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Home My WebLink About22-4862; M TR n a ME] M 34 25 21 0110 00000 0010 Name: WALMART #706 Address: 702 Sw 8Th Dept 8916 St BENTONVILLE, AR 72716 Phone: (813) 782-1957 SPARKLER SALE WALMART Sparklers Permit Fee City of Zephyrhills 5335 Eighth Street 7- 7 . . . . . . . . . . . . . . . . . . . a \ Zephyrhills, FL 33542 FIRE-004862-2022 Phone: (813) 780-0020 Fax: (813) 780-0021 Issue Date: Permit Type: Fire Class of Work: Sparklers Building Valuation: $0.00 Electrical Valuation: Mechanical Valuation: Plumbing Valuation: Total Valuation: $0.00 Total Fees: $100.00 Amount Paid: $100.00 Date Paid: 10/5/2022 1:22:58PM 7631 Gall Boulevard Contractor: TNT FIREWORKS WALMAR REINSPECTION FEES: (c) With respect to Reinspection fees will comply with Florida Statute 553.80(2)(c) the local government shall impose a fee of four times the amount of the fee imposed for the initial inspection or first reinspection, whichever is greater, for each subsequent reinspection. Notice: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of this county, and there may be additional permit required from other governmental entities such as water management, state agencies or federal agencies. • J &TU1 1,11104 VI 11174116 1 lti)I It' a 1196T, ITI"IT-TT17-Tt", r-_rj M Complete Plans, Speccations add fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. NO OCCUPANCY BEFORE C.O. NO OCCUPANCY BEFORE C.O. CONTRACTOR SIGNATURE PE IT OFFICER 1 17 L/ '.F-ERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT C1RD FROM WEATHER Job Address 7631 Gall Blvd ' Lot # �_ Sub Division Parcel # Bio-Hazard Waste Storage - ANNUAL Hazardous Material (Tier II or RQ Facility) ANNUAL ElComm Exhaust Kitchen Hood/Duct E] Hood Installation ❑ Controlled Burn E:1 LP/Natural Gas -Installation Emergency Generator < 30 kw EJ LP/Natural Gas -ANNUAL Sale ElEmergency Generator > 30 kw E::] Places of Assembly -ANNUAL Fire Protection Maintenance - ANNUAL = Recreational Burn try MMTF7 Sprinkler El ❑ ❑ ❑ t " 1 Sparklers Inside Retail Sales of State Approved Sparklers Fire Alarm ❑ ❑ ❑ ❑ ❑ Sprinkler System Installations Hood Cleaning ❑ ❑ ❑ ❑ ❑ Standpipes (Sprinkler Sys) t Hood Suppression ❑ ❑ ❑ Torch Roofing/Tar Kettle o j, "' " ❑ Fire Alarm Installation Waste Tire Storage ANNUAL Fire Pumps XX Fire Works -SPARKLERS Flammable Application- ANNUAL Valuation of Project Fuel Tanks Other: 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 Cor pany Signature Registered Y / N Fee Current Y / N Address License # Vendor Company ITNT Fireworks Signature Registered Y ! N Fee Current Y / N Address 16255 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 - State Sparkler Licence attached - Product List attached .Jimmy Patronis John Gatlin CHIEF MANCIAL OFFICER BUREAU CHIEF Julius Batas DIVISION DIRECTOR 48 FLORIDA DEPARTMENT OF FINANCIAL SERVICES DIVISION OF STATE FIRE MARSHAL 200 EAST GAINES STREET - Tallahassee, Florida 12399-0342 TeL 850-413-3644 THIS CERTIFIES THAT: Wal-Mart Stores Inc. 6255 SE 78th Street Ocala FI 34472 Has registered pursuant to the provisions of Florida Statues to engage in the business of selling sparklers at the following fixed place of business: Wal-Mart #706 7631 Gall Blvd Zephyrhills FL 33541 Pasco Issue Date: Type: Class: County: L.icense/Permit # Expiration Date: Chief Financial