HomeMy WebLinkAbout11-12610 " CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813) 780-0020 12610
' ' FIRE SPARKLERS PERMIT
Permit Number: 12610 Address: 7422 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: 35-25-21-0010-07200-0011
Improv. Cost:
Date Issued: 12/12/2011 Name: K-MART
Total Fees: 100.00 Address: 7422 GALL BLVD
Amount Paid: 100.00 ZEPHYRHILLS, FL. 33542
Date Paid: 12/12/2011 Phone:
Work Desc: FIRE SPARKLER SALE --KMART
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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 pertormed in accordance with City Codes and Ordinances.
"SPARKLERS" per Section 791.01, Florida Statutes, means a device which emits showers or sparks upon
burning, dces not wntain any explosive wmpounds, dces not detonate or explode, is handheld or ground
based, can not propel itself through the air, and wntains not more than 100 grams of chemical compound
which produces sparks upon burning.
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CONTRACTOR IGNAT RE P IT OFFICER
PERMIT EXPIRES IN 30 DAYS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
ZEPHYRHILLS FIRE RESCUE - Fire Marshai Office - 813-780-0041
s�s-�so-oo2o City of Zephyrhills Fire Fax-813-780-0021
Permit Application
Date R'eceived � f—'�j0---� � Phone Contact for Permit 800 868 9151
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Owner's Name K-Mart #3761 Owner's Phone Number $� 3 782 1957
Owner's Address 7422 Gall Boulevard, Zephyrhilis, FL 33541
Fee Simple Titleholder Name TiUeholder Phone Number �� �
Fee Simple Titleholder Address
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Job Address �422 Gall Boulevard �ot # �
Sub Division Parcel #
<��• :;;�;�•'. :�:� :�F, t�w: a..�x�� s.h..�'�• ,r,Ai.�1rx :'� , s��ax�¢r •, ,.':� �:�#�"'t�°'<§�m.. x�a>.�, :�k�°a . •:�' , �' . �» .
� Bio-Hazard Waste Storage - ANNUAL � Hazardous Material (Tier il or RQ Facility) ANNUAL
� Comm F�chaust Kitchen Hood/Duct � Hood Installation
� Controlled Burn � LPINatural Gas-Installation
� Emergency Generator < 30 kw � LP/Natural Gas-ANNUAL Sale �� 2(,p ( V
� Emergency Generator > 30 kw � Places of Assembly-ANNUAL
� Fire Protection Maintenance - ANNUAL � Recreational Burn
ry emi �n t er
Sprinkler �❑ ❑ ❑ 8 X❑ Sparklers Inside Retail Sales of State Approved Sparklers
Fire Alarm � ❑ ❑ ❑� � Sprinkler System Installations
Hood Cleaning � ❑ ❑ ❑ � � Standpipes (Sprinkler Sys)
Hood Suppression � ❑ ❑ ❑� � Torch Roofing/Tar Kettle
� Fire Alarm Installation � Waste Tire Storage ANNUAL
� Fire Pumps
� Fire Works — SPR�t�L �t'� �
� Flammable Application- ANNUAL r Valuation of Project
Fuel Tanks
Q Other:
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Contractor
Company
Signature Registered Y/ N Fee Current Y/ N
Address
License #
ELECTRICIAN Company
Signature Registered Y/ N Fee Current Y/ N
Address
License #
PLUMBER Company
Signature Registered Y/ N Fee Current Y/ N
Address
License #
MECHANICAL Company
Signature Registered Y/ N Fee Current Y/ N
Address
License #
Vendor Company TNT Fireworks
Signature Registered Y/ N Fee Current Y/ N
Address 6255 SE 78th Street, Ocala, FL 34474 License #
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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 rivo (2) sets of drawings with applicable documentation
Allow 10-14 days for review after submittal date. Parcel #- obtained from Property Tax Notice (http:/lappraiser.pascogov.com)
;i[JBMITTED PLAN(S) HAVE BEEN REVIEW�
- Site plan at store - placement dictated by Fire Marshals office �Y ZEPHYRHIL S RE ARSHAL'S OFFICE _
- State Sparkler Licence attached Date: �J
- Product List attached
',�viewsr:
' � - REPRINT - PACK LIST - REPRINT -
21362 Order #: 1311945-53-00002
Chain Store Sales-FL Chains Order Date: 10/21/11
CUST PO:
Terms: Net 30 Days SLSMN: Chain Stores - East
Sold To: 1420037 Ship To: 976089 - KMT3761
KNlART STORES - COMPANY 0002 KMART 3761
3333 BEVERLY ROAD, C4-250A 7422 GALL BOULEVARD
HOFFMAN ESTATES, IL 60179 ZEPHYRHILLS, FL 33541
Desc/Case Packing Item Quantity Selling Suggested
CP # Ordered Units Sell Price
--------------------------------------------------------------------------------
*************************** Novelties ***********************
2 PAK SNAP 225 FDP J09 320514 1 CS 225 EA 1.00
225/2/50 2343126
*************************** Sparklers ***********************
#8 SPRKLERS ASST BOX FDP JO 380236 1 CS 120 EA 2.00
120/6/5 2480675
*************************** Counter Cases ***********************
DSP 50 SS MED FL J11 671790 1 CS 1 CS 2287.02
1/1
Containing:
BOOMIN SALUTE SS J10 USA 102073 8 EA 8 EA 59.99
6/1 2481231
