HomeMy WebLinkAbout19-22133 CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 22133
FIRE SPARKLERS PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 22133 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: 12/05/2019 Name: SUPER WAL-MART
Total Fees: 100.00 Address: 7631 GALL BLVD
Amount Paid: 100.00 ZEPHYRHILLS, FL. 33542
Date Paid: 12/05/2019 Phone: (479)204-1063
Work Desc: FIRE SPARKLER SALE WALMART
CONTRACTORS APPLICATION FEES
TNT FIREWORKS WALMA T FIRE PERMIT FEES 100.00
FIRE INVENTORY ONSITE 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.
CONT ACTOR SIGNATURE PERMIT OFFIC
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 877 740 — 6180
Owners Name Wal-Mart#706 Owner's Phone Number 813 782 1957
Owners Address 7631 Gall Blvd, Zephyrhills, FL 33541
Fee Simple Titleholder Name Titleholder Phone Number
Fee Simple Titleholder Address
Job Address 7631 Gall Blvd Lot#
Sub Division Parcel#
Bio-Hazard Waste Storage-ANNUAL a 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 e_m ®Fff9
Sprinkler ❑ ❑ ❑ —1 Sparklers Inside Retail Sales of State Approved Sparklers
Fire Alarm ❑ ❑ ❑ Sprinkler System Installations
Hood Cleaning ❑ ❑ ❑ Standpipes(Sprinkler Sys)
Hood Suppression El ❑ ❑ ❑ Torch Roofing/Tar Kettle V
Fire Alarm Installation Waste Tire Storage ANNUAL
F1Fire Pumps
XX Fire Works-SPARKLERS
Flammable Application-ANNUAL Valuation of Project
Fuel Tanks
Q Other:
Contractor Company
Signature Registered Y/N Fee Current Y/N
Address License#
ELECTRICIAN Company
Signature Registered Y/N Fee Current L Y/N
Address License#
PLUMBER Company
Signature Registered Y/N Fee Current Y/N
Address License#
MECHANICAL Company
Signature Registered I Y/N Fee Current Y/N
Address I License#
Vendor Company ITNT Fireworks
Signature Registered I Y/N Fee Current Y/N
Address 6255 SE 78th Street, Ocala, FL 34474 License#
Directions:
Fill out application completely.
Owner i£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
<02196289>
02796289
REPRINT - TNT FIREWORKS PACK LIST - REPRINT -
21362 order #: 2796289-S3-00002
Chain Store Sales-FL Chains Order Date: 10/31/19
Terms: Net 60 Days OUST PO: 4105995440
SCAC: PRO #: SLSMN: Chain Stores - East
SHIPMENT NBR: 515012
Sold To: 1410002 Ship To: lOS6090 - WAL0706
WALMART - CORPORATE 00001 WI�LMART 0706
702 SW 8TH STREET 7631 GALL BLVD
BENTONVILLE, AR 72716 ZEPHYRHILLS, FL 33541
SFM #:
Desc/Case Packing Item Quantity Selling Suggested
CP # ordered Units Sell Price
--------------------------------------------------------------------------------
Assortments
FUN BLAST SS COM W/PDQ J12 102205 3 CS 72 EA 9 . 9700
24/1 550437037
PATRIOT BOOM ALL SS J18 102549 3 CS 24 EA 49 . 9700
8/1 27736037674
BLAST ZONE USA SS J18 102550 4 CS 40 EA 29. 9700
10/1 27736007677
BACKYARD SHOW USA SS J20 102647 1 CS 16 EA 19.9700
1611 27736025565
Base Fountains
JUMBO FINALE 4 PAK 200566 3 CS 15 EA 29 . 9700
5/4 783462
COUNT DOWN SS W/YP NY10 200784A 2 CS 48 EA 6 . 0000
24/1 70017565
JUMBO 20 RKT FTN PDQ J09 200815 1 CS 48 EA 5 . 0000
48/3 550503486
THE 3 EMIGOS 201219 1 CS 24 EA 5 . 0000
24/1 563137906
Ground Spinners
GROUND BLOOM FLOWER 20 CT BOX 290157A 1 CS 40 EA 5 . 0000
2/20/20 551358833
Novelties
2PK CONFETTI CANNON28X18 PAPE 320651 1 CS 18 EA 5 . 0000
3/6/2 27736039937
Sparklers
#8 SPARKLERS ASST 2 PDQS J14 380247A 5 CS 420 EA 2 . 0000
2/42/6/5 550503481
#20 NEON SPARKLERS J19 380321 1 CS 48 EA 5 . 0000
48/5 27736040278
Counter Cases
ALL WORK SHALL COMPLY WITH
REVIEW DATE. NFFA CODES AND-STANDARDS
CITY OF ZEPHYRHILLS
FIRE AND LIFE SAFETY EXAMINW';�d_
Page No 1
REPRINT - TNT FIREWORKS PACK LIST - REPRINT -
Order #: 2796289-S3-00002
Desc/Case Packing Item Quantity Selling Suggested
CP # Ordered Units Sell Price
--------------------------------------------------------------------------------
PPK BCKYRDSHW BLSTZON SS J19F 673636J 1 CS 1 EA 1548 . 0500
1/1
Containing:
BACKYARD SHOW COM SS J18 102555 40 EA 40 EA 19 . 97
16/1 27736025565
BLAST ZONE USA SS J18 102550 25 EA 25 EA 29 . 97
10/1 27736007677
Case Totals : 27 CS
Page No 2
' <S3-2796289> <>
S3-•2796289 TNT Fireworks
Bill of Lading - REPRINT
SCAC: PRO #: Shipment #: 515012
Shipper: Sales Assoc : Chain Stores - East
TNT WAREHOUSE - OCALA, FL Cust PO #: 4105995440
6255 SE 78TH STREET Order #: 2796289
OCALA, FL 34472 RBU: 21362
WLSL Lic #: Transfer:
Sold To: Ship To: 1056090
WALMART - COMPANY 00002 WALMART 0706
702 SW 8TH STREET 7631 GALL BLVD
BENTONVILLE, AR 72716 ZEPHYRHILLS, FL 33541
SFM #:
****** DELIVER DATE: 12/16/19******
********************************************************************************
Emergency Response Nbr: (800) 255-3924 Payment Terms : Collect
Contract Number: MIS0006877
********************************************************************************
HM Description of Articles Weight Shipping # of Cases
Class Pieces
X UN0336, FIREWORKS 1 . 4G 889 LBS 85 20 [X]
NOVELTIES - NMFC 56290-4 122 LBS 175 7 [X]
Totals : 1011 LBS 27
********************************************************************************
Net Explosive Mass : 222 LBS
********************************************************************************
Checked By:
Received By: Received Date:
Delivered By: Placards Tendered By:
Delivery Instructions
Order:
Ship To.
Sold To:
Page No 1-
w
i fLORt
City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
Contractor/Homeowner:
Date Received:
Site: / 6,31
Permit Type:
Approved w/no comments: Approved w/the below comments: ❑ Denied w/the below comments: ❑
This comment sheet shall be kept with the permit and/or plans.
Gene rown—Fire Safety Officer Date Contractor and/or Homeowner
(Required when comments are present)