheld or ground based,can not propel itself through the air,and contains not more than 100 grams of chemical compound which produces sparks upon burning. � I CONT CTOR SIGNATURE PERMIT OFFIC PERMIT EXPIRES IN 30 DAYS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED _ ZEPHYRHILLS FIRE RESCUE- 813-780-0041 � �. � T�1TC� F1REINORKS � Site Plan Worksheet ST�OR�NAN�f LOCATION#LAYOUT OF WAL-�AI2T LOCATII�'S TYPE OF EIIENT: In�6�re sales of�onsu�er Firoworks IWaimart 706 Zaahvrhtlf�.Fl. OF BUI.DI hy-�"'1'-tiS�'e,`.'�=`�:-:5" " �.� �;�.':..:t��_'_ Fw'r�":.C3':;.�'-a•>:?:.�.�� u:�43:Y r�_:,:i��R %��<:-,".`ir'.-'=�:t>g.?i:-:3 ��l_`••<d'_��.r".t'�K cc(:i`� 'k"`n _ '�r'+w��' � '"' C[�-_.;-."'w-�` ::._��:3 ".�c.�'&�'s 'o�-s,--::i:i�'=z'_` =;n``^`.":i:'-..�:=.:i%:e' �._±��,C.:'.V?�ef;J�..«-�Y`.,� ��:-u i��r$s,��^�tfii�Y>, M+ir�:r.�� !t=>.^�"�:==-_�.�" .��• �°��-':7 .� -y.r��i�=q,l,Fw-3,_: :;.:.u;,.w:,`;.':*:a2�t=.�-`F�r. _ _,_}.';;'s�^S?.�.�-_- c��?:-'3;U3'".�'s'."'.�`: �,� �� " :�=�<�y - - _ AefYalWl�dAit] �J'�t'. �,y; ;,;. - - "`•="` � '�,,��. �;' � �"4� � �.-: 8e�be�a � �: �; �; _�=, � , , � � � � � � � � � �� ._. ;,� R=� ,:_ �ts;t �ear,a ''•+�; FROM IM$TURCTIQIrB:Nfa!-�1 �n![alhr ol�as 9f�aol�s�ol�rs of aonwmerfiraw�orks omdt�fs b tlfe front the ato�s on the front sWe�les[Actlon Altwf nar11�mttran�xl�cFt whjS�l�lSram a�fhe�1�.Thls la e aerKral �4�3��Super Cant�r md orodud nt�cemeet mryA�tio�dd b�dlctabed by lr�shudbn of the I�act�deo�dlna on�e h�dhr�slu�!iocatlons nead�ind or�fian a�tuo. � �� 5�,�� St �� -� '�_�� c�� J �?u� 3s:�, 's•�. � a �� ' ";�{��Yi a,�P'%�t'��ekG�S� i�----- �,..�`��..;3��i;� `�.''�': '.`:�� ,.�� - _ ._. _ .__ � � �53-02484394> 53-02Q84394 - REPRINT - TNT FIREWORKS PACK LTST - REPRINT - 2�3&2 Order #: 2Q84394-53-00002 Chain Store Sa1es-FL Chains Order Date: 10/30/15 Terms: Net 60 Days CUST PQ: 8154568639 SCAC: PRO #: SLSMN: Chain Stores - Ea�t SHIPMENT NBR. 9161$ Sold To: 1410002 Ship To: 1056Q90 - WAL0706 WALMAI2T - CORPORATE a o a a z WALN[ART 0 7 0 6 702 SW 8TH STREET 7631 GALL BLVD BENTQNVILLE, AR. ?2716 ZEPH3�RHZLLS, FL 33540 DescjCa.se Packing Item Quanti�.y Selling Suggested I CP # Ordered Units Sel1 Price -------------------------------------------------------------------------------- *�*��*��r�� Assortments ��**�*��r*�� BLAST ZONE USA SS JIO 102018 2 CS 20 EA 29.9700 10/1 70046873 FUN BLAST SS COM WjPDQ J12 102205 1 CS 24 EA 9. 9700 24/1 550437037 RED WHITE BOOM BOX SS 102384 1 CS 6 EA 49. 9700 6jl 27736023325 *************************** Cali�ornia Candles *********************** JUMBO CALIF CANDLES 3FK SS J1 230019A 1 CS 48 EA 5 . 0000 48j3 550437032 *************************** Sparklers ********************�*�r ##2Q NEON SPARKLERS J11 380266 I CS 48 EA 5 . 0000 48f7 70077709 #8 GOLD SPARKLER J14 3802&2 1 CS 48 TP 2 . 0000 48/6/5 27736023127 ��**��*��**�*�*��***�*��*�* Counte�' Ca.ses *�r�*��r�r*�r��x��**�r*� DSP V+TM SS TR NY'14 672674 1 CS 1 EA 2Q18 . 