The URL can be used to link to this page

Home My WebLink About08-8627 • CITY OF ZEPHYRHILLS 5335-8TH STREET (813)780-0020 8627 FIRE SPARKLERS PERMIT Permit Number: 8627 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: Date Issued: 12/09/2008 Name: SUPER WAL-MART Total Fees: 100.00 Address: 7631 GALL BLVD Amount Paid: 100.00 ZEPHYRHILLS, FL. 33542 Date Paid: 12/09/2008 Phone: (479)204-1063 Work Desc: FIRE SPARKLERS -WALMART#706 TNT FIREWORKS FIRE PERMIT FEES 100.00 d� firJii11 Siibflhd1IIi& iFi iiu:1ii1i pc . __ _________ 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 CITY OF ZEPHYRHILLS 5335-8TH STREET (813)780-0020 8627 FIRE SPARKLERS PERMIT Permit Number: 8627 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: Date Issued: 12/09/2008 Name: SUPER WAL-MART Total Fees: 100.00 Address: 7631 GALL BLVD Amount Paid: 100.00 ZEPHYRHILLS, FL. 33542 Date Paid: 12/09/2008 Phone: (479)204-1063 Work Desc: FIRE SPARKLERS -WALMART# 706 TNT FIREWORKS FIRE PERMIT FEES 100.00 L f2/fi l 11 v '<< ci cr e /k 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 m s ov V O N V V D w0a 00 rt- W r I- 0 m D M v 0 o N ?l CO y D N N N N n r— -um 'U w = 2w II II rr cn mm Cl) r r -I 01O11 - N O C O 0 ..► C- c in 0 s13-7aa a2n City ofZephyrhfls'Fira>: r 1 g(0 Z-7 Fax-813-780-00211: Permit Application 'fX L'/ja'4 oic. -it /4 I/k-- Date ei r' Phone Contactfor Perot 8m 2 K3 !!� Owner's Name t1 /r►A�T 7)(p IO+vner'a Phone Number I g,sJ132 [1q57] Owner's Address 7( 3/ &9L L L V t7 Fee Simple lldsnolder Name Titleholder Phone Number I IQ T Fee Simple liUehotder Address I Job Address 7(O3 I Co ALL Q L U D Lot# Sub D[vision Parcae# — 2 -6(1 D—0 600 O-00(O Hio-Hazard Waste Storage-ANNUAL FtanigatlonTent 0 -Comm ExhaustKilchen Hood/Duct Q Hazardous Material(Tsar 11 orRQ FaciMty)ANNUAL Conkrolled Bum Hood instaUalion Emergency Generator a 30 kw LP/Natural Gas-Installation QEmergency Generator>30 kw LP/Natural Gas-ANNUAL Sale Fire Protection Matnterance-ANNUAL Places of Assembly ANNUAL L1 em ® �C�'Gi I SC �C t p 7- Sprinkler ❑ ❑ ❑ ® Q Recreational Hum Fire Alarm ❑ C e [ J sparklers 5 to A pP1oJ('u t Hood Cleaning ❑ ❑ ❑ I ] sprmldersystem Installationsi? Hood Suppression Q ❑ ❑ O � Q Standpipes tSpririder Sys) J (�t Q Fire Alarm•Installation Q Torch RoofingtTer Kettle 4 I WI4 r F 71) Fire Pumps Waste Tiro Storage ANNUAL Fire Works Flammable Application-ANNUAL _____________ Valuation of Project Fuel Tanks ' [] Other. Oentrecbo company TNT E.-I'. Signature V Registered YIN Fee Current J Y/N Address G 2 S SE 7 f # 2 ?S/ License# ELECTRICIAN company Signature Registered Y/Nj Fee Current Y/N Address License# PLUMBER Company Signature L Registered Y/NI Fee Current Y/N Address License# MECHANICAL Company Signature Registered V I NI Fee Current Y/N Address L 1 -License# OTHER Company Signature I Registered Y/NJ Fee Current Y/N1 Address License# Directions: f7ff at 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 r(Mechanical work over$5000) Supply two(2)sets of drawings with applicable docunentatlan Allow 10-14 days for review after submftlal date. Parcel#-obtained from Property Tax Notices(hIip/)appraiser pasmgov corn) S/T£ Pc,QN ,q - S716 ,97E Lic E" ' e9 M44 FD 1PQr'Duc7 Lz �i If7"AG'HEl� STATE OF FLORIDA DEPARTMENT