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Home My WebLink About09-9194 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813) 780 -0020 9194 FIRE SPARKLERS PERMIT Permit Number: 9194 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: Ar-e Date Issued: 6/04/2009 Name: SWEETBAY SUPERMARKET Total Fees: 100.00 Address: 3801 SUGAR PALM DR Amount Paid: 100.00 TAMPA, FL 33619 Date Paid: 6/04/2009 Phone: Work Desc: SPARKLER SALE - LOCATED INSIDE SWEET BAY TNT FIREWORKS FIRE PERMIT FEES 100.00 (0) (S . 6 -4-cc( SI LA) �+-k I V. c t_r, 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. 111. _ • .� CONTRAC OR IGNATURE 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 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 -0040 Project: Sparkler Permit Number of Pages: 4 June 2, 2009 I have received and reviewed the permit for sparklers to be sold at 7325 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 KERRY :/`'1` TT 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.: cT 4 Contractor: if ' 444.< Business Name: 15 ' Billing Address: 7' Business Address: C — , '*" -3 5i4e7-ez Business Phone No.: Billing Phone No.: Q— c?4 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 _ Sprinlder $50 ` 1st Alarm N/C Mun Standpipes $ i- Family /Commercial .06 sf _ 1st Re- inspection N/C _ 50 _ 2nd Alarm N/C (Minimum Charge $25.00 _ 2nd Re- inspection $100 — Fire Pump $50 _ 3rd Alarm N/C 0 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 $50 STANDPIPE SYSTEM _ Hydro Undergrounds $45 `Sparklers 100 0 Per Riser $50 _ Hydrostatic Test $65 per system _ Fire Works FIRE PUMP _ Acceptance Test $45 per system — Camp Fire $25 0 Per Pump $100 _ Hydrant Flow $75 _ Controlled Bum $100 _ FIRE ALARM SYSTEM - — Hood/Duct $50 — 0 - 25 Devices $50 — FIRE ALARM SYSTEM _ Place of Assembly $50 Annual _ 26 plus Devices $100 — System Acceptance $50 _ Fire Protection $25 _ SUPPRESSION SYSTEMS — Recall Acceptance $50 _ Flammable Application $50 Annual — Wet $50 _ OTHER — Waste Tire Storage $50 Annual _ Dry $50 _ Fire Wall/Smoke Wall $ p wall — Generator < KW $100 _ CO2 $50 _ LP Gas 525 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 10x0' or greater 515 pe 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) _ El Spray Booth $50 El Inspection scheduled DBL _ and cancelled less than 24 hours — Construction Insp. N/C _ Emergency Vehicle Aa $50 FALSE ALARM PLANS TOTAL' INSPECTION TOTAL' PERMIT TOTAL — Re -- TOTAL GRAND TOTAL 1 /i 1 Comments: Date: 6! Inspgctor: e '/ 1r4v y REORDER 905 • U.S. PATENT NO. 5538290, 5575508, 5641183, 5785353, 5984364, 8030000 T ® AMERICAN PROMOTIONAL EVENTS, INC. Check No. - 194760 db TNT FIREWORKS P.O .Box1318 Check Date - 5/18/2009 FINEW�,KKS 4 H el t n Dr. Industrial Park Stub 1 of 1 INVOICE NO. DATE DESCRIPTION GROSS DE DUCTIONS AMOUNT PAID 051809ZEPFL 5 /18 /2009PERMITS 200.00 200.00 200.00 200.00 ' 813- 780 -1J02D City ofZephyrh ills Rea . •r / q q Fax - 813 - 780-0021 .I, Permit Application � 1 � 'flaei es £ 4 J E,ei •r_I f Data Received 5 � – Phone Contact for Permit .80.