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Home My WebLink About12-13698 CITY OF ZEPHYRHILLS r' 5335-8TH STREET • �si3)�so-oo20 13698 FIRE SPARKLERS PERMIT Permit Number: 13698 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: Parcei Number: 34-25-21-0110-00000-0010 Improv. Cost: Date Issued: 12/10/2012 Name: SUPER WAL-MART Total Fees: 130.00 Address: 7631 GALL BLVD Amount Paid: 130.00 ZEPHYRHILLS, FL. 33542 Date Paid: 12/10/2012 Phone: (479)204-1063 Work Desc: INSIDE RETAIL SALE SPARKLER WALMART v V'�. ( � '��\ � /� �. I , , Chapter 633, Florida Statutes,authorizes the City to charge and aollect 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 buming,dces not contain any explosive compounds,dces 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. , � 1 � CONTRAC R SI NATURE PERMIT OFFICER PERMIT EXPIRES IN 30 DAYS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED ZEPHYRHILLS FIRE RESCUE - 813-780-0041 ' � �� I Z- J1-iz • (�� 9.' .3v�� „ �� November 26, 2012 Jackie Boges Building Dept 5335 8th Street Zephyrhills, FL 33542 Dear Jackie, Enclosed please 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 TNTO 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.tntfi reworks.com ZEPHYRHILLS FIRE DEPARTMENT � 6907 Dairy Road, Zephyrhiils, FL 33542 Bus (813)780-0041 Fax (813)780-0044 FIRE SERVICE USER FEES Occupancy No.: / I � , �� 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 SitePlan N/C Annual N/C Sprinkler $50 1stAlarm N/C Multi-Famiiy�Commerciai 06 sf 1st 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 violations corrected) Natural Gas $50 NON COMPLIANCE $150 26 plus Heads $100 SPRINKLER SYSTEMS Fuel Tanks- Percar,k $50 STANOPIPE SYSTEM Hydro Undergrounds $45 Sparklers $100 � Per Riser $50 Hydrostatic Test $65 Per sysiem Fire Works $500 FIRE PUMP Acceptance Test $45 ��5y5�em Camp Fire $25 � Per Pump $100 Hydrant Flow $75 Controlled Burn $100 FIRE ALARM SYSTEM Hood/Duct $50 B0-25 Devices $50 FIRE ALARM SYSTEM Place of Assembly $50 Mnual 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 $15 Per wan 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 Mnual KITCHEN EXHAUST Fumigation Tenting $50 � Hood/Ducts $50 Tent 10'x10'or greater $15 Per�ern Torch PoUApplied $50 OTHER Fire Pump $45 Haz.Materials $100 Mnual 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) (other than annual) � Spray Booth $50 � Inspection scheduled DBL a and cancelled less than 24 hours Constluction Insp N/C mergency Vehicle A� $50 - FALSE ALARM PLANS TOT i I INSPECTION TOTALL , PERMIT TOTAL;��I TOTAL� _ __i GRAND TOTAL Comments. Date� �1.. S 2c�� Inspector: ;tv�..��l-C�c�� C�'��-�-Y\� /Ilh '53-01534196 - REPRINT - PACK LIST - REPRINT - 21362 Order # : 1534196-53-00002 Chain Store Sales-FL Chains Order Date: 10/25/12 Terms: Net 60 Days CUST PO: 2753431195 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 *********************** BLAST ZONE USA SS J10 102018 1 CS 10 EA 29 . 97 10/1 70046873 FUN BLAST SS COM W/PDQ J12 102205 1 CS 24 EA 9 . 97 24/1 27736028726 RED WHITE BOOM SS J10 102019 1 CS 6 EA 49 . 97 6/1 550503498 *************************** Base Fountains *********************** COUNT DOWN SS W/YP NY10 200784A 1 CS 24 EA 6 . 97 24/1 27736021215 *************************** Sparklers *********************** #8 GOLD SPARKLER COL J11 380272 2 CS 96 IP 2 . 00 48/6/5 27736023127 *************************** Counter Cases *********************** DSP WM SS TR NY12 672674 1 CS 1 CS 2054 . 08 1/1 Containing: #8 SPRKLERS ASST BOX PDQ 380247 84 EA 84 EA 2 . 00 84/6/5 550503481 TNT SNAPS 4 PAK J09 320532 153 EA 153 EA 2 . 00 153/4/50 550503479 FUN BLAST SS COM W/PDQ J1 102205 24 EA 24 EA 9 . 97 24/1 27736028726 GROUND BLOOM FLOWER-30 CT 290066 30 EA 30 EA 5 . 00 2/15/30 703478 BLAST ZONE USA SS J10 102018 20 EA 20 EA 29 . 97 10/1 70046873 BACKYARD SHOW WPDQ USA SS 102015 20 EA 20 EA 19 . 97 10/1 70055727 SMOKE BALLS BOX OF 8 J12 351052 96 EA 96 EA 2 . 00 4/24/8 550437025 SIGN - NO SMOKING 730099E 2 EA 2 EA 0 . 00 1/1 Page No 1 ' - REPRINT - PACK LIST - REPRINT - • . Order #: 1534196-53-00002 Desc/Case Packing Item Quantity Selling Suggested CP # Ordered Units Sell Price -------------------------------------------------------------------------------- Case Totals : 7 CS Total Pallets : PL Total Repack Cases: CS DECLAR.ATION 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 af slhq@af sl .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: pendergrasskQtntfireworks.com. www. tntfireworks .com Page No 2 e�s-�ao-oozo City of Zephyrhills Fire Fax-813-780-0021 . • Permit Application Date Received � -2?"1 Z Phone Contact for Permit 800 868 9151 ,��a��.. Owner's Name Wal-Mart#706 Owner's Phone Number 813 782 1957 Owner's Address 7631 Gall Blvd,Zephyrhills, FL 33541 Fee Simple Titleholder Name Titleholder Phone Number � � � Fee Simple Titleholder Address .i,:auN�1;«IUbu�cCSBn�eF'ac%i+ Job Address 7631 Gall Blvd Lot# � Sub Division Parcel# .m,.:„,�:e,��w�ti��w��.�w.��:,��ar�7a� � 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 � + 36�� Emergency Generator<30 kw a LP/Natural Gas-ANNUAL Sale � Emergency Generator>30 kw � Places of Assembly-ANNUAL � Fire Protection Maintenance-ANNUAL � Recreational Burn �y emi �n 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 Q Other .:��.�� Contractor Company Signature Registered Y/N Fee Current Y/N Address License# ELECTRIC IAN 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 Fireworlcs Signature Registered Y!N Fee Current Y/N Address 6255 SE 78th Street,Ocala, FL 34474 �icense# aaw�:+`wwww�unnwi 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:/lappraiser.pascogov com) -Site plan at store-placement dictated by Fire Marshals office -State Sparkler Licence attached -Product List attached