The URL can be used to link to this page

Home My WebLink About16-17983 CITY OF ZEPHYRHILLS -' ' " 5335-8TH STREET / (sis)�so-oo20 17 $3 FIRE SPARKLERS PERMIT � PERMIT INFORMATION LOCATION INFORMATION � Permit umber: 17983 Address: 7631 GALL BLVD Perr�it Type: FIRE SPARKLERS ZEPHYRHILLS, FL. Class �'� f Work: FIRE-SPARKLERS Township: Range: Book: Propo �ed Use: COMMERCIAL Lot(s): Block: Section: Squ re Feet: Subdivision: CITY OF ZEPHYRHILLS E �t. Value: Parcel Number: 34-25-21-0110-00000-0010 Impr�v. Cost: OWNER INFORMATION Dat ' Issued: 12/02/2016 Name: SUPER WAL-MART To�al Fees: 130.00 Address: 7631 GALL BLVD Amo' nt Paid: 130.00 ZEPHYRHILLS, FL. 33542 D te Paid: 12/02/2016 Phone: (479)204-1063 Work Desc: TEMPORARY SPARKLER SALE -WALMART C �� NTRACTOR S APPLICATION FEES TNT RE ORKS ALMA T FIRE P RMIT FEES 100.00 ONTRACT R CERT FICATE 30.00 ( I ,,,n �j /� ` �. __�� i1 V� "1,<</l tY'� f/'��-1 � � _ � -�'�.�e� � S` � � �,�_�� .. I ^ �� I ° (� � � �� " � Ins ectio I�e uired � FIRE INVENTOR NSITE INSP I Chap�er 633, Florida Statutes,authorizes the City to charge and collect user fees to pay for the costs of fire preve tion and protection related activities such as inspections, plan review,administrative fees,and other i costs related to the aforementioned. Compl'te Plans, Specifications and Fee Must Accompany Application. Commencement of work without written approval of the F�re Department's Fire Marshal or required permits or opening up for commercial activity without an approved final insp ction 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. "SP RKLERS" per Section 791.01, Florida Statutes, means a device which emits showers or sparks upon burn ng,does not contain any explosive compounds,does not detonate or explode, is handheld or ground basel ,can not propel itself through the air,and contains not more than 100 grams of chemical compound which produces sparks upon burning. � ' I L �� NT CTOR SIGNATURE PERMIT OFFIC PERMIT EXPIRES IN 30 DAYS WITHOUT APPROVED INSPECTION CALL FOR INSPECTlON - 8 HOUR NOTICE REQUIRED ZEPHYRHILLS FIRE RESCUE- 813-780-0041 � � , e s=7ap-oozo City of Zephyrhills Fire Fax-813-780-0021 Permit Application Date Received �—`� Phone Contact for Perrnit 8�10 868 � 9151 c�.----- -x- .�.._.L.,_.,.�'�.�.-'--- ...w..� �..�.:�-�'---.._._.._,�...��_.,.�.,..,.:.;_:� ......o.�:.., Owner's Name � Wal-Mart#706 Owner's Phone Number 813 7$2 1957 Owners Address 7631 Gall Blvd,Zephyrhills, FL 33541 Fee Simple Tittehol tder Name Titleholder Phone Number �..� [� �� Fee Simpte Titleh tder Address _ .-,., .,----.�."'""-_� _ , � 7631 GaA Blvd �� Ja6 Address Lat# Sub Division I Parcel# r.�,...._... - - - --�-�- . '�"-.�--'----•�~�-•-�-�--w--- _,,�,�--�-;-��---•-------,�.; _._.a -,�...d...