Officer 02/01/2022 07 66 Marion 565026-0018-2005 01/31/2023 JI—Y patmis CHIEF FINANCIAL OFFICER 3.1i., H.W DIVISION DIRECTOR FLORIDA DEPARTMENT OF FINANCIAL SERVICES DIVISION OF STATE FIRE MARSHAL 200 FAST GAINES STET- T'Mral—m. Florida 32399-0342 T,l. 35�413-36" CERTIFICATE OF REGISTRATION DISTRIBUTOR OF SPARKLERS OFFICIAL COPY THIS CERTIFIES THAT: American Promotional Events dba TNT Fireworks 6255 SE 79th Street Ocala FL 34472 ffi j.h. Ga. ili-'y P.tro.i-,t John G'IEA BUREAU CHIEF CHIEF FINANCIAL OFFICER BUREAU CHIEF Julius H'Il; DIVISION 1ARECTOR FLORIDA DEPARTMENT OF FINANCIAL SERVICES DIVISION OF STATE FIRE MARSHAL 2WEAST GAINES STREEr- Tal!A—, Florid, M99-()142 Tel. 83I)A33.3644 CERTIFICATE OF REGISTRATION WHOLESALER OF SPARKLERS OFFICIAL COPY THIS CERTIFIES THAT: American Promotional Events dba TNT Fireworks 6255 S E 78th St Ocala FL 34472 Has registered pursuant to the provisions of Florida Statues to engage in the business of selling sparklers to a Has registered pursuant to the provisions of Florida Statues to engage in the business of selling sparklers to a wholesaler, retailer. Issue Date: 02/01/2022 Issue Date: 02/01/2022 Type: 07 Type: 07 Class: 61 Class: 62 County: Marion County: Marion License/Permit 565066-0001-2005 License/Permitl: 565065-0001-2005 Expiration Date: 01/31/2023 Expiration Date: 01/31/2023 Chief Financial Officer Chief Financial Officer +8' DATE ACC>RV CERTIFICATE OF LIABILITY INSURANCE � , � ;' ,. � ! � � R • -. ;� f ,. � - , .. a r.;.. a x .*, �. " • '� ' „ h � if • : Il' ;. li ` it y ♦ iOWN � ♦ � s' s z 3 �: ;� s a " ♦ Y ie a - . r - ♦ : r a w. t. V I I PRODUCER Lockton Companies NAME: 3280 Peachtree Road NE, Suite #250PHONE FAX Atlanta GA 30305 (404) 460-3604 INSURERS -AFFORDING COVERAGE � . NAIL # INSURER A: Everest Indemnity Insurance CoTpRn I0$51 INSURED American Promotional Events, Inc. INSURER S : 1359629 DBA TNT Fireworks, Inc. INSURER C : P.Q. Box 1318 INSURER D : 4511 Helton Drive INSURER E FIorence AL 35630 PNSURER F COVERAGES CERTIFICATE NUMBER: 12067057 REVISION NUMBER: XKXXXXX THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEW ISSUED 70 THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. lPiSRI LTR I TYPE OF INSURANCE II �. ` POLICY NUMBER + MMtDDiY'YYY + PAMIDDNYYY�" _._._."."_".. LIMM A VCOMMERCIAL GENERAL LIABILITY Y f N S18GL00242-211 i 11/1/2021 I1(112022 EACH OCCURRENCE $ 1,000 000 � DAMAGE7T3"RENT50- _ L _ I CLAIMS -MADE l-'_J OCCUR REMISES (Ea occurmncet ffi 50Q.00Q I I MED ( one person) $ 5,000 EXPAny on „e ...._ s GEN'L AGGREGATE LIMIT APPLIES PER: G — — PERSONAL & ADV INJURY $ 1.000,000 I GENERAL 2.000,000 POLICY PRO- JECT LOc ( i PRODUGrs eOMP OP AGG $ 2.000t000 OTHER: $ AUTOMOBILE LIABILITY J_R6_Tja;P_L1CABLE _.. DSINCLELIMIT ' $ X1 Y 1 IEa aCGidenfl ? 5. E ANY AUTO^ m p I BODILY INJURY (Per person) $ X l XXXXXX OWNED SCHEDULED BODILY INJURY (Per accident) $ AUTOS ONLY AUTOS XXXXX HIRED NON -OWNED ; PR_OPERTY DAMAGE $ XXXXXXX AUTOS ONLY AUTOS ONLY g I Per accident UMBRELLA LIAB z 1 OCCUR NOT APPLICABLE I EACH OCCURRENCE $ XXt'[ �XSX LESS LIAR _.CLAIMS MADE AGGREGATE $ _ DIED RETENTION $ $X WORKERS COMPENSATION NOT APPLICABLE � ( l PtR tER - �AND EMPLOYBRS'LIABILITY YIN I I I e,„1STATUTE ft _ ANY PROPRIETORlPARTNERIEXECUTIVE I I i E.L. EACH ACCIDENT $ OFFICERIMEMBER EXCLUDED? Li N t A 4 .