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10-11312
CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813) 780 -0020 1 12 FIRE SPARKLERS PERMIT Permit Number: 11312 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 - 0110 - 00000 - 0010 Improv. Cost: Date Issued: 12/13/2010 Name: SUPER WAL -MART Total Fees: 130.00 Address: 7631 GALL BLVD Amount Paid: 130.00 ZEPHYRHILLS, FL. 33542 Date Paid: 12/13/2010 Phone: (479)204 -1063 Work Desc: FIRE SPARKLERS ANNUAL SALE WALMART TT.-- - ... 1 1.1 1 .1 'T • (A032__ ( 0j/ s, tickv \•.. 5r 2.j3,6 „ . -•., , 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. r - �� - C RACTOR 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 ( Z 813-780-0020 City of Zephyrhills Fire ��� Fax 813 - 780 - 0021 Permit Application Date Received I til / V to Phone Contact for Permit 0 868 9151 Owner's Name I Wal -Mart #706 1 Owner's Phone Number I 813 I I e 782 I 1 1957 ,., Owner's Address 1 7631 Gall Blvd, Zephyrhills, FL 33541 Fee Simple Titleholder Name I I Titleholder Phone Number 1 1 I Fee Simple Titleholder Address I Job Address 1 7631 Gall Blvd f Lot # Sub Division Parcel # I Bio- Hazard Waste Storage - ANNUAL a Hazardous Material (Tier II or RQ Facility) ANNUAL n Comm Exhaust Kitchen Hood /Duct n Hood Installation n Controlled Burn n LP /Natural Gas - Installation n Emergency Generator < 30 kw n LP /Natural Gas - ANNUAL Sale I - 1 Emergency Generator > 30 kw n Places of Assembly- ANNUAL n F - ire Protection Maintenance - ANNUAL n Recreational Burn IQtrly) (Semi) (iii MEM Sprinkler E ❑ ❑ ❑ © Sparklers Inside Retail Sales of State Approved Sparklers Fire Alarm n Cl ❑ ❑ win: n Sprinkler System Installations Hood Cleaning n , 'E E 0 Standpipes (Sprinkler Sys) Hood Suppression 1.7L,IVO S . lit ` i I -- 1111 Torch Roofing/Tar Kettle 0 Fir � t , ,, _' 1 J Waste Tire Storage ANNUAL Fir rri r � i°..�- ; ' ('I -/ n F lamra�ation- ANNUAL I I Valuation of Project n F - uel Tanks In Other: I Contractor I Company Signature Registered Y/ N I Fee Current I Y/ N I Address ( I License # I ELECTRICIAN Company I Signature Registered Y/ N I Fee Current I Y / N I Address I I License # I PLUMBER Company I Signature Registered Y / N I Fee Current i Y / N I Address I License # MECHANICAL Company Signature Registered Y/ N I Fee Current I Y/ N I Address I I License # Vendor /� / Company TNT Fireworks I Signature � — 1 . / Registered Y / N I Fee Current I Y / N Address 6255 SE 78 Street, Ocala, FL 34474 License # .�a. �., n •= a ..=�n �_.« �� ��, 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 Zephyrhills Fire Rescue 6907 Dairy Road, Zephyrhills, FL 33542 Fire Marshal Bus (813) 780 -0041 Kerry Barnett Fax (81 3) 780 -0044 E -mail: kbarnett (ii)fire.zephyrhills.fl.us Plan Review #: 10 -150 Project: Sparklers Number of Pages: Packet December 13, 2010 I have received and reviewed the plans for the sale of sparklers located at 7631 Gall Blvd and will allow the project to move forward. Please note that this review does not eliminate any further requirements as the project continues moving forward. By paying for permit, contractor acknowledges to comply with the items listed below. Should anyone have any questions, please do not hesitate to contact the Fire Marshal's office. 1. Ensure a certified fire extinguisher is located within 25 feet and is visible and accessible. 2. Permit shall be located at the location of sparklers. Permit has to be signed by this authority. Inspections Required: 1. Final (call once sparklers are set in their sale location for permit sign off) AO KERRY BARN , 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 rue (Thiel Keith Williams Bus (813)780 -0041 Fax (813)780 -0044 FIRE SERVICE USER FEES Occupancy No.: Plan No.: /O.- j 7W Contractor: 7 T re rt- ,aG4.rs Business Name: /4.)40 -Iv -A-f.i Billing Address: /, 5 -' Business Address: . 