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Home My WebLink About19-22132 CITY OF ZEPHYRHILLS 5335-8TH STREET (813)780-0020 22132 FIRE SPARKLERS PERMIT PERMIT INFORMATION LOCATION INFORMATION Permit Number: 22132 Address: 7422 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: 35-25-21-0010-07200-0011 Improv. Cost: OWNER INFORMATION Date Issued: 12/05/2019 Name: PROVEST TOWNVIEW LLC & MISSION H Total Fees: 100.00 Address: P.O. BOX 515 Amount Paid: 100.00 HUDSON NY 12534-0515 Date Paid: 12/05/2019 Phone: 518-719-0100 Work Desc: FIRE SPARKLER SALE RURAL KING CONTRACTORS APPLICATION FEES TNT FIREWORKS RURAL KINO FIRE PERMIT FEES 100.00 r � FIRE INVENTORY O SITE INSP Ins ections Required 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. etv CON 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 . O '# ly I IOU City of Zephyrhills BUILDING PLAN REVIEW COMMENTS Contractor/Homeowner: r Date Received: Site: .7 11b Permit Type: Approved w/no comments:Q� Approved w/the below comments: ❑ Denied w/the below comments: ❑ This comment sheet shall be kept with the permit and/or plans. Z6�n,—�— — -I - 9 Gene Brown—Fire Safety Officer Date Contractor and/or Homeowner (Required when comments are present) 813-780-0020 City of Zephyrhills Fire Fax-813-780-0021 Permit Application Date Received Phone Contact for Permit F 877 740 _ 6180 Owners Name Rural King#0101 Owner's Phone Number 813 779 0200 Owners Address 7422 Gall Blvd,Zephyrhills, Florida 33541 Fee Simple Titleholder Name Titleholder Phone Number Fee Simple Titleholder Address Job Address _ 7422 Gall Blvd Lot# Sub Division Parcel# Bio-Hazard Waste Storage-ANNUAL Hazardous Material(Tier II or RQ Facility)ANNUAL F7Comm 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 IB try emi ® ter Sprinkler ❑ ❑ ❑ EX" Sparklers Inside Retail Sales of State Approved S ar lers Fire Alarm ❑ ❑ ❑ Sprinkler System Installations Hood Cleaning ❑ ❑ ❑ Standpipes(Sprinkler Sys) '!J 2j Hood Suppression ❑ ❑ ❑ Torch Roofing/Tar Kettle Fire Alarm Installation Waste Tire Storage ANNUAL Fire Pumps ® Fire Works-SPARKLERS Flammable Application-ANNUAL Valuation of Project Fuel Tanks 0 Other: Contractor Company Signature Registered Y/N Fee Current Y/N Address License# ELECTRICIAN Company Signature Registered Y/N Fee Current 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# OTHER Company TNT Fireworks Signature Registered Y/N Fee Current Y/N Address 6255 SE 78th Street,Ocala,FL 34474 License# 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 <02800806> 02800806 - REPRINT - TNT FIREWORKS PACK LIST - REPRINT - 21362 Order #: 2800806-S3-00002 Chain Store Sales-FL Chains Order Date: 11/1/19 Terms : Net 30 Days CUST PO: 1828468101 SCAC: PRO ##: SLSMN: Chain Stores - East SHIPMENT NBR: 519472 Sold To: 2711092 Ship To: 2718761 - RK 0101 MID STATES DISTRIBUTION-2 RURAL KING #101 1370 MENDOTA HEIGHTS RD. 7422 GALL BLVD. MENDOTA HEIGHTS, MN 55120 ZEPHYRHILLS, FL 33541 SFM #: Desc/Case Packing Item Quantity Selling Suggested CP # Ordered Units Sell Price -------------------------------------------------------------------------------- *************************** Novelties *********************** 2 PAK SNAP 160 DLG FDP J12 320638 1 CS 160 EA 1 . 0000 160/2/50 27736022922 ********* ***************** Sparklers ***** ************* ** FDP #8 SPARKLER ASST (90) J19 380325 2 CS 180 EA 2 . 0000 90/6/5 27736040285 ******* ******************* Counter Cases *********************** FDP YLW (CANNONPPBLETCEBRT) Xl 673891 1 CS 1 EA 225 . 0000 1/1 Containing: PARTY POPPIN' PS BAG X08 101810A 21 EA 21 EA 5 . 00 48/1 27736021864 LET' S CELEBRATE BAG 102468 10 EA 10 EA 5 . 00 36/1 27736036639 2PK CONFETTI CANNON28X18 P 320651 14 EA 14 EA 5 . 00 3/6/2 27736039937 Case Totals : 4 CS REVIE`N DATE /J -9'' /9 l'y oI0 U onrcil'EXAMIN ALL WORK SHALL'COMPLY 1NITH NFFA CODES AND STANDARDS Page No 1 <53-2800806> 53-2800806 TNT Fireworks Bill of Lading - REPRINT SCAC: PRO #: Shipment #: 519472 Shipper: Sales Assoc : Chain Stores East TNT WAREHOUSE - OCALA, FL Cust PO #: 1828468101 6255 SE 78TH STREET Order #: 2800806 OCALA, FL 34472 RBU: 21362 WLSL Lic #: Transfer: Sold To: Ship To: 2718761 RURAL KING RURAL KING #101 4216 DEWITT AVE 7422 GALL BLVD. MATTOON, IL ZEPHYRHILLS, FL 33541 SFM #: DELIVER DATE: 12/2/19 Emergency Response Nbr: (800) 255-3924 Payment Terms : Collect Contract Number: MIS0006877 HM Description of Articles Weight Shipping # of Cases Class Pieces NOVELTIES - NMFC 56290-4 92 LBS 175 4 [X] Totals : 92 LBS 4 Net Explosive Mass : 0 LBS Checked By: Received By: Received Date: Delivered By: Placards Tendered By: Delivery Instructions Order: Ship To: Sold To: Page No 1-