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Home My WebLink About08-8626 CITY OF ZEPHYRHILLS 5335-8TH STREET (813)780-0020 8626 FIRE SPARKLERS PERMIT Permit Number: 8626 Address: 7325 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: 34-25-21-0000-00300-0020 Improv. Cost: Date Issued: 12/09/2008 Name: SWEETBAY SUPERMARKET Total Fees: 100.00 Address: 3801 SUGAR PALM DR Amount Paid: 100.00 TAMPA, FL 33619 Date Paid: 12/09/2008 Phone: Work Desc: FIRE SPARKLERS - SWEET BAY#1752 TNT FIREWORKS FIRE PERMIT FEES 100.00 V - FIRE INVENTORY ONSITE INSP 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. CO CTOR SIGNATURE P IT OFFICER PERMIT EXPIRES IN 30 DAYS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED ZEPHYRHILLS FIRE RESCUE - Fire Marshal Office- 813-780-0041 CITY OF ZEPHYRHILLS 5335-8TH STREET (813)780-0020 8626 FIRE SPARKLERS PERMIT iuiuiui Permit Number: 8626 Address: 7325 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: 34-25-21-0000-00300-0020 Improv. Cost: Date Issued: 12/09/2008 Name: SWEETBAY SUPERMARKET Total Fees: 100.00 Address: 3801 SUGAR PALM DR Amount Paid: 100.00 TAMPA, FL 33619 Date Paid: 12/09/2008 Phone: Work Desc: FIRE SPARKLERS - SWEET BAY#1752 TNT FIREWORKS FIRE PERMIT FEES 100.00 r ii FIRE INVENTORY ONSITE INSP 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. CONTRACTOR SIGNATURE P IT OFFICER PERMIT EXPIRES IN 30 DAYS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION -8 HOUR NOTICE REQUIRED ZEPHYRHILLS FIRE RESCUE- Fire Marshal Office- 813-780-0041 813-7801029 City of ZephyrhfIs'FU : 924 Fex-81 780-O021 l; Permit Appiieation ftges 5S 4,q xE e> .r_k.s! data Received Phone Contrrlct far PemYt � 2 y 3 //8`I' /�! owner's Name SofEFTBAy W /7 owners Phone Number 8/3 7801 /oY Owner's Address 7525 Lo RL & 5i..L ) Fee Simple Titleholder Name Titleholder Phone Number P Fee Simple Titleholder Address ----- Job Address 732 5 GALL BL LID Lot# Sub Division Parcel# `r- 2-6_ .I- (7U 0O--003ofa Blo-Hazard Waste Storage-ANNUAL Fumigation Tent Comm FxhaustlQtdren J,•loodOuct Hazardous Material(Tier ft orRQ Facilty)ANNUAL Controlled Burn Hood Installation Emergency Generator<30 kw LPMetural One-irretallatfcn Emergency Generator>30 kw LPMatural Gas-ANNUAL Sale Fire Protection Maintenance-ANNUAL Places of Assembly-ANNUAL ® am_F ___ Sprinkler ❑. ❑ ❑ ® ❑ Recreational Bum lie1 Fire Alarm ❑ ❑ . ❑ L _isparklers f 4,,"rofd 5 4tk / Hood Cleaning ❑ g ❑ ❑ SprinlderByatem Installations , Hood Suppression ❑ O O ' ❑ ❑ Sta dplpes(SpriNder Sys) InS�(,�l Sr.tcf•B#QY /7 2 Fire Alarm-tnstailafion D Torch RoofingTTar Kettle fire Pumps Waste The Storage ANNUAL Fire Works FlarnmaltiaApplcation-ANNUAL Valuation of Project Fuel Tanks Other. �v r cony r— TN T' . sw Signature _____________________ ] Registered YIN Fee Currern Y/N Address J f. je _ Jvvry i Licerae# ELECTRICIAN Compaw Signatcae Registered Y/NI Fee Current Y/N Address License# PLUMBER Company Signature Registered V/Nj Fee Current Y/N Address License# MECHAN Q41 Companyii Signature Registered YIN Fee Cunent Y/N Address License# OTHER Company _ Signature Registered Y I N Fee Current Y/N Address License# Directions: Flit out application completely. Owner&Contractor sign back of application,notarized(Cr,copy of signed contract with owner) If over$2500,a Notice of Commencement is required 4MechanIcal work over$5000) Supply two(2)sets of drawings with applicable docurnerrladcn Allow 10-14 days far review after submtttaf date. Parcel#-obtained from Property Tax Notice(htip!eppraisar•,pascogovcorn) firF >PiA.J Or 37D — PtAaE'n E DACra7EA BY a E rh o,e5H $ R1E GIcc /SE / T,fcN64 ?QDDpt r !-cSr g7?4G'hr(D • STATE OF FLORIDA DEPARTMENT OF FINANCIAL SERVICES DIVISION OF STATE FIRE MARSHAL TALLAHASSEE,FLORIDA CERTIFICATE OF REGISTRATION RETAILER LOCATION PERMIT THIS CERTIFIES THAT: SWEET BAY SUPERMARKET 3801 SUGAR PLUM DRIVE TAMPA FL 33619- HAS REGISTERED PURSUANT TO THE PROVISIONS OF FLORIDA STATUTES TO ENGAGE IN SELLING SPARKLERS AT THE FOLLOWING FIXED PLACE OF BUSINESS. LOCATION: SWEETBAY#1752 7325 GALL BLVD ZEPHYRHILLS, FL 33541- aJL7I Chief Financial Officer 02128120081 07 66 Pasco 02047600312008 0204760031 15.00 01131120091 Issue Date Type Class County License/Permit Number Application# Taxes&Fees Expire Date CERTIFICATE OF INSURANCE ISSUE DATE ACORDTM 11/04/2008 PRODUCER This certificate is issued as a matter of information only and confers no rights MCGRIFF,SEIBELS&WILLIAMS,INC. upon the Certificate Holder. This Certificate does not amend,extend or after the P.O.Box 10265 coverage afforded by the policies below. Birmingham,AL 35202 205-252-9871 COMPANIES AFFORDING COVERAGE Company Columbia Casualty Insurance Company INSURED Company James River Insurance Company American Promotional Events,Inc. B dba TNT Fireworks P.O.Box 1318 Company Florence,AL 35631 C Company D Company E This is to certify that the policies of insurance described herein have been issued to the Insured named herein for the policy period indicated. Notwithstanding any requirement,term or condition of 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,conditions and exclusions of such policies. Limits shown may have been reduced by paid claims. CO TYPE OF INSURANCE POLICY NUMBER EFFECTIVE LIMITS OF LIABILITY LT EXPIRATION A GENERAL LIABILITY PCL0223304725 11/01/2008 EACH OCCURRENCE $ 1,000,000 ®Commercial General Liability 11/01/2009 FIRE DAMAGE $ 100,000 ❑Claims Made ICI Occurrence ❑Owners'and Contractors'Protection MEDICAL EXPENSE $ EXCLUDED ®$5,000 Deductible Per Dcc PERS.AND ADVERTISING INJURY $ 1,000,000 ❑ GENERAL AGGREGATE $ 2,000,000 General Aggregate Limit applies per: PRODUCTS AND COMP.OPER.AGG. $ 2,000,000 ❑Policy O Project ®Location AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ ❑Amobile BODILY INJURY(Per rson) $ O All Owned Automobiles O Scheduled Automobiles BODILY INJURY(Per accident) $ ❑Hired Automobiles PROPERTY DAMAGE(Per accident) $ ❑Non-owned Automobiles COMPREHENSIVE O COLLISION WORKERS COMPENSATION WC Statutory Limit I I Other AND EMPLOYERS'LIABILITY EL EACH ACCIDENT $ EL DISEASE(Each employee) $ EL DISEASE(Policy Limit) $ EXCESS LIABILITY EACH OCCURRENCE $ ❑Occurrence ❑Claims Made AGGREGATE $ B EXCESS UMBRELLA POLICY 000346920 11/01/2008 Excess of Underlying$5,Million $ 5,000,000 Per Occurrence 11/01/2009 Is Is This certificate only applies to State Approved Sparkler Sales at Sweethay#1752 located at 7325 GALL BLVD.in ZEPHYRHILLS FL,33541. The Certificate Holder is named as Additional Insured with respect to General Liability as required by written contract subject to policy terms,conditions,and exclusions. CERTIFICATE HOLDER SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. CITY OF ZEPHYRHILLS Authorized Representative 5335 8th Street ZEPHYRHILLS, FL 33542 USA Page 1 of 1 Certificate ID# RM09SJOD REPRINT - PACK LIST - REPRINT - 21362 Order #: 782968-S3-00002 Chain Store Sales-FL Chains Order Date: 10/15/08 CUST PO: Terms : Net 30 Days SLSMN: Chain Stores - East Sold To: 1420077 Ship To: 1131571 - SWT1752 KASH 'N KARRY SWEET BAY 1752 FOOD LION - ACCOUNTS RECEIVABLE 7325 GALL BLVD. P. O. BOX 1330 - VENDOR #292610 ZEPHYRHILLS, FL 33541 SALISBURY, NC 28145-1330 Desc/Case Packing Item Quantity Selling Suggested CP # Ordered Units Sell Price -------------------------------------------------------------------------------- *************************** Counter Cases *********************** DSP -NY PS/SS MIXED DISPLAY 0 672904 1 CS 1 CS 1474 . 97 1/1 Containing: PATRIOT PACK BAG-S/S 101194 16 EA 16 EA 9 . 99 12/1 27736013043 FREEDOM PAK TRAY S/S-AG 101101 16 EA 16 EA 20 . 99 8/1 27736013050 PARTY PAK SS COM J07 101626 24 EA 24 EA 15 . 99 12/1 27736004577 FUN PARTY FOR 4 101261 20 EA 20 EA 7 . 97 2/12 27736015078 8 IN HOLIDAY CRACKER PDQ 320248 30 EA 30 EA 5 .47 30/1 27736012343 SIGN - NO SMOKING 730099E 2 EA 2 EA 0 . 01 1/1 DISPLAY-COMPLETE -COMBO JO 931210 1 EA 1 EA 0 . 01 1/1 TNT 2 PAK SNAP PDQ J06 320402 136 PK 136 PK 1 . 00 306/2/50 27736017515 #8 GOLD SPARKLER U.S. FLAG 380084 68 PK 68 PK 2 . 00 60/6/6 27736006250 Case Totals: 1 CS Total Pallets: PL Total Repack Cases : CS Page No 1 ACORDTM CERTIFICATE OF INSURANCE ISSUE DATE 11!04/2008 PRODUCER This certificate is issued as a matter of information only and confers no rights MCGRIFF,SEIBELS&WILLIAMS,INC. upon the Certificate Holder. This Certificate does not amend,extend or alter the P.O.Box 10265 coverage afforded by the policies below. Birmingham,AL 35202 205-252-9871 COMPANIES AFFORDING COVERAGE Company United States Fire Insurance INSURED Company James River Insurance Company American Promotional Events,Inc. B dba TNT Fireworks P.O.Box 1318 Company Florence,AL 35631 C Company D Company E This is to certify that the policies of insurance described herein have been issued to the Insured named herein for the policy period indicated. Notwithstanding any requirement,term or condition of 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,conditions and exclusions of such policies. Limits shown may have been reduced by paid claims. CO TYPE OF INSURANCE POLICY NUMBER EFFECTIVE LIMITS OF LIABILITY LT EXPIRATION GENERAL LIABILITY EACH OCCURRENCE $ ❑Commercial General Liability FIRE DAMAGE $ ❑Claims Made O Occurrence ❑Owners'and Contractors'Protection MEDICAL EXPENSE $ ❑ PERS.AND ADVERTISING INJURY $ ❑ GENERAL AGGREGATE $ General Aggregate Limit applies per: PRODUCTS AND COMP.OPER.AGG. $ ❑Policy ❑Project ❑Location AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ ❑Any Automobile BODILY INJURY(Per On $ ❑All Owned Automobiles ❑Scheduled Automobiles BODILY INJURY(Per accident) $ ❑Hired Automobiles PROPERTY DAMAGE(Per accident) $ ❑Non-owned Automobiles COMPREHENSIVE ❑ COLLISION A WORKERS COMPENSATION 4086967365 11/01/2008 WC Statutory Limit lxi Other AND EMPLOYERS'LIABILITY 11/01/2009 EL EACH ACCIDENT $ 500,000 EL DISEASE(Each emolovee)ee $ 500,000 EL DISEASE Polic Limit $ 500,000 EXCESS LIABILITY EACH OCCURRENCE $ ❑Occurrence ❑Claims Made AGGREGATE $ B EXCESS UMBRELLA POLICY 000346920 11/01/2008 Excess of Underlying$5,Million _$ 5,000,000 Per Occurrence 11/01/2009 $ This certificate only applies to Contractor purposes for retail sales of State Approved Sparklers provided to Publix#390,Sweetbay#1752 and Wal-Mart#706 located within the City of Zephyrhills Florida.. CERTIFICATE HOLDER SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. American Promotional Events,d.b.a.TNT Fireworks Authorized Representative 6255 SE 78th Street Ocala, FL 34472 USA u �. s. ,Page 1 of i Certificate ID# 114Z8L8V STATE OF FLORIDA DEPARTMENT OF FINANCIAL SERVICES DIVISION OF STATE FIRE MARSHAL TALLAHASSEE,FLORIDA CERTIFICATE OF REGISTRATION DISTRIBUTOR OF SPARKLERS THIS CERTIFIES THAT: AMERICAN PROMOTIONAL EVENTS,DBA TNT FIREWORKS 6255 SE 78TH STREET OCALA, FL 34472- HAS REGISTERED PURSUANT TO THE PROVISIONS OF FLORIDA STATUTES TO ENGAGE IN THE BUSINESS OF SELLING SPARKLERS TO A WHOLESALER. Chief Financial Officer 0210112008 07 61 Marion 84691500012007 0199950001 1000.00 01 31 2009 Issue Date Type Class County License/Permit Number Application# Taxes&Fees Expire Date STATE OF FLORIDA DEPARTMENT OF FINANCIAL SERVICES DIVISION OF STATE FIRE MARSHAL TALLAHASSEE,FLORIDA CERTIFICATE OF REGISTRATION WHOLESALER OF SPARKLERS THIS CERTIFIES THAT: AMERICAN PROMOTIONAL EVENTS DBA TNT FIREWORKS 6255 S E 78TH STREET OCALA, FL 34472- HAS REGISTERED PURSUANT TO THE PROVISIONS OF FLORIDA STATUTES TO ENGAGE IN THE BUSINESS OF SELLING SPARKLERS TO A RETAILER. Chief Financial Officer 02 01 2008 07 62 Marion 56506500012005 0199980001 1000.00 01 31 2009 Issue Date Type Class County License/Permit Number Application# Taxes&Fees Expire Date t' I December 5, 2008 Jackie Building Dept 5335 8th Street Zephyrhills, FL 33542 Dear Jackie, Enclosed please find all permitting information for the locations that we will be furnishing with state approved sparklers this New Years season. If there is any additional information you need please contact me at 1-800-243-1189. You may also contact Kelly Alley in our Ocala office at 1-800-868-9151. Thanks again for all of your help. Sincerely, Charles Walker TNT® Fireworks Director of Compliance AMERICAN PROMOTIONAL EVENTS, INC. P.O. BOX 1318•4511 HELTON DRIVE•FLORENCE,AL 35630 PHONE(256)764-6131 •FAX(256)760-0154 www.tntfireworks.com