OF FINANCIAL SERVICES DIVISION OF STATE FIRE MARSHAL TALLAHASSEE,FLORIDA •AaGb�S�• CERTIFICATE OF REGISTRATION RETAILER LOCATION PERMIT THIS CERTIFIES THAT: WAL-MART STORES INC 720 SE 8TH STREET BENTONVILLE AR 72716- HAS REGISTERED PURSUANT TO THE PROVISIONS OF FLORIDA STATUTES TO ENGAGE IN SELLING SPARKLERS AT THE FOLLOWING FIXED PLACE OF BUSINESS. LOCATION: WAL-MART#706 7631 GALL BOULEVARD ZEPHYRHILLS, FL 33541- Chief Financial Officer 02 01 2008 07 66 Pasco 56502600182005 0194220018 15.00 01 31 2009 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 alter 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. 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 Is 1,000,000 Commercial General Liability 11/01/2009 FIRE DAMAGE $ 100,000 ❑Claims Made ®Occurrence ❑Owners'and Contractors'Protection MEDICAL EXPENSE $ EXCLUDED ®$5,000 Deductible Per Doc PERS.AND ADVERTISING INJURY $ 1,000,000 ❑ GENERAL AGGREGATE I$ 2,000,000 General Aggregate Limit applies per: PRODUCTS AND COMP.OPER.AGG. $ 2,000,000 ❑Policy ❑Project ®Location AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 11 Any Automobile BODILY INJURY(Per rson) $ ❑All Owned Automobiles ❑Scheduled Automobiles BODILY INJURY(Per accident) $ ❑Hired Automobiles PROPERTY DAMAGE(Per accident) $ ❑Non-owned Automobiles COMPREHENSIVE ❑ 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 I$ Is Is This certificate only applies to State Approved Sparkler Sales at Wal-Mart#706 located at 7631 GALL BOULEVARD in ZEPHYRH ILLS 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# 1653K6IH - REPRINT - PACK LIST - REPRINT - 21362 Order #: 782244-S3-00002 Chain Store Sales-FL Chains Order Date: 10/15/08 CUST PO: 0652196471 Terms : Net 60 Days SLSMN: Chain Stores - East Sold To: 1410002 Ship To: 1056090 - WAL0706 WALMART - CORPORATE 00001 WALMART 0706 702 SW 8TH STREET 7631 GALL BLVD BENTONVILLE, AR 72716 ZEPHYRHILLS, FL 33540 Desc/Case Packing Item Quantity Selling Suggested CP # Ordered Units Sell Price -------------------------------------------------------------------------------- *************************** Assortments *********************** BIG BLAST TRAY SS-PDQ J07 101633 2 CS 30 EA 9 . 97 15/1 000743388 BIG BOOM S/S-COM J08 101468A 2 CS 8 EA 54 . 97 4/1 000782569 BLAST PAK BAG SS-PDQ WM J08 101735 1 CS 18 BG 7 . 62 18/1 000792900 BLAST ZONE TRAY S/S WM J08 101463A 4 CS 24 EA 29 . 97 6/1 000709249 PYRO BLASTER SS PDQ J08 101640A 4 CS 40 EA 20 . 97 10/1 000709216 *************************** Base Fountains *********************** 4 FOR 2 VALUE PAK - COM 200507 2 CS 12 PK 16 .47 6/4 000792891 CAL ROCKET FTN - BAG OF 4 -PD 200506 1 CS 64 BG 5 .47 64/1 27736007622 *************************** Ground Spinners *********************** GROUND BLOOM FLOWER-30 CT BOX 290066 1 CS 30 EA 4 . 97 2/15/30 000703478 *************************** Novelties *********************** FUN SNAPPER 6 PACK PDQ J06 320395 1 CS 68 PK 2 . 00 68/1 000759739 *************************** Sparklers *********************** #8 ASSORT BOX GOLD TNT PDQ 380126 3 CS 180 PK 2 . 00 60/6/6 000709865 *************************** Promotional Supplies *********************** SIGN - NO SMOKING 730099E 3 CS 3 EA 0 . 01 1/1 Case Totals: 21 CS Total Pallets: PL Total Repack Cases: CS Page No 1