-.. .. .XX j (Mandatory in NH) 3 , : E.L. DISEASE EA EMPLOYEEI $ XXXXXXX If yes, describe under — ..�._......_'_._.-,_. " a DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMITS i DESCRIPTION OF OPERATIONS I LOCATIONS! VEHICLES (ACORD 1e1, Additional Remarks Schedule, may be attached If more space is required) City of Zephyrhills and Certificate holder is an additional insured on the General Liability as required by written contract subject to policy terms, conditions, and exclusions. CERTIFICATE HOLDER CANCELLATION 10057 Wal-Mart SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE #0706 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 7631 GALL BOULEVARD ACCORDANCE WITH THE POLICY PROVISIONS_ ZEPHYRHILLS FL 33541 AUTHORIZED REPRESENTATIVE .1 0 1988-201S ACORD CORPOWATION. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD Parcel ID 11-26-21-0010-07800-0090 (Card: 1 of 1) Classification 00100-Single Family Mailing Address Property Value KINGERY KARL D & FAY I Just Value $207,439 5714 19TH ST Ag Land $0 ZEPHYRHILLS, FIL 33542-4437 Land $22,107 Building $181,428 Physical Address Extra Features $3,904 5714 19TH STREET, ZEPHYRHILLS, FL 33542 8 9ALPqs_Crtpfiqn (First 200 characters) See PIALfot_tjbdivi ior -School Non School CITY OF ZEPHYRHILLS PB 1 PG 54 LOTS 9 TO 11 Assessed $178,670 $207,439 INCL BLOCK 78 OR 9423 PG 2512 Homestead Exemption -$0 -$0 Jurisdiction Additional Exemptions -$0 -$0 STY OF ZEPHYRHILLS Community Dev District N/A Taxable Value $178,670 $207,439 Warning, A significant taxable value increase may occur when sold. Click here for details and into, regarding the posting of exemptions. Land Detail (Card: 1 of I ) Line Use Code Description Zoning Units Type Price Condition Value I 0100R LP2-1 SFR 0OR2 8400.000 SF $2.19 1.00 $18,396 2 0100R LP2-2 SFR 0OR2 9516,000 SF $0.39 1.00 $3,711 Additional Land Information Acres Tax Area FEMA Code Subsidence Activity Neighborhood Code(s) 0.41 30ZH X None Reported ZHLH y�ip,c% Sketch Building Information - Use 0100-Single Family Residential (Card: I of 1 Year Built 1957 Stories 1.0 Exterior Wall I Average Exterior Wall 2 None Roof Structure Gable or Hip Roof Cover Asphalt or Composition Shingle Interior Wall I Drywall Interior Wall 2 None Flooring I Asphalt Tile Flooring 2 None Fuel Electric Heat Forced Air - Ducted A/C Central Baths 1.0 Line Code Description Sq. Feet Value 1 FEP01 FINISHED ENCL PORCH 792 $35,304 2 UDU01 UNFINISHED DET UTILITY 200 $3,824 3 BAS01 LIVING AREA 1,992 $126,942 4 FOP01 FINISHED OPEN PORCH 90 $1,466 5 UGR01 UNFINISHED GARAGE 728 $13,892 Extra Features (Card: I of 1 Line Code Description Year Units Value I RDWSWA DRVWAY/SIDEWALK ASPH 1975 267 $102 2 RFIREPL FIREPLACE 1975 1 $218 3 RUDG UNFIN DETACH GARAGE 1982 896 $3,584 Sales History Previous Owner: FEDERAL NATIONAL MORTGAGE ASSOCIATION Month/Year Book/Page Type DOR Code Condition Amount 9/2016 2AZaj_2512 Warranty Deed 12 1 $115,500 5/2016 23L3 _ -L1488 Certificate of Title 12 1 $0 12/2010 aA_LI279 Quit Claim Deed 11 1 $0 10/1997 aB24 L-1 " 55 Warranty Deed 1 $80,000 10/1997 3824_L I_L54 Warranty Deed 1 $0 2/1997 17 0 6 _Lkl O�5 Quit Claim Deed 1 $0 7/1996 26221_1566 Executor's Deed (Personal Representative 1 $0 1/1 2022 TNT Fireworks New Year Sparkler Sales Locations Wal-Mart I YES I YES I YES I YES I WAL0706 17631 GALL BOULEVARD JZEPHYRHILLS I FL I 33541 IPasco Page 1 of 1