7631 6441- & ic. j 44 - 74 Business Phone No.: Billing Phone No.: 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 $50 — 1st Alarm N/C Mufti- Family/Commercial .06 sf — 1st Re- inspection N/C _ Standpipes $50 ~_ 2nd Alarm N/C (Minimum Charge $25.00 _ 2nd Re- inspection $100 _ Fire Pump $50 ._.r 3rd Alarm N/C ❑ 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 • 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 Burn $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 $5 Annual Dry $50 — Fire Wall /Smoke Wall $15 per wall ^ Generator < KW $100 _ CO2 $50 — 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'x10' or greater $15 per tent r 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 Ell Natural Gas Installation $50 r Re - inspection DBL (Per System) (other than annual) El Spray Booth $50 Ell Inspection scheduled DBL — and cancelled less than _ 24 hours Construction Insp. N/C _ Emergency Vehicle Acs $50 FALSE ALARM PLANS TOTAL 1 INSPECTION TOTAL - 1 PERMIT TOTAL TOTAL L GRAND TOTAL ' /De -- 1 Comments: Date: ( 4 1 to Insp ///L( 444-1-tik.--- - S3- 01123502 - REPRINT - PACK LIST - REPRINT - 21362 Order #: 1123502 -S3 -00002 Chain Store Sales -FL Chains Order Date: 10/13/10 CUST PO: 5352477870 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 * * * * * * * * * * * * * * * * * * * * * ** BACKYARD SHOW W PDQ CT SS NY 102015 3 CS 30 EA 19.00 10/1 70055727 BLAST ZONE USA SS J10 102018 2 CS 20 EA 29.00 10/1 70017171 RED WHITE BOOM SS J10 102019 1 CS 6 EA 49.00 6/1 000799019 VALUE BLAST W/ PDQ USA SS N09 102014 2 CS 48 EA 10.00 24/1 70055720 * * * * * * * * * * * * * * * * * * * * * * * * * ** Base Fountains * * * * * * * * * * * * * * * * * * * * * ** COUNT DOWN SS W /YP NY10 200784A 2 CS 48 EA 6.00 24/1 70017565 JUMBO FINALE -4 PAK- WM 200566 1 CS 5 EA 29.00 5/4 000783462 * * * * * * * * * * * * * * * * * * * * * * * * * ** Ground Spinners * * * * * * * * * * * * * * * * * * * * * ** GROUND BLOOM FLOWER -30 CT BOX 290066 1 CS 30 EA 5.00 2/15/30 000703478 GROUND BLOOM FLOWER -30 CT BOX 290066 1 CS 30 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 * * * * * * * * * * * * * * * * * * * * * * * * * ** Sparklers * * * * * * * * * * * * * * * * * * * * * ** #8 SPRKLERS ASST BOX PDQ J09 380247 2 CS 168 EA 2.00 84/6/5 000799442 * * * * * * * * * * * * * * * * * * * * * * * * * ** Promotional Supplies * * * * * * * * * * * * * * * * * * * * * ** SIGN - NO SMOKING 730099E 3 CS 3 EA 0.00 1/1 Page No 1 - REPRINT - PACK LIST - REPRINT - Order #: 1123502 -S3 -00002 Desc /Case Packing Item Quantity Selling Suggested CP # Ordered Units Sell Price Case Totals: 16 CS Total Pallets: PL Total Repack Cases: CS DECLARATION OF COMPLIANCE American Promotional Events, Inc., dba TNT Fireworks, certifies that all consumer fireworks identified on this invoice have been tested by the American Fireworks Standards Laboratory and found to conform with all applicable regulations, standards and bans enforced by the U.S. Consumer Product Safety Commission. Testing and certification for these items complies with rules, standards and bans applicable to consumer fireworks: Performance Standards 16 CFR 1500.17(a)(9) 16 CFR 1500.17(a)(11) 16 CFR 1500.17(a)(12) 16 CFR 1507 Powder Content Bans 16 CFR 1500.17(a)(3) 16 CFR 1500.17(a)(8) 16 CFR 1500.85(a)(2) Cautionary Labeling 16 CFR 1500.14(b)(7) 16 CFR 1500.83(a)(27) Contact information for laboratory that performed conformity testing. American Fireworks Standards Laboratory (AFSL) 7316 Wisconsin Avenue, Suite 214 Bethesda, MD 20814 301- 907 -9115 afslhq @afsl.org CONTACT INFORMATION FOR INDIVIDUAL MAINTAINING RECORDS ON WHICH DECLARATION IS BASED: NAME: Kathie Pendergrass ADDRESS: 4511 Helton Drive Florence, Alabama 35630 TELEPHONE: 256 - 764 -6131 FAX: 256 - 767 -7200 E -MAIL: pendergrassk @tntfireworks.com. www.tntfireworks.com Page No 2 • or . T N 1 F'REW00 December 3, 2010 Jackie Building Dept 5335 8th Street Zephyrhills, FL 33542 Dear Jackie, Enclosed please find all permitting information for the Wal -Mart location that we will be furnishing with state approved sparklers this New Year's 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, d( // Charles Walker TNT® Fireworks Director of Compliance walkerc @tntfireworks.com 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 it or. flf.tion 5 December 3, 2010 Jackie Building Dept 5335 8th Street Zephyrhills, FL 33542 Dear Jackie, Enclosed please find all permitting information for the Wal -Mart location that we will be furnishing with state approved sparklers this New Year's 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 walkerc @tntfireworks.com 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