SHOW OF FREEDOM USA SS J09 101831A 8 EA 8 EA 39.99
10/1 2481234
FREEDOM RINGS SS USA J09 101832A 12 EA 12 EA 24.99
16/1 2459780
PARTY PAK SS-USA J09 101933 10 EA 10 EA 15.99
16/1 2459772
SUPER VALUE PACK REV J09 200722 10 EA 10 EA 10.00
12/3 2491296
STARS AND STRIPES SS J09 101833 21 EA 21 EA 9.99
24/1 2481229
CAL ROCKET FTN - BAG OF 4 200500 30 BG 30 BG 5.99
2/30/4 2525034
PIT STOP #2 5 PK SS SM PDQ 320530B 28 EA 28 EA 5.00
4/28/5 27736023288
GROUND BLOOM FLOWER-30 CT 290066 15 EA 15 EA 5.00
2/15/30 2459792
DUST DEVIL 200724 9 EA 9 EA 5,99
15/1 3559591
SMOKE BALLS BX OF 9 SM PDQ 351043B 40 EA 40 EA 2.00
4/40/9 2480670
4 FOR 2 VALUE PAK ( R.AIN ) J 2 0 0 8 5 0 2 7 EA 2 7 EA 5. 0 0
36/4 3559583
14 IN DBL PK MORNING GLORY 380250 54 EA 54 EA 1.00
4/54/10 2480673
Page No 1
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Order ##: 1311945-S3-00002
Desc/Case Packing Item Quantity Selling Suggested
�P # Ordered Units Sell Price
---�-----------------------------------------------------------------------------
SIGN - NO SMOKING 730099E 2 EA 2 EA 0.00
1/1
Case Totals: 3 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)(il)
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
DECLAR.ATION 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
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November 28, 2011
Jackie
Building Dept
5335 8th Street
Zephyrhills, FL 33542
Dear Jackie,
Enclosed pfease find all permitting information for the Wal-Mart & K-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.0 BOX 1318 • 4511 HELTON DRIVE • FLORENCE, AL 35630
PHONE (256) 764-6131 • FAX (256) 760-0154
www.tntf i rewo rks. com
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Z����°���RHtLLS FIRE DEPAfZTMENT
69Q7 pairy Road, Zephyrhilis, F� 33542
Fio�e Chief Kes�h Williams �us (813)780�0�41 �ax (813)780-U044
FIRE SERVICE USER FEES
Occupancy No.:
Plan No.: //� I.� � Contractor: %/� l i�i�E�f.�.�
Business Name: �--h, �,-F-- Billing Address: � LS� �,i,� o�� .�
Business Address 7�ZZ Ga r� G�� p-�M- � ���7�
Business Phone No � Billing Phone No.:
Business Fax No.: Billing Fax No.:
Contact: Contact:
PLAN REVIEW FEES INSPECTION FEES PERMIT FEE FALSE ALARM FEE
8 Site Plan N/C Annual N!C Sprinlder $50 1st Alarm N/C
Multi .06 Sf 1 st Re-inspection N/C Standpipes $50 2nd Alarm N/C
(Minimum Charge $25.00 2nd Re-inspection $100 Fire Pump $50 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 viotations comected) Natural Gas �SO NON COMPLIANCE $150
26 plus Heads $100 SPRINKLER SYSTEMS Fuel Tanks- �� ��k
STANDPIPE SYSTEM Hydro Undergrounds $45 Sparklers $100
� Per Riser $50 Hydrostatic Test $65 per system Fire Works
FIRE PUMP Acceptance Test $45 per sys[em Camp Fire $25
� Per Pump $100 HydraM Flow $75 Controlled Bum $100
FIRE ALARM SYSTEM Hood/Duct $50
B 0- 25 Devices $50 FIRE ALARM SYSTEM Place of Assembly �SO Annual
26 plus Devices $100 System Acceptance S50 Fire Protection $25
SUPPRESSION SYSTEMS Recall Acceptance $50 Flammable Application $SO Annual
Wet $50 OTHER Waste Tire Storage $�JO Annual
Dry $50 Fire WalUSmoke Wall $15 Per wan Generator < K1N $100
CO2 $50 LP Gas $25 per tank GeneratOr >30 K4V 150
Other $50 Natural Gas $25 �� 5ys�m Bio-Hazard Waste $100 Annual
KITCHEN EXHAUST Fumigation Tenting $50
� Hood/Ducts $50 Tent 10'x10' 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
� Natural Gas Installation $50 Re-inspeCtion DBL
(Per System) (otherthan annual)
� Spray Booth $50 � Inspection scheduled DBL 8
and cancelled less than
24 hours
— 8 Construction Insp. N/C
Emergency Vehicle Ac� $50 FALSE ALARM
PLANS TOTAL [_ � INSPECTION TOTAL � PERMIT TOTAL �� TOTAL �_ _,
GRAND TOTAL
Comments.
Date: � � ��'
Ins��ctor• `' � �' /�"� �;
Zephyrhills Fire Rescue
6907 Dairy Road, 7ephyrhills FL 3354?
Fire Marshal Bus (813) 780-0041
Kcrry Barnctt Fax (8l3) 780-00�4
F.,-mail: kbarnett(c7;fire.zephyrhills.tl.us
Plan Review #: 11-133
Project: Retail Sales - Sparklers
Number of Pages: Packet
December 9, 2011
I have received and reviewed the plans for the retail sales of sparklers located at 7422 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 receiving
permit, applicant 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. Permit will be posted after inspection at location of sparklers.
2. A fire extinguisher shall be placed at location of the sparklers and shall be readily
accessible.
Inspection Required:
1. A site inspection is required once merchandise is placed on the sale floor. Failure
to contact this authority will result in a monetary penalty that could result in
hundreds of dollars.
�
i
KERRY B NETT, 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.