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Home My WebLink About17-18570 CITY OF ZEPHYRHILLS - 5335-8TH STREET ` � �sis��so-oozo 18570 FIRE SPARKLERS PERMIT PERMIT INFORMATION LOCATION INFORMATION Permit Number: 18570 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: 6/1�/2017 Name: SUPER WAL-MART Total Fees: 130.00 Address: 7631 GALL BLVD Amount Paid: 130.00 ZEPHYRHILLS, FL. 33542 Date Paid: 6/15/2017 Phone: (479)204-1063 Work Desc: TEMPORARY SALE SPARKLERS WALMART CONTRACTOR S APPLICATION FEES TNT FIREWORKS WALMA T FIRE PERMIT FEES 100.00 CONTRA TOR CERTIFICATE 30.00 , �� Q � �-- ( � � Ins ections e uired FIRE INVENTORY ONSITE NSP 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 pertormed 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 � CI - s CONT CTOR SIGNATURE � PERMIT OFFI E PERMIT EXPIRES IN 30 DAYS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED ZEPHYRHILLS FIRE RESCUE - 813-780-0041 ; 813=780-0020 City of Zephyrhills Fire Fax-813-780-0021 ` Permit Application Date Received Phone Contact for Permit 800 868 9151 ��...._._'��,"'•`..' --�----•--�------_....._..._....�..s...._,....,_�.,-�—..::.-._.........�,__...�.. _._.._..a..._.�.._._.._._._.,�..._.___._, Owners Name Wal-Mart#706 Owners Phone Number 813 p 782 1957 OwnersAddress 7631 Gall Blvd,Zephyrhills, FL 33541 Fee Simple Titleholder Name Titleholder Phone Number � � � Fee Simple Titleholder Address t- ---�----•_..,�.-„—,- _..;T Job Address 7631 G811 BIVd T�^�-��_��Y Lot# � Sub Division Parcel# (--•--.-.........-...,.-.�,----._--,.�-.,-.,-..-,.._.�,�.,..,,.,.,.......__.-�`--.-..._..._.r.�„,--,_.�.....,,,_.. ,-...�........--.�-.-,.—,.—•____..�....R.-'---,-._..._.�._._...,._..�..� _____„._,_...._.._.�..�..� . . . . . . . ..... ._ ..__..... ,,,� . . .... _ • ..aa.,.i.. „s__...4...�:._._..........__...�� .. � . .. . ...._._.� ..... __, . . � 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 ofAssembly-ANNUAL � Fire Protection Maintenance-ANNUAL � Recreational Burn r y emi � er Sprinkler � ❑ ❑ ❑ � Sparklers Inside Retail Sales of State Approved 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 XX Fire Works-SPARKLERS � Flammable Application-ANNUAL Valuation of Project � Fuel Tanks Q other: r__ •.--�--._..�..�...�_ _--____...._.a._.. -� ,�..___. ..�.-�v..__.�...�..,.� �.�.�......�.._�_,.,._..,,.._�_,_4._._..�_...,�._._.d..�._._.�.�.-._..._..-�:.��.�:. _.�,. .� 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 Address 6255 SE 78th Street, Ocala, FL 34474 �icense# �� ..�.��.� ,�..�:.:...".�.�.,�._�__w...�,._...._._._.,.,�a_�. ...�.._._.- _. _.w..��..�...w..�. ..--� - , ,. 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$5000) � Supply two(2)sets of drawings with applicable documentation Allow 10-14 days for review after submittal date. Parcel#-obtained from PropeRy Tax Notice(http://appraiser.pascogov.com) , -Site plan at store-placement dictated by Fire Marshals office -State Sparkler Licence attached -Product List attached � �53-02311115> S3-02311115 - REPRINT - TNT FIREWORKS PACK LIST - REPRINT - 21362 Order #: 2311115-53-00002 Chain Store Sales-FL Chains Order Date: 3/s51�� Terms: Ne� 60 Days CUST PO: 4105991815 SCAC: AVRT PR� #: 0699164408 SZSMN: Chai� Stares - East SHIPMENT NBR: 220126 Sold To: 1410002 Ship To: 105609� - WAL0706 WALMART - CORPORATE OQQQI WALMART 0706 702 SW 8TH STREET 7631 GALL BLVD BENTONVILLE, AR 72716 ZEPHYRHILLS, FL 33541 Desc/Gase Packing Item Quantity Selling Sugges�ed CP # Oxdered Units Se�l Pxice -------------------------------------------------------------------------------- ********��***************** Assortments *********************** BACKYAR.D SHOW WOPDQ U5A SS Jl 102015A 4 CS 40 EA 19. 9700 10/1 70055727 BLAST ZONE USA SS J10 102018 5 CS 50 EA 29 . 9700 lOj1 70046873 FUN BLAST SS COM W/PDQ J12 102205 5 CS 120 EA 9. 9700 24f1 550437037 *************************** Base Foun�ains *��*��**��****�� JUMBO 20 RKT FTN PDQ J09 200815 2 CS 96 EA 5. 0000 4$/3 550503486 CAROUSEL J11 200$63 3 CS 108 EA 1. 4Q00 36/1 550437044 SHORT STACK 200924F 2 CS 224 EA 1. Q040 4/28 554010832 JALAPENO POPPER 201183 2 CS 96 EA 2 . OQQ0 3/16 5553I6297 *************************** Graund Spinners *********************** GROUND BLOOM FLOWER 20 CT BOX 29p157A 2 CS 80 EA 5 . 