-'�'<-, ��BiaHazard Waste Storage-ANNUAL � Hazardous Materiat(Tier II or RQ Facility)ANNUAL i� Comm Exhaust Kitchen Hood/Duct � Hood Instatlation � Gontrotled Bum � LP/Natural Gas-tnstallation �� Emergency Generator<30 kw � LP/Naturat Gas-ANNUAL Sale �� y� S' � Emergency Generator>30 kw Q Piaces of Assembly-ANNUAL 1�}�� Fire Protection Maintenance-ANNUAL � Recreafionat Burn ��A�� fr y emi � er /�� 'f 4 Sprinkler � ❑ ❑ 0 8 X� Sparklers lnside Retail Sales of a�Q��Sparklers i �D �, Fire Alarm � ❑ C7 ❑ � � Sprinkler System InstaAations ��` Nood Gieaning � ❑ ❑ ❑ � � Standp'spes{Sprinkler Sys} Gy^"�'� ( Hood Suppcession � ❑ ❑ ❑ � � Torch RaofinglTar Kett2e �,. �� ,{ Fire Alarm instaitation � Wasfe Tire Storage ANNUAL �� Fire Pumps � � Fire Works-SpARKLERS � Flammable Application-AMNUAL �~� Valuation af Project � Fue!Tanks ,I Other: �.�...-_.M, .,�..�,.�-.,.,,�. �-.,...---_- ..�..._...�...-�,,,�.. ,...�.,._A-�.;:-----..---9, - - � :ontractor I Company iignature l) Registered Y/N Fee Current Y/N Address � License# :LECTRICIAN � Cpmpany cignature � Registered Y/N Fee Current Y/N Address i License# �LUMBER � Company �ignature i Registered Y/N Fee Current Y/N Address License# IECHANICAL � Company ignature ( Registered Y/N Fee Current Y/N Address �� License# � endor �) company TNT Firewarks i ignature Registered Y/.N Fee Curzent Y/N Address 62'55 SE 7$th Street, Ocala, FL 34474 �icense# ,�-_�r , .. . . . _ .. . ., . ._ ..-..�-r„-�-. �, irections: ,� Fill�� ut application completely. Owt�er&Contractor sign back of appiication,nofarized(dr,copy of signed contract with owner) If oyer$250Q,a Notice of Commencement is required{Mechanicai work ovet$5000} Supply two(2)sets of drawings with applicable documentation Atlo�✓10-14 days ior review after submitta(date. Parcet#-obtained from Property Tax Notice(http:/lappraiser.pascogov.com) -Site !an at store-placement dictated by Fire Marshals office -State Sparkler Licence attached -Prod ct List attached � • ' i 1 � � t T(V7'O �=1�L�I�R�CS Site Plan Worksheet 5TOFlE NAM�1 l�OC1�TIOi��LAYOUT OF Y�AL-,�,C�T LOCr�Ti��V'� YYP�OF�VEP1T: 4n�stare sale�o�Consum�r Fire+uor�c�VValr!;Ar�la6��phprhill�. F!� REAR OF BUILDING i � � ��Y� �� f"_'^°"_""•�"1 �--�---'�"� �� l � • � �. . ..� _ �."� ::- C..,"�_`�'� � �""�i t"_,'�..'� . �.�� . .. _ , AdbnAYry(9eatonclALle) y/ _' � - Fkmorfu �+ � � :. I ',i Regiaters :'� , � , , , ' , , � , , � i . ; 1 a+rn+�aa f ., �I FRONT I IPlSTURCTIONS:Wal-�iart aenerallv alaces the sales disalavs of consumer fireworks aroducts in the front of the stores an the front sfde aisies(Action Altevl near the entrancelexrt whlch is known as the seasonal aisle.This is a aeneral overview of a tvuical Wal•MarE Super Center and aroduct placement mavlshouid be dictated by instruction of the Inspector deoendina on the indivldua!iocations n¢eds and or store setua. ( i� <53-02256640> 53-02256640 - REPRINT - TNT FIREWORKS PACK LIST - REPRINT - 21362 Order #: 2256640-53-00002 Chain tore Sales-FL Chains Order Date: 10/20/16 Terms : Net 60 Days CUST PO: 4105991271 SCAC: XLA PRO #: 0469152368 SLSNiN: Chain Stores - East SHIPME �T NBR: 189491 Sold T � : 1410002 Ship To: 1056090 - WAL0706 � WALMART - CORPORATE 00001 WALMART 0706 702 SW 8TH STREET 7631 GALL BLVD ' BENTONVILLE, AR 72716 ZEPHYRHILLS, FL 33540 Desc/Case Packing Item Quantity Selling Suggested CP # Ordered Units Sell Price -------------------------------------------------------------------------------- ****** �******************** Assortments ****************�****** I BLAST ZONE USA SS J10 102018 3 CS 30 EA 29 . 