0800 1/1 Con�.aining: �8 SPARKLERS ASST 2 PDQS J 380247A $4 EA 84 EA 2 . 00 2/42/6/5 27736022755 4 PAK SNAP 4 PDQS J14 320532J l60 EA �.6Q EA 2 . 00 4/40/4/50 27736022960 FUN BLAST SS COM WjPDQ Jl 102205 24 EA 24 EA 9. 97 24/1. 550437037 GROL;rND BLOOM FL(JWER 2 0 CT 2 9 015 7A 2 4 EA 2 0 EA 5. 0 0 2j20/20 55I358833 BLAST ZONE USA SS J10 102018 20 EA 20 EA 29. 97 �o j�. �oo�6s�� BACKYARD SHOW WOPDQ USA SS 102015A 20 EA 20 EA 19 . 97 10f1 70Q5572? SMOKE BALLS BOX OF $ J�.2 351052 96 EA 96 EA 2 . 00 I 4f24f8 , 550437025 Page No 1 1 ' - REPRINT - TNT FIREWORKS PACK LIST - REPRINT - ' � - Order #: 2084394-53-00002 : , Desc/Case Packing Item Quantity Selling Suggested CP # Ordered Units Sell Price -------------------------------------------------------------------------------- SIGN -NFPA SM FRWKS NO SMO 730644E 2 EA 2 EA 0 . 00 1/1 _ Case Totals: 8 CS Total Pallets: PL Total Repack Cases: CS DECL�TION 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. 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 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: NAME: Kathie Pendergrass ADDRESS: 4511 Helton Drive Florence, Alabama 35630 TELEPHONE: 256-764-6131 FAX: 256-767-7200 E-MAIL: pendergrasskC�tntfireworks . com. www. tntfireworks.com Page No 2 ZEP�YRHILLS FIRE DEPARI`IV�ENT `` ' 38410 6th Ave Zephyrhills, FL 33542 - FIRE SERVICE USER FEES Occupancy No.: Plan No.: Contractor: � � �1Y�e��l� Business Name:_ ,U-�}VL._( _ Billing Address: Business Address: "76�,� ��"— ^�- � � Business Phone No.: � Billing Phone No.: Business Fax No.: Billing Fax No.: Contact: Contact: PLAN REVIEW FEES INSPECTION FEES PERMIT FEE FALSE ALARM FEE �Site Plan N/C Annual N/C Sprinkler $50 1st Alarm N/C Multi-Family/Commercfal .06 sf 1st Re-inspection N/C Standpipes $50 2nd Alarm N/C , (Minimum Charge$25.00 2nd Re-inspection $100 Fire Pump $50 3rd Alarm N/C � � Plan Revisions DBL 3rd Re-inspection $250 Hoods $50 4th Alarm $100 4th Re-Inspection $500 Fire Alarm $50 5th Alarm $150 , SPRINKLER SYSTEMS (Business closed until LP Gas $50 6th Alarm $200 0-25 Heads $50 violations corrected) Natural Gas $50 NON COMPLIANCE $150 26 plus Heads $100 SPRINKLER SYSTEMS Fuel Tanks- pertank $50 STANDPIPE SYSTEM Hydro Undergrounds $45 Sparklers $100 � Per Riser $50 Hydrostatic Test $65 per system Fire Works $500 FIRE PUMP Acceptance Test $45 .persystem Camp Fire $25 � Per Pump $100 Hydrant Flow $75 Controlled Bum $100 � /„� FIRE ALARM SYSTEM Hood/Duct $50 �'n �� v 0-25 Devices $50 FIRE ALARM SYSTEM Place of Assembly $50 Mnual B 26 plus Devices $100• System Acceptance $50 Fire Protection $25 SUPPRESSION SYSTEMS � Recall Acceptance $50 Flammable Application $50 nnnua� Wet $50 OTHER Waste Tire Storage $50 Mnual Dry $50 Fire WalUSmoke Wall $15 per wa�i Generator<KW $100 CO2 $50 LP Gas $25 per tank Generator>30 KW 150 Other $50 Natural Gas $25 persystem Bio-Hazard Waste $100 Mnual - KITCHEN EXHAUST Fumigation Tenting $50 � Hood/Ducts $50 Tent 10'x10'orgreater $15 pertent Torch PoUApplied $50 OTHER Fire Pump $45 Haz.Materials $100 nnnuai LP installation per tank $50 Fire Suppression $30 Fuel Tank Installation $50 System Acceptance ❑ (Per Tank) $50 B Exhaust Hood/Duct $30 Natural Gas Installation_ $50 Re-inspection DBL (Per System) (other than annual) �Spray Booth $50 � Inspection scheduled DBL B and cancelled less than 24 hours Construction Insp. N/C , Emergency Vehicle A� $50 FALSE ALARM PLANS T(� INSPECTION TOTAL� PERMIT TOTAL� TOTAL� GRAND TOTAL � � � � Comments: �� Date: f � �`� � Inspector: ' nm 813-780-0020 City of Zephyrhills Fire Fax-813-780-0021 '`-"—� Permit Application Date Receiv�d ' ' � Phone Contact for Pertnit 800 9 868 m 9151 r- - � _.._, �._......_._..._.�_ ....� �,..._...,,��_,�.v., --- .._.�. Owner's Name Wal-Mart#706 owner s Phone Number 813 782 1957 OwnersAddress 7631 Gall Blvd,Zephyrhills,FL 33541 Fee Simple TiUeholder Name TiUeholder Phone Number � � � Fee Simple Titleholder Address :=.____..� � __ --_-- - ._"-- - � �d� Job Address 7631��Gall BIVd� Lot# � u Sub Division Parcel# ��4 - -- __.� - - �.w_.___m_.,._� - — - - —� a--��--�-, � Bio-Hazard Waste Storage-ANNUAL � Hazardous Material(Tier II or RQ Facility)ANNUAL � Eomm Exhaust Kitchen Hood/Duet � Hood Installation � Controlled Bum � LP/Natural Gas-Installation � Emergency Generator<30 kw � LPlNatural Gas-ANNUAL Sale � Emergency 6enerator>30 kw � Places of Assembly-ANNUAL � Fire Protection Maintenance-ANNUAL � Recreational Bum � emi �n er Sprinkler � ❑ ❑ ❑ X❑ Sparklers Inside Retail Sales of State Appraved Sparklers Fire Alarm � ❑ ❑ ❑ � � Sprinkler System Installations Hood Cleaning � ❑ ❑ ❑ � � Standpipes(Sprinkler Sys) Hood Suppression � ❑ ❑ ❑ � � Torch Roofing/Tar Kettle � Fire Alarm Installation � Waste Tire Storage ANNUAL � Fire Pumps � Fire Works'SpARKLERS � FlammableApplication-ANNUAL Valuation of Project � Fuel Tanks � Other. r..w_._.��.�.,.________�..,�._ -_-��..�__,,.___...��__e.: ---m-.-��.___R_ ._._.�.�...�_._._._�,._. _��-_---� -^-��.�--�;r� Contractor Company Signature Registered Y/N Fee Current Y/N Address ticense# ELECTRICIAN Company Signature Registered Y/N Fee Current Y/N Address ticense# PLUMBER Company Signature Registered Y/N Fee Current Y/N Address ticense# MECHANICAL Company Signature Registered Y/N Fee Current Y/N Address License# Vendor Company TNT Fireworics Signature Registered Y/N Fee Current Y/N Address 6255 SE 78th Street,Ocala, FL 34474 �icense# �.....M" .�.c_ _ _ '-_...__,� ._...._..___....a�....+__. — ,..�.,._,a.�.d._��.�....e.ao�.._-.�-..�' rv.,:.�_. .`............�.._�..«_... .._..�..._......_._.r�...�.��...._..��.. ^v:.:e.,n'�-„'i"._"M..h Directions: Fill out application completely. Owner&Contractor sign back of application,notarized(Or,copy of signed contract with owner) ff 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 Pire Marshals office -State Sparkler Licence attached -Product List attached