HomeMy WebLinkAbout09-9193 CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813) 780 -0020 9193
FIRE SPARKLERS PERMIT
Permit Number: 9193 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
lmprov. Cost: t, p
-- �• � ado.
Date Issued: 6/04/2009 Name: SUPER WAL -MART
Total Fees: 100.00 Address: 7631 GALL BLVD
Amount Paid: 100.00 ZEPHYRHILLS, FL. 33542
Date Paid: 6/04/2009 Phone: (479)204 -1063
Work Desc: SPARKLER SALE - INSIDE WALMART
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TNT FIREWORKS FIRE PERMIT FEES 100.00
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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.
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C' TOR SIGNATURE P 411 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
Zephyrhills Fire Rescue
6907 Dairy Road, Zephyrhills, FL 33542
Fire Marshal Bus (813) 780 -0041
Kerry Barnett Fax (813) 780 -0044
E -mail: kbarnett@fire.zephyrhills.fl.us
Plan Review #: 09 -0030/ Alik
Project: Sparkler Permit
Number of Pages: 4
June 2, 2009
I have received and reviewed the permit for sparklers to be sold at 7631 Gall Blvd. This
project will be allowed to move forward with comments made below. Paying for permit,
contractor acknowledges complying with the following items below.
Should anyone have any questions, please do not hesitate to contact the Fire Marshal's
office.
1. Permit shall be located at the area within the occupancy the sparklers are
being sold at.
2.
Inspections Required:
1. Site Inspect
oe
1,,
KERRY , ' TT, FIRE MARSHAL
** *Please be advised this review of plans submitted is a cursory review to assist the contractor in
compliance with applicable fire safety codes. This review is not intended to be a final approval of the
submitted plans. It is the contractor's sole responsibility to ensure that the plans are in complete compliance
with all applicable NFPA codes and local ordinances. In the event that further examination or site
inspection reveals areas of non - compliance, it shall be the contractor's sole responsibility, at their sole
expense to bring those areas in compliance. The City assumes no responsibility for the contractor's failure
to be in compliance with all applicable NFPA codes and local ordinances.
ZEPHYRHILLS FIRE DEPARTMENT
6907 Dairy Road, Zephyrhills, FL 33542
Fire Chief Keith Williams Bus (813)780 -0041 Fax (813)780 -0044
FIRE SERVICE USER FEES
Occupancy No.: ---
Plan No.: , Q. 3 Contractor: ..1� . 4 _
Business Name: /4Pi Billing Address: 6 7 e`
Business Address: e)c3 % 6t !y '��` 74.71
Business Phone No.: Billing Phone No.: - -,-.3 — i/89
Business Fax No.: Billing Fax No.:
Contact: Contact:
_ PLAN REVIEW FEES _ INSPECTION FEES _ PERMIT FEE — FALSE ALARM FEE
_ Site Plan N/C _ Annual N/C _ Sprinkler 550 _ 1st Alarm N/C
Muni - Family /Commercial .06 sf _ 1st Re- inspection N/C _ Standpipes 550 _ 2nd Alarm N/C
(Minimum Charge $25.00 _ 2nd Re- inspection $100 _ Fire Pump $50 — 3rd Alarm N/C
O. Plan Revisions DBL _ 3rd Re- inspection $250 _ Hoods $50 .- 4th Alarm $100
_ 4th Re- Inspection $500 _ Fire Alarm $50 _ 5th Alarm $150
_ SPRINKLER SYSTEMS (Business closed until — LP Gas $50 _ 6th Alarm $200
_ 0 - 25 Heads $50 violations corrected) _ Natural Gas $50 _ NON COMPLIANCE $150
26 plus Heads $100 SPRINKLER SYSTEMS Fuel Tanks- per tank
—
STANDPIPE SYSTEM Hydro Undergrounds $45 $ Sparklers
0 Per Riser $50 Hydrostatic Test $65 persystem _ Fire Works $500
FIRE PUMP Acceptance Test $45 persystem _ Camp Fire 525
0 Per Pump $100 Hydrant Flow $75 _ Controlled Bum $100
_ FIRE ALARM SYSTEM _ Hood/Duct $50
— 0 - 25 Devices 550 — FIRE ALARM SYSTEM — Place of Assembly 550 Annual
_ 26 plus Devices $100 _ System Acceptance $50 _ Fire Protection $25
SUPPRESSION SYSTEMS Recall Acceptance $50 —
Flammable Application 550 Annual
^ _ Wet $50 — — OTHER _ Waste Tire Storage $50 Annual
Dry mo IN
$50 _ Fire WalUSke Wall $15 per wall Generator < V $100
_ CO2 550 LP Gas $25 per tank —_ Generator >30 KW 150
— Other $50 Natural Gas $25 per system _ Bio-Hazard Waste $100 Annual
KITCHEN EXHAUST _ Fumigation Tenting $50
0 Hood/Ducts $50 _ Tent 10'x107 or greater $15 per tent — Torch Pot/Applied $50
_ OTHER _ Fire Pump $45 _ Haz. Materials $100 Annual
_ LP Installation per tank $50 _ Fire Suppression $30
Fuel Tank Installation $50 _ System Acceptance
(Per Tank) $50 _ Exhaust Hood/Duct $30
0 Natural Gas Installation $50 _ Re - Inspection DBL
(Per System) (other than annual) _
0 Spray Booth $50 0 Inspection scheduled DBL _
and cancelled less than
_ 24 hours
_ Construction Insp. N/C
_ Emergency Vehicle AG $50 FALSE ALARM
PLANS TOTAL INSPECTION TOTAL PERMIT TOTAL TOTAL
GRAND TOTAL
Comments:
Date: pi (J
Insrmctor: , ` /,� ' -�i'�---
1 , ®
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FlR EW
May 21, 2009
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 4 of July 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.
