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Home My WebLink About13-14170 CITY OF ZEPHYRHILLS ✓ , 5335-8TH STREET 14170 (813)780-0020 FIRE SPARKLERS PERMIT Permit Number: 14170 Address: 7631 GALL BLVD Permit Type: FIRE SPARKLERS ZEPHYRHILLS, FL. Class of Work: FIRE-SPARKLERS Township: Range: Book: Proposed Use: NOT APPLICABLE Lot(s): Block: Section: Square Feet: Subdivision: CITY OF ZEPHYRHILLS Est. Value: Parcel Number: 34-25-21-0110-00000-0010 Improv. Cost: Date Issued: 5/15/2013 Name: WAL-MART Total Fees: 100.00 Address: 7631 GALL BLVD Amount Paid: 100.00 ZEPHYRHILLS, FL. 33542 Date Paid: 5/15/2013 Phone: (479)204-1063 Work Desc: TEMPORARY SALE SPARKLER FIREWORK-WALMART '�� . 2c � 13 �, , ,1 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,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. � � .-� ( �V�� 7�;; � � .�� CON RACTOR SIGNATURE PERMIT OFFICE PERMIT EXPIRES IN 30 DAYS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED ZEPHYRHILLS FIRE RESCUE - 813-780-0041 813-780-0020 City of Zephyrhills Fire Fax-813-780-0021 Permit Application Date Received Phone Contact for Permit 800 868 9151 r owner's Name Wal-Mart#706 Owners Phone Number $�3 782 1957 owners a,ddress 7631 Gall Blvd,Zephyrhills, FL 33541 Fee Simple Titleholder Name Titleholder Phone Number � � 1�� Fee Simple Titleholder Address Job Address 7631 Gall Blvd Lot# � Sub Division Parcel# � Bio-Hazard Waste Storage-ANNUAL � Hazardous Material(Tier II or RQ Facility)ANNUAL � Comm Exhaust Kitchen HoodlDuct � Hood Installation Controlled Burn LP/Natural Gas-Installation � � � Emergency Generator<30 kw � LP/Natural Gas-ANNUAL Sale � � Emergency Generator>30 kw � Places of Assembly-ANNUAL �/�� Fire Protection Maintenance-ANNUAL � Recreational Burn r y emi �n er Sprinkler � ❑ ❑ � � Sparklers Inside Retail Sales of State Approved Sparklers Fire Alarm � ❑ O ❑ � � Sprinkler System Installations Hood Cleaning � ❑ ❑ ❑ � � Standpipes(Sprinkler Sys) Hood Suppression � ❑ ❑ � � � Torch Roofing/Tar Kettle � Fire Alarm Installation � Waste Tire Storage ANNUAL � Fire Pumps XX Fire Works-SPARKLERS � Flammable Application-ANNUAL Valuation of Project � Fuel Tanks 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 7 Street, Ocala, FL 34474 License# Directions. Fill out application completely Owner&Contractor sign back of application,notanzed(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 �53-01604346 - REPRINT - TNT FIREWORKS PACK LIST - REPRINT - 21362 Order #: 1604346-S3-00002 Chain Store Sales-FL Chains Order Date: 4/1/13 Terms: Net 60 Days CUST PO: 6653570358 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 WOPDQ USA SS J1 102015A 12 CS 120 EA 19 . 97 10/1 70055727 BLAST ZONECOM (NOT CT) SS J13 102018A 3 CS 30 EA 29 . 97 10/1 70046873 CELEBR.A MI GENTE NY12 102242 1 CS 20 EA 19 . 97 20/1 551358835 CR.AZY FUN PAK SS N12 PDQ 102126A 1 CS 84 EA 2 . 00 4/21/5 551358836 FUN BLAST SS COM W/PDQ J12 102205 7 CS 168 EA 9 . 97 24/1 550437037 RED WHITE BOOM SS J10 102019 4 CS 24 EA 49 . 97 6/1 550503498 *************************** Base Fountains *********************** JUMBO 20 RKT FTN PDQ J09 200815 1 CS 48 EA 5 . 00 48/3 550503486 JUMBO FINALE -4 PAK- WM 200566 2 CS 10 EA 29 . 97 5/4 783462 MINI CALIFORNIA RKT 3PK J13 200849A 1 CS 144 EA 2 . 00 6/24/3 70007715 *************************** California Candles *********************** JUMBO CALIF CANDLES 3PK SS Jl 230019A 2 CS 96 EA 5 . 00 48/3 550437032 *************************** Ground Spinners *********************** GROUND BLOOM FLOWER-30 CT BOX 290066 2 CS 60 EA 5 . 00 2/15/30 703478 *************************** Smoke *********************** SMOKE BALLS BOX OF 8 J12 351052 1 CS 96 EA 2 . 00 4/24/8 550437025 *************************** Sparklers *********************** #20 NEON SPARKLERS J11 380266 1 CS 48 EA 5 . 00 48/7 70077709 mLJBMITTE�FL�N(S)ff��b�3b�i� r�.�. :�.- •. �" �Y ZEPHYRHI S FIRE MARSHAL'S OFPIt�-° Date: �'' 3 � �oa'sewa: � __._._._ Page No 1 - REPRINT - TNT FIREWORKS PACK LIST - REPRINT - < < Order # : 1604346-53-00002 Desc/Case Packing Item Quantity Selling Suggested CP # Ordered Units Sell Price -------------------------------------------------------------------------------- 14 IN SUPER PAK MG J12 380265 2 CS 216 EA 2 . 00 2/54/20 70077744 *************************** Counter Cases *********************** COUNTER CS WM(CFFGB) 2 PDQ J1 672378 1 CS 1 CS 230 . 00 2/1 Containing: CAROUSEL J12 200863A 64 EA 64 EA 1 . 00 32/1 550437044 TNT FLASHING FOUNTAIN 8 J 200814A 70 EA 70 EA 1 . 00 35/1 550437036 GROUND BLOOM FLWS BAG 6 D 290154A 96 EA 96 EA 1 . 00 48/1 550437045 Case Totals: 41 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 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: pendergrassk@tntfireworks.com. Page No 2 � TNTO FlREWORKS Site Plan Worlcsheet STORE NAME! LOCATION#LAYOUT OF WAL-MART LOCATION'S TYPE OF EVENT: In-store sales af�onsumer Fireworks Walmart 706 Zephvrhills. FL REAR OF BUILDING ■r■��e ��e r■■�■�� ■� �■�■� �� ■�e rir �� r ■r r■r �� r r��r __ �� r�■ AcNw A�{Ssreaal AWe) IR�ewarYs � Registers , , , , , , , , , � ' , �� FROIVT INSTURCTIONS:Wal Mart�enKallv olaces the aalss disola�rs M consumer fitaworks oroduds in the front of the atores on the front side alslea(Actlon Allevl near the entrancelpcit vrh(ch is known as the se�sonal aisla Thls Is a aen�ral ovenfew of�twical Wal Mart Super CeM�er and�roduct alacement may/should be d�ctatsd hnr instruc�ion af the Inaoecto�deoendlna on the indhridua!loc;ations nseds and or store setuo.