- Z y 2 /f 8'r . _ p _ . Owner's Name f pI EF% 8AV # 7S i / 2 Owner's Phone Number 1 e 1 ( 780 /0 It I Owner's Address 1 7 5 , 6 COPi,k, 5/..LQ Fee Simple Titleholder Name J Titleholder Phone Number , , I 1 Fee Simple Titleholder Address eleINIMPASIIIIIPF '' Job Address I 7325 6 AL L BL VD _ 1 Lot# • Sub Division , _ 1 Parcel # ❑ Bio- Hazard Waste Storage – ANNUAL n Fumigation Tent • Comm Exhaust Kitchen Hood/Duct = Hazardous Material (Tier!! orRL2 Facility) ANNUAL. El Controlled Bum n Hood Installation ❑ Emergency Generator < 30 kw n LP/Naturat Gas - Installation n Emergency Generator> 30 kw ED LP/Natural Gas - ANNUAL Sale Q Fire Protection Maintenance - ANNUAL - n Places of Assembly- ANNUAL Can] I ®4 / •L Sprinkler El ❑ ❑ n Recreational Bum �C"/ �li�C Fire Alarm D ❑ ❑ • 0 ( ii' .----- 0 getfo.! /d .5? f k i Hood cleaning ❑ 0 0 ❑ ( El SprinlderSystem installations / r Hood Suppression El ❑ ❑ ( 0 Stardplpes (Sprirtder Sys) insrd ( sw�r .8 r * 2 El Are Alarm instailatIon jJ Torch Rooflngfrer Kettle Fire Pumps n Waste Tiro Storage ANNUAL Fire Works Flammable Application- ANNUAL ! I Valuation of Project Fuel Tanks E3 Other I M ) `''' Company ?v r F -wf' -I • Signature 1 /� Registered Y/ N Fee Current f Y/ N Address 1 Cal$ 5 ?8," $.e .0 r,/4 F< Awry I. Licen ) 1 ELECTRICIAN Company i Signature - Registered Y/N j Fee Current I Y/N I Address 1 J License # J I PLUMBER 1 Company I Signature Registered Y/N J Fee Current 1 Y/N j Address 1 License* 1 MECHANICAL Company J Signature Registered Y/ N 1 Fee Current YIN Address L , . Lloenae # 1 . OTHER Company NI W„,4-1,\ ( Signature Registered Y / N i Foe • ..,,. it N Address License # Directions: flu out application completely. con Q , " - / � j Owner & Contractor sign back of application, notarized (Or, copy of signed tract with 'S � ' " If over $2500, a Notice of Commencement is req./red ./red.(Mechanieal wark over $5000) ,� f: Supply two (2) seta of drawings with applicable documentation . 4� • / Allow 10-14 days for review after submittal date. Parcel #- obtained T ' .. ce • :,.0 .:.. - ,pasoogov.coin) VS C - fife p6R•✓ 4r 370 ref — in 094eM E•ir Acria7 irr AieE rh Aes Ntr4. – f>•nE Lier.JsE Ji TZ?eNEv • ?OD, Pt f 4; f5r 'mowii(b STATE OF FLORIDA v x. DEPARTMENT OF FINANCIAL SERVICES DIVISION OF STATE FIRE MARSHAL {rti 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 - a l /9 1 1 : 4 4 ..." Chief Financial Officer 0210112009 07 66 Pasco 02047600312008 1404320031 15.00 0113112010 Issue Date Type Class County License /Permit Number Application # Taxes & Fees Expire Date CERTIFICATE OF INSURANCE ISSUE DATE ACORD 11I04I2008 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 UMITS OF LIABILITY LT EXPIRATION A GENERAL LIABILITY PCL0223304725 11/01/2008 EACH OCCURRENCE $ 1,000,000 IKI Commercial General Liability 11/01/2009 FIRE DAMAGE $ 100,000 ❑ Claims Made ® Occurrence ❑ Owners' and Contractors' Protection MEDICAL EXPENSE $ EXCLUDED ® $5,000 Deductibe PerOcc 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 ®Location AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ ❑ Any Automobile 0 AU Owned Automobiles BODILY INJURY (Per person) $ ❑ 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 employee) $ EL DISEASE (Policy Limit) $ EXCESS LIABILITY EACH OCCURRENCE $ ❑ Occurrence ❑Claims Made AGGREGATE $ B EXCESS UMBRELLA POUCY '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 Sweetbay #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 G USA +.. Page 1 of 1 Certificate !DP RMO9SJOD T S3- 00842521 - REPRINT - PACK LIST - REPRINT - 21362 Order #: 842521 -S3 -00002 Chain Store Sales -FL Chains Order Date: 4/10/09 CUST PO: Terms: Net 30 Days SLSMN: Chain Stores - East Sold To: 1420077 Ship To: 1131571 - SWT1752 KASH 'N KARRY SWEETBAY 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 * * * * * * * * * * * * * * * * * * * * * * * * * ** Novelties * * * * * * * * * * * * * * * * * * * * * ** TNT 2 PAK SNAP 225 FDP J08 320404A 1 CS 225 PK 1.00 225/1 27736018482 * * * * * * * * * * * * * * * * * * * * * * * * * ** Sparklers * * * * * * * * * * * * * * * * * * * * * ** #8 SPRKLERS ASST BOX FDP JO 380236 1 CS 120 EA 2.00 120/6/5 27736022755 * * * * * * * * * * * * * * * * * * * * * * * * * ** Counter Cases * * * * * * * * * * * * * * * * * * * * * ** FDP - SS #2 (PYRO, PE) J09 671304 1 CS 1 CS 368.85 1/1 27736022373 Containing: PYRO BLASTER SS PDQ J08 101640A 9 EA 9 EA 20.99 10 /1 27736012770 PROUD EAGLE SS J09 101935 6 EA 6 EA 29.99 10 /1 27736013111 FDP -SS #1 (RK, DINO,PB, PP)J0 671303 1 CS 1 CS 572.43 1/1 27736022366 Containing: MINI CALIFORNIA RKT FTN J 200743 36 EA 36 EA 2.99 4/36/4 27736019908 DINOSAURS FTN 3 PAK PDQ J 200816 78 EA 78 EA 2.00 72/3 27736002177 PYRO BLASTER SS PDQ J08 101640A 9 EA 9 EA 20.99 10 /1 27736012770 PATRIOT PAK BAG SS -COM J09 101936A 12 EA 12 EA 9.99 24/1 27736013043 Case Totals: 4 CS Total Pallets: PL Total Repack Cases: CS Page No 1 STATE OF FLORIDA x DEPARTMENT OF FINANCIAL SERVICES fi n DIVISION OF STATE FIRE MARSHAL C 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. a ft7c Chief Financial Officer 02 0112009 07 62 Marion 56506500012005 1351490001 1000.00 01131 2010 Issue Date Type Class County License/Permit Number Application # Taxes & Fees Expire Date STATE OF FLORIDA yr 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 0210112009 07 61 Marion 84691500012007 1351470001 1000.00 01131 2010 Issue Date Type Class County License /Permit Number Application # Taxes & Fees Expire Date CERTIFICATE OF INSURANCE ISSUE DATE Ay ORD. 05/22/2009 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 800-476-2211 COMPANIES AFFORDING COVERAGE Company Columbia Casualty Company INSURED Company Colony National Insurance Co. American Promotional Events, Inc. dba TNT Fireworks P.O. Box 1318 Company James River Insurance 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 El Occurrence ❑ Owners' and Contractors' Protection MEDICAL EXPENSE $ EXCLUDED ❑ PERS. AND ADVERTISING INJURY $ 1,000,000 ❑ GENERAL AGGREGATE $ 2,000,000 General Ag regate Limit applies per: PRODUCTS AND COMP. OPER. AGG. $ 2,000,000 El Policy Project IM Location AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ ❑ Any Automobile BODILY INJURY (Per person) $ ❑ All Owned Automobiles El 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 1 AND EMPLOYERS' LIABILITY EL EACH ACCIDENT $ EL DISEASE (Each employee) $ EL DISEASE (Policy Limit) $ B EXCESS LIABILITY AR44602750 11/01/2008 EACH OCCURRENCE $ 5,000,000 ® Occurrence ❑Claims Made 11/01/2009 AGGREGATE $ 5,000,000 Retention /Deductible 10,000 C 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 Florida State Approved Sparklers provided to Sweetbay #1752 and Wal -Mart #706 located in 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 .. .a.to .s`°« - Page 1 of 1 Certificate ID # 1 W80YH6U