0000 aJaal2a 551358833 *************************** Smoke *********************** SMOKE BALLS BOX OF 8 J12 351052 3 CS 288 EA 2 . 0000 4j24f8 550437025 �*�***��*****�*��*��*�� Sparklers ��**��*��**�� 14 IN SUPER FAK MG J12 380265 4 CS 432 EA 2. 0000 2/54/20 70077744 #20 NEON SPAR.KLERS J11 380266 3 CS 144 EA 5 . QQQ0 48/7 70077709 ��*��*****��****�********* Coun�er Cases ******************�**** COUNTER CS WM(CFFGB) 2 PDQ J1 673443 1 CS 1 EA 254 . 0000 1/1 Containing: Page Na 1 ' J - REPRINT - TNT FIREWORKS PACK LIST - REPRINT - Order #: 23�1115-53-00002 Desc/Gase Packing Item Quantity Selling Suggested CP # ozdered Units Sell Price -------------------------------------------------------------------------------- CAR.OUSEL J12 200863A 64 EA 64 EA 1 . 00 32j1 550437044 FLASHING FTN 8PK J12 200$14A 70 EA 70 EA 1. 00 35 f l 550437036 GROZ7ND BLOOM FLOWER TNT PK 29Q162 120 EA 120 EA 1. 00 24j�2j5 27736034727 *************************** Promational �upplies *********************** SIGN SPARKLERS NO SMOKING 730643E 2 CS 2 EA O . OQ00 lj1 Case To�als: 36 CS Tatal Pallets: PL To�al Repack Cases: CS DECLARATION OF COMPLIANCE American Promotional Even�s, Tnc. , dba TNT Firewarks, certifies �hat all consumer firewarks identified on �his invoice have been tested by the American Fireworks Standards Laboratory and found to con�orm with all applicable regulations, s�andards and bans enforced by the U.S . Consumer Produc� Safety Commission. Testing and certification for the�e i�ems complies with rules, standards and bans applicable ta consumer fireworks: Perfarmance Standards �6 CFR 150Q .17 {a� (9) 16 CFR 1500 .17 (a) (11) 16 CFR 1500 . 17 (a) (12) 16 CFR 1507 Powder Content Ban� 16 CFR 1500 . 17 (a) (3} 16 CFR 1500 . 17 (a) (8) 16 CFR 1500 . 85 {a} (2) Cautianary Labeling 16 CFR 1500 . 14 (b) (7) 16 CFR 1500 . 83 (a) (27) Contact in�ormation for laboratory that perfarmed conformity testing. American Fireworks Standards Laboratory {AFSL) 7316 Wisconsin Avenue, Suite 214 Bethesda, MD 20814 301-907-9115 af s1hqC af s1..org CONTACT INFORMATION FOR INDIVTDUAL MA.INTAINING RECORDS ON WHICH I}ECI,AR��.TION IS BASEI}: NAME: Kathie Fendergrass ADDRES�: 4511 Helton Drive Florertce, Ala.bama 35630 TELEPHONE: 256-764-6131 FAX: 256-767-7200 E-MAIL: pendergrassk@�ntfireworks. com. www.tn�.fireworks .com Page No 2 — � 0 1S�'"fl1nn._ . . � �'V .�� -�r. - �� -� - �„s�•�� - - ,1 I, ;:;� �' City of Zephyrhills BUILDING PLAN REVIEW CONIMENTS ' Contractor/Homeowner: ^� /`�/ �/�Gt��' Date Received: _ �j ��`� site: �7 (�-� / �1� s�ll/� Permit Type: �G�"��-f' �/�-�jy'1G`� Approved w/no comments:l�3 Approved w/the below comments: ❑ Denied w/the below comments: ❑ REVI �TYO1= G •�3• , � i �u�v z�PHY�r�� This comment sheet shall be kept with the permit andlor plans. � '/3• �`� Gene Brown-Fire Safety Officer Date Contractor and/or Homeowner (Required when comments are present) ; ' . � ' 3 n j � r�r� ��c��cs S�te Plan Worksheet 5'�0�i�At��!LOC�TICb�1#L.�4YC}l1T OF 1�fAL�R'f I,OC�i71C��9'S 7YP1�OF'�11ENT: In•�tare s�l��a�'Con�umer�6r�worfc��I1a6m�rt 706�ep��r�ili�.FI� EA�0!=8U1l.�lNC C::�.:� =��-;��w"'�� -�'� C� ��-W� _ .�r.-�_";,�,.,,:� _r:;:t-..:,,;µ,_,..,,.;;s,,. � .:,,:.;...,,._�.,�-:�r�:, �.r"e'..:";'` ir...�� ( �� t'�..<.:u..a.�.:i.e_'.. �,:.y�V.�.�.�:...ww;,;z...-A !.' -+.�r:'.r:"r..�::ii� �'"`�--='� i.�_ya;•�j�...nf�'�.,:.' (�'�'� t:1':E�, .4.�: Yn.'_'�..�w.e..�r....,q - :..,�+-.-�;°�.�.. �, L:'::r.�.�i..� g_ _ "# i��..��.. ..y..� I AstAaA�y{SamtattAMle) �' �` ='�' - :N^ �r�?r'" iR�eworla .� _[ _ �C�{BfCY'9 ��', � ,. ,a; � � � � � � � � � � � � (�i �`{ �':S ra�.vaaa '�� t.�. �� 1�lSTURCFI�NS:W�1•Mart aen�rallv plac$s ft�e�ales dtsolays af consumar tltewcrks�rodut�Ita the fron#of the stares on the froM side alsles(Ac�ton Allev�,n�ar the entrancelexit vdhlch ia known a�th�s�asonal aiale.Thls is�general averview af a tv�ical Wa!-�9ae�Su�er Cantsr and oroduct nlacernent enavlshoulal be dictated bv in�truction M the insnecfor deaendin��n#he indivEdual tocaEior�needs and or s�ore set�,�.