66
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
81q- 7e0-802,0 City of ZephyrhUlslzire,: Fax -813 -780 -0021 t: .4 0 Permit Application I L'hn.rF) bia /' ii P/4 llkq-
DateReceived i- Phone Contactfor Permit 8m Z'(3 / / .0 -
Owner's Name LAAL /riFier 4f 70 (p Owner's Phone Number ..l I [ 782 1 1 / 457 1
Owners Address 1 7(03/ 6 ALL- 20
1 Fee Simple Titleholder Name 1 Titleholder Phone Number
ber I L _ f
Fee Simple 'Titleholder Address
MOE
Job Address ( 7 X03 I Go A L C. IJ L O Lot# 1 I
Sub CNvision Parcel #
ED Hio-Hazard Waste Storage -ANNUAL n Fumigation Tent
0 Comm ExheustK lien Hood/Duct Q Hazardous Material (Tierit orRQ FaciMty)ANNUAL
E il Controlled Bum n Hood Installation
n Emergency Generator a 30 kw n LP /Natural Gas - installation
n Emergency Generator> 30 kw El LP/Natural Gas - ANNUAL Sale
Fire Protection Maintenance -ANN paryi L.111 ®t El Pl of Assembly- ANNUAL �
_ 1 Sc. 1 64
Sprinkler ❑ ❑ ❑ n Recreational Bum
Fire Alarm El ❑ Q ❑ 1 1 El Sparklers ...--- -- 5'its le + (� �PPIOJPU
t
HoodCIearrtng ❑ 0 i SprinklerSystemInstallations ep ,k /3 � hs l � Q
Hood Suppression D ❑ ❑ ❑ r 1 a Standpipes (Sprinkler Sys) J
n Fire Alarm installation EJ Torch Roofing/Ter Kettle Wet 1 h1 e r f -tf 70 i
RI
Fire Pumps n Waste Tiro Storage ANNUAL • Fire Works
FlernmableApplication- ANNUAL ! , Valuation Of Project
Fuel Tanks
CI Other A / ' 4I f
0 r .I..> �i Co rn r& PiaE.P -3 -
Signature A _ Registered [ wo
Y/ N Fee Cunent j Y/ N 1
Address 1 s 2i5 SE . 79/ Sf Qado fL re.$. License # 1 __
ELECTRICIAN Company 1
Signature . . . Registered Y/ N I Fee Current Y/ N 1
Address I license # j
PLUMBER Cony I
Signature , Registered Y/ N J Fee Current I Y/ N 1
Address) 1 License*
MECHANICAL Company J
Signature Registered , Y 1 N ( Fee Current E Y / N !
Address L • ( , • License # ( 1
OTHER Company I
Signature Registered Y / N 1 Fee t ii ' Y/ N I
Address • Licence # 11111111111111110KanailIVAIIIIIIII
•
Directions: S )L h� %
Fill our application completely.
Owner & Contractor sign back of application, notarized (Or, copy of signed contract w " 4 tth owner) 1
If over $2500, a Notice of Commencement le required.(Mechanlc l work over $5000) /
Supply two (2) nets of drawings with applicable documentation BLS . /,�/
Allow 10-14 days for review after submittal date. Parcel #- obtained thorn Pro yT , 1 I� - , � • = iser paseogov corn)
-- e Pc SIN AT S7o�'� • 4 0,151- /�
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Srt9 ?E Lic ,vSF 6 ri - AtttED V' •go
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• STATE OF FLORIDA .
DEPARTMENT OF FINANCIAL SERVICES
DIVISION OF STATE FIRE MARSHAL
TALLAHASSEE, FLORIDA
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 -
AA ( .44:44.."