9700 10/1 70046873 CELEB MI GENTE NY12 102242 1 CS 20 EA 19 . 9700 20/1 � 551358835 FUN BL ST SS COM W/PDQ J12 102205 2 CS 48 EA 9 . 9700 24/1 I� 550437037 � RED WHITE BOOM BOX SS 102380 2 CS 12 EA 49 . 9700 ' 6/1 II 550503498 TNT FLTiV PAK SS SPIN, SMK J11 102144 1 CS 10 EA 19 . 9700 10/1 27736027781 ****** ******************** Base Fountains *********************** COUNT IDOWN SS W/YP NY10 200784A 1 CS 24 EA 6 . 0000 24/1 � 70017565 ****** ******************** California Candles *********************** JUMBO CALIF CANDLES 3PK SS J1 230019A 1 CS 48 EA 5 . 0000 48/3 � 550437032 I ****** ******************** Sparklers *********************** � ##20 NEON SPARKLERS J11 380266 2 CS 96 EA 5 . 0000 48/7 � 70077709 #8 SP KLERS ASST 2 PDQS J14 380247A 1 CS 84 EA 2 . 0000 2/42/6/5 550503481 ****** ******************** Counter Cases *********************** ' DSP WM SS TR NY14 672674 1 CS 1 EA 2018 . 0800 1/1 Con� aining: #8 �P�KLERS ASST 2 PDQS J 380247A 84 EA 84 EA 2 . 00 2/42/6/5 550503481 4 PAK SNAP 4 PDQS J14 320532J 160 EA 160 EA 2 . 00 ' , 4/4p/4/50 553890784 FUN'IBLAST SS COM W/PDQ Jl 102205 24 EA 24 EA 9 . 97 24/1 550437037 i I Page No 1 - REPRINT - TNT FIREWORKS PACK LIST - REPRINT - _ ' . Order #: 2256640-53-00002 Desc/Case Packing Item Quantity Selling Suggested CP # Ordered Units Sell Price ------- ----------------------------------------------------------------------- GROUND BLOOM FLOWER 20 CT 290157A 20 EA 20 EA 5 . 00 2/20/20 551358833 BLA T ZONE USA SS J10 102018 20 EA 20 EA 29 . 97 10/� 70046873 BAC�YARD SHOW WOPDQ USA SS 102015A 20 EA 20 EA 19 . 97 10/1 70055727 SMOKE BALLS BOX OF 8 J12 351052 96 EA 96 EA 2 . 00 ' 4/2�/8 550437025 ' SIGN NFPA SM FRWKS NO SMOK 730644E 2 EA 2 EA 0 . 00 I 1/1 '� Case Totals : 15 CS Total Pallets : PL Total Repack Cases : CS DECLARATION OF COMPLIANCE America� Promotional Events, Inc . , dba TNT Fireworks, certifies that all consumer fireworks identified on this invoice have been tested by the Americari 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 : Perform� nce Standards 16 CFR 1500 . 17 (a) (9) 16 CFR 1500 . 17 (a) (11) 16 CFR �500 . 17 (a) (12) 16 CFR 1507 Powder Content Bans 16 CFR 1500 . 17 (a) (3) 16 CFR 1500 . 17 (a) (8) 16 CFR �500 . 85 (a) (2) Caution�ary Labeling 16 CFR 1500 . 14 (b) (7) 16 CFR 1500 . 83 (a) (27) Contact information for laboratory that performed conformity testing. America� Fireworks Standards Laboratory (AFSL) 7316 Wi�consin Avenue, Suite 214 Bethesda, MD 20814 301-907�9115 afslhq@afsl.org CONTACTIINFORMATION FOR INDIVIDUAL MAINTAINING RECORDS ON WHICH DECLARATION IS BASED: NAME: K�thie Pendergrass ADDRESSr 4511 Helton Drive Florence, Alabama 35630 TELEPHO�TE: 256-764-6131 FAX: 256-767-7200 E-MAIL: pendergrassk@tntfireworks . com. www. tntfireworks . com � � Page No 2 _ � ` �o,,.. ;�i�. � �ti��`' �,,t�� :tt'. � � ,r"1,_ :,r I �� i y - i City of Zephyrhills BUILDING PL�,N REVIEW COMMENTS '� Contrac or/Homeowner: �_��.L°��,��wf�s � Date R � eived: f j�—'�� 3/ 6`�f� Site: ' Pernut �ype: ��''�/�-�"�'�'"�`�� Apprav I'd w/no camments:l� Approved wlthe belaw comanents: ❑ Denied w/the below comments: ❑ � _ II � �� ,� This comment sheet shall be kept with the permit andlar plans. � �/C��-- 7�—�•!c. � Gene Brown—Fire Safety Officer Date Contractor andJor Homeowner {Required when comments are present) i; ` y �EI�I�I�R��.