The URL can be used to link to this page

Home My WebLink About12-13697 .l- CITY OF ZEPHYRHILLS 5335-8TH STREET �si3)�so-oo20 13697 � � FIRE SPARKLERS PERMIT Permit Number: 13697 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: 12/10/2012 Name: K-MART Total Fees: 100.00 Address: 7422 GALL BLVD Amount Paid: 100.00 ZEPHYRHILLS, FL. 33542 Date Paid: 12/10/2012 Phone: Work Desc: INSIDE RETAIL SALE SPARKLER - KMART �� Z � � Chapter 633, Florida Statutes,authorizes the City to charge and collect user fees to pay for the oosts 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 buming,does not contain any explosive compounds,dces not detonate or explode, is handheld or ground based,can not propel itself through the air,and oontains not more than 100 grams of chemical compound which produces sparks upon burning. ; ry . � � � '�,/�, l� CONTRACTO SIGNA RE PERMIT OFFICER PERMIT EXPIRES IN 30 DAYS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED ZEPHYRHILLS FIRE RESCUE- 813-780-0041 ZEPHYRHILLS FIRE DEPARTMENT 69Q7 Dairy Road, Zephyrhilis, FL 33542 Bus (813)780-0041 Fax (813)780-0044 FIRE SERVICE USER FEES Occupancy No.: �-7�/� / Plan No.: -� Contractor: �/ Business Name �� Billing Address Business Address� 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 Pian N/C Annual N/C Sprinkler $50 1st Alarm N/C Multi-Family/Commercial 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 ciosed 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 TBnks- per tank $50 STANDPIPE SYSTEM Hydro Undergrounds $45 Sparklers $100 � Per Riser $50 Hydrostatic Test $65 per system Fire Works $500 FIRE PUMP Acceptance Test $45 per system Camp Fire $25 � 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 nnnuai Wet $50 OTHER Waste Tire Storage $50 Mnual Dry $50 Fire Wall/Smoke Wall $15 perwan Generator<KW $100 CO2 $50 LP Gas $25 per tank Generator>30 KW 150 Other $50 Natural Gas $25 persyslem Bio-Hazard Waste $100 Annual KITCHEN EXHAUST Fumigation Tenting $50 � Hood/Ducts $50 Tent 10'x10'or greater $15 per�en� Torch PoUApplied $50 OTHER Fire Pump $45 Haz.Materials $100 Annual lP Installation per tank $50 Fife Suppression $30 Fuel Tank Instailation $50 System Acceptance (Per Tank) $50 Exhaust Hood/Duct $30 �Natural Gas Installation $50 Re-inspection DBL (Per System) (other than annual) � Spray Booth $50 � Inspection scheduled DBL 8 and cancelled less than 24 hours Construction Insp N/C Emergency Vehicie A� $50 FAISE ALARM PLANS TOTAL� INSPECTION TOTALI � PERMIT TOTAL�� TOTA� GRAND TOTAL Comments: Date t c; L— Inspector: ��-L, �i C� c�� n.� ��v� 1 lllh \ 813-780-0020 City of Zephyrhilis Fire Fax-813-780-0021 Permit Application Date Ra:�ived l-2�7'�Z' Phone Contact for Permit 800 868 9151 „-,�w��,,.:�,y�� Owner's Name K-Mart#3761 Owner's Phone Number 813 782 1957 Owner's Address 7422 Gall Boulevard,Zephyrhiils, FL 33541 Fee Simple Titleholder Name Titleholder Phone Number � � � Fee Simple Titleholder Address �i 4,..�S,G,'t'.,a`_iM.t kuAftiAU7�ia�x,3WAiqL.. Job Address 7422 Gall Boulevard Lot# � Sub Division Parcel# ��.. � Bio-Hazard Waste Storage-ANNUAL � Hazardous Material(Tier II or RQ Facility)ANNUAL � Comm Exhaust Kitchen Hood/Duct � Hood Installation � Controlled Burn � LP/Natural Gas-Installation � � Emergency Generator<30 kw � LP/Natural Gas-ANNUAL Sale J 2 � � � Emergency Generator>30 kw � Places of Assembly-ANNUAL '� { �J � Fire Protection Maintenance-ANNUAL � Recreational Burn ry emi �n t er Sprinkler � ❑ ❑ ❑ 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 aFire Works � Flammable Application-ANNUAL Valuation of Project � Fuel Tanks µ�. . Q Other 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 St t,Ocala, FL 34474 �icense# 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 Nvo(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 �53-01535892 - REPRINT - PACK LIST - REPRINT - 21362 Order #: 1535892-S3-00002 Chain Store Sales-FL Chains Order Date: 10/26/12 Terms: Net 30 Days CUST PO: SLSNIDT: Chain Stores - East Sold To: 1420037 Ship To: 976089 - KMT3761 KMART 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 -------------------------------------------------------------------------------- *************************** Counter Cases *********************** DSP 50 SS NY12 672459 1 CS 1 CS 2032 . 55 1/1 Containing: R.AZZLE DAZZLER USA SS J10 102017 5 EA 5 EA 49 . 99 6/1 3559590 SHOW OF FREEDOM USA SS J09 101831A 10 EA 10 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 6 EA 6 EA 15 . 99 16/1 2459772 STARS AND STRIPES COM SS J 101833 12 EA 12 EA 9 . 99 24/1 2481229 SUPER VALUE PACK REV J09 200722 6 EA 6 EA 10 . 00 12/3 2491296 CAL ROCKET FOUNTAIN 3-PK 200967 30 BG 30 BG 5 . 00 2/30/3 27736028450 2 FOR 1 VALUE PAK J10 200848 4 EA 4 EA 10 . 00 12/2 27736025619 GROUND BLOOM FLOWER-30 CT 290066 15 EA 15 EA 5 . 00 2/15/30 2459792 MINI CALIFORNIA RKT 3PK J 200849 36 EA 36 EA 2 . 00 4/36/3 3559584 ASST SNAKES BAG OF 8 BOXES 320333A 30 BG 30 BG 2 . 00 3/30/8/5 2459776 DOUBLE PAK MORNING GLORY J 380276 54 EA 54 EA 1 . 00 4/54/8 27736029426 STRIKER J10 200862 10 EA 10 EA 5 . 00 24/1 3559589 DINOSAURS FTN 3 PK SM PDQ 200816A 16 EA 16 EA 2 . 00 4/16/3 2480674 SIGN - NO SMOKING 730099E 2 EA 2 EA 0 . 00 1/1 SMOKE BALLS BOX OF 8 J12 351052 24 EA 24 EA 2 . 00 4/24/8 27736028337 2 PAK SNAP SM PDQ 931247 J 320516H 82 EA 82 EA 1 . 00 4/41/2/50 2343126 Page No 1 - REPRINT - PACK LIST - REPRINT - . Order # : 1535892-S3-00002 Desc/Case Packing Item Quantity Selling Suggested , ' CP # Ordered Units Sell Price -------------------------------------------------------------------------------- #8 SPRKLRS ASST BOX W/PDQ 380236A 72 EA 72 EA 2 . 00 4/24/6/5 27736022755 Case Totals: 1 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 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