Chief Financial Officer
0210112009 07 66 Pasco 56502600182005 1404210018 15.00 0113112010
Issue Date Type Class County License/Permit Number Application # Taxes & Fees Expire Date
C ERTIFICATE OF INSURANCE ISSUE DATE
ACORD 11/04/2008
PRODUCER This certificate is issued as a matter of information only and confers no rights
F, SEIBELS & WILLIAMS, INC. upon the Certificate Holder. This Certificate does not amend, extend or alter the
MCGRIFF,
Box F, SEI 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 LIABIUTY PCL0223304725 11/01/2008 EACH OCCURRENCE $ 1,000,000
® Commercial General Liability 11/01/2009 FIRE DAMAGE $ 100,000
❑ Claims Made ® Occurrence MEDICAL EXPENSE $ EXCLUDED
❑ Owners' and Contractors' Protection
® $5,000 Deductible Per Occ 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 ❑ Project MI Location
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $
❑ Any Automobile BODILY INJURY (Per person) $
❑ 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 1 1 Other 1
AND EMPLOYERS' LIABILITY EL EACH ACCIDENT $
EL DISEASE (Each emolovee) $
EL DISEASE (Policy Limit) $
EXCESS LIABIUTY 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 State Approved Sparkler Sales at Wal -Mart #706 located at 7631 GALL BOULEVARD 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 (1;46411
Page 1 of 1 Certificate ID# 1653K61H
- S3- 00856024
- REPRINT - PACK LIST - REPRINT -
21362 Order #: 856024 -S3 -00002
Chain Store Sales -FL Chains Order Date: 4/21/09
CUST PO: 6352271622
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 * * * * * * * * * * * * * * * * * * * * * **
ASTEROID TUBE SS PDQ WM J09 101855 1 CS 24 EA 16.47
24/1 000772645
BIG BLAST SS -PDQ J09 101823 6 CS 144 EA 9.97
24/1 000770722
BLAST OFF SS PDQ COM J09 101834 2 CS 96 EA 6.97
2/24 000791499
ERUPTOR SS - COM WM J08 101740 1 CS 1 EA 149.97
1/1 000727136
FREEDOM BLAST BAG SS J09 WM 101842 6 CS 90 EA 19.97
15/1 000799007
OLD GLORY SS -COM WM J09 101853 3 CS 9 EA 99.97
3/1 000770530
RED, WHITE, AND BOOM SS J09 W 101839 3 CS 24 EA 49.97
8/1 000771967
* * * * * * * * * * * * * * * * * * * * * * * * * ** Base Fountains * * * * * * * * * * * * * * * * * * * * * **
JUMBO FINALE -4 PAK- WM 200566 4 CS 20 EA 27.97
5/4 000783462
* * * * * * * * * * * * * * * * * * * * * * * * * ** Ground Spinners * * * * * * * * * * * * * * * * * * * * * **
GROUND BLOOM FLOWER -30 CT BOX 290066 5 CS 150 EA 5.00
2/15/30 000703478
* * * * * * * * * * * * * * * * * * * * * * * * * ** Novelties * * * * * * * * * * * * * * * * * * * * * **
TNT SNAPS 4 PAK J09 WM 320532 1 CS 153 EA 2.00
153/4/50 000799080
* * * * * * * * * * * * * * * * * * * * * * * * * ** Smoke * * * * * * * * * * * * * * * * * * * * * **
SMOKE BALLS - BOX OF 12 - PDQ 350086 3 CS 288 BX 2.00
4/24/12 000742177
* * * * * * * * * * * * * * * * * * * * * * * * * ** Sparklers * * * * * * * * * * * * * * * * * * * * * **
#8 GOLD SPARKLER U.S. FLAG PD 380084 6 CS 360 PK 2.00
60/6/6 000709865
14 IN DBL PK MORNING GLORY JO 380250 1 CS 216 EA 1.00
4/54/10 000791381
Page No 1
- REPRINT - PACK LIST - REPRINT -
• Order #: 856024 -S3 -00002
Desc /Case Packing Item Quantity Selling Suggested
CP # Ordered Units Sell Price
* * * * * * * * * * * * * * * * * * * * * * * * * ** Promotional Supplies * * * * * * * * * * * * * * * * * * * * * **
SIGN - NO SMOKING 730099E 2 CS 2 EA 0.01
1/1
* * * * * * * * * * * * * * * * * * * * * * * * * ** Materials Non - Regulated * * * * * * * * * * * * * * * * * * * * * **
PDQ DUMP BIN 36 "H WM J09 931411 6 CS 6 EA 0.01
1/1
SHIPPER SHROUD WM DUMP BIN JO 931421 1 CS 1 EA 0.01
1/1
Case Totals: 42 CS
Total Pallets: PL
Total Repack Cases: CS
Page No 2