�5 �IRE �EP,�R�'I�E�T �I 38410 6th Ave Zephyrhills, FL 33542 � FIl�E SERVlCE USER FEES Occ ,pancy No.: Plan�fo.: Cantractor: Busin�ess Name: �+�� - ,rc�--�,ac-��..s Billing Address: Business Address: `7 C,n 3 � C�� 3�� Business Phone Na.: Billing Phane Na.: Busiri ss Fax No.: Bi!ling F�No.. Con �cf: Contact: � I P i REVIEW FEES INSPECTION PEES PEftM1T FEE FALSE ALARM FEE � Site�,Plan N/C Mnual N/C Sprinkler $50 1st Alari» N/C �Multi�amitytCommerc3ai .46 sf 1st f2e-inspeatian N1C Standpipes $50 2nd Alarm h1tC (Min�mum Charge$25.00 2nd Re-inspection $100 Flre Pump $50 3rd Alarm N/C �PIa� Revisions DSL 3rd Re-inspeation $250 Hoods $50 4th Alatm $4QQ 4th Re-Inspection $500 Fire Alarm $50 5th Alarm $150 S i RINKLER SYSTEMS (Business closed until LP Gas $50 6th Alarrn $20Q a0-25 Heads $50 viola6ons corrected} .. Natural Gas $50 NON COMPLIANCE $150 26 p us Heads $100 SPRINKLER SYSTEMS �At+IDPIPE SYS'fEM Nydro Undergrounds $45 artcl $100 � Per Riser $50 Hydrostatic Test $65 per system Fire Works $5p0 �FIRE PUMF Acceptanc�Test $45 persystem Camp Fire $2v � � PerII ump $100 Hydrant Flow $75 Cantrolled Bum $100 FIR�AlARN!SYSTEM HaadlQuct $50 • 0-2 Devices $50 FIRE ALARM SYS7EM Plece of Assembly $5d annuai 26 pl�us Devices $100 System Acceptance $50 Fire Frofection $25 SUPP ESSION SYSTEMS 8 Repll Acceptance $50 Flammable Application $50 annua� , Wet I $50 QTHER Waste Tire Storage $50 Mnual . ' Dry � $50 Fre WatUSmoke Watl $15 per waN Generafor{KW $100 CO2I $50 LP Gas $25 pertenk Generator>30 KW 150 ' Othe $50 fi!$#urat Gas $25 persystem BiaFlazard Waste $100 Annuai KITi HEN EXHAUST Fumigation Tenting $50 I� Q Hoo IlQucts $50 Tent 14x10'or greater $15 Pertent Tarch PattApptied $50 OTHER Fire Pump $45 Haz.Materials $100 Annual • 8!P!ns~#laallauon per tank $5Q Fire SuppressJors $34 Fuet Tank Installation $50 Systern Acceptance , �(Per Tank) $50 Exhausi Hood/Duct $30 , �Natu 'i t Gas instai�at+on $50 Re-inspection DBL ( er System) (other than annual) li �Spra� 8aofh $50 �Inspection scheduled DBL , ! and cancelled less than e ` ', 24 hours ' "' Construction Insp. N/C � � 8 Emergeney Vehicle A� $54 FALSE A�.Aittdl , �� PLANS TOTAL� INSPEGTION T4TAL �5 PERMI7 TOTAL Uv 70TA4� ! �; GRAND 70TAL � ��tl �� Comme,ts: i� � - Date: '� /� �/ • /Cv tnspec ar: �,._. mn � I � � • _.� i � � No 'ember 21, 2016 Jac I ie Boges Building Dept 533,�5 8th Street , Zepihyrhills, FL 33542 De r Jackie, Enc osed please find all permitting information for the Wal-Mart location that we will be fur � ishing with state approved sparklers this New Year's season. If there is any additional inf�rmation you need please contact me at 1-800-243-1189. You may also contact Kelly All iy in our Ocala office at 1-800-868-9151. Thanks again for all of your help. Sin �erely, Cha�rles Walker TNTO Fireworks Dir' ctor of Compliance wal' erc@tntfireworks.com � AMERICAN PROMOTIONAL EVENTS, INC. I P.O.BOX 1318•4511 HELTON DRIVE•FLORENCE,AL 35630 � PHONE(256)764-6131 •FAX(256)760-0154 www.tntfi rewo rks.co m