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Home My WebLink About13-14172 � CITY OF ZEPHYRHILLS 5335-8TH STREET . (813)780-0020 14172 FIRE SPARKLERS PERMIT Permit Number: 14172 Address: 7838 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: 35-25-21-0010-00700-0000 Improv. Cost: Date Issued: 5/15/2013 Name: PRIMERICA GROUP ONE Total Fees: 100.00 Address: 3629 MADACA LN Amount Paid: 100.00 TAMPA FL 33618 Date Paid: 5/15/2013 Phone: (813)933-0629 Work Desc: TEMPORARY SALE SPARKLER-FIREWORK- PUBLIX i� i �j�'�l .� � � ` �' �� ,� s� 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,does not contain any explosive compounds,does not detonate or eacplode, 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 lj' � l l � ��.. -�- NTRACTOR SI ATURE PERMIT OFFICE PERMIT EXPIRES IN 30 DAYS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED ZEPHYRHILLS FIRE RESCUE - 813-780-0041 ZE��11fRHILLS FIRE DEPARTMENT � 6907 Dairy Road, Zephyrhilis, FL 33542 Fire Chief Kei�h Wiiliams Bus ($13)780-0041 Fax(813)7�0-0044 FIRE SERVICE USER FEES Occupancy No.: � Plan No.: contractor. Tl�(`7� f7��C,J �� Business Name: U i� 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 8 Site Plan N/C Annual N/C Sprinkler S50 1 st Alarm N/C Multi-Family/Commercial .06 Sf t st Re-inspection N/C Standptpes E50 2nd Alarm N1C (Minimum Charge 525.00 2nd Re-Inspection a100 Flre Pump S50 3rd Alam1 N/C �Plan Revisions DBL 3rd Re-inspecNon 5250 Hoods S50 4th Alarm y�pp 4th Re-Inspection a500 Flre Alarm �p �q�� $�� SPRINKLER SYSTEMS (Business closed until LP Gas S50 Qh Ala►m s2pp 8 0-25 Heads S50 vidations�rreCtad) Natural Gas �5p ra�cpMpuqr�c� ;�50 26 plus Heads �100 SPRINKLER SYSTEMS Fuel Tanks- �►m�k �p STANDPIPE SYSTEM Hydro Undergrounds S45 Sparklers s100 �Per Rise� a50 Hydrostatic Test S65 Persysran Fire Works �pp FIRE PUMP Acceptance Test $45 �er sys�em Camp Fire g� � Per Pump ytOD Hydrant Flow a75 CoMrolled Bum 3100 FIRE ALARM SYSTEM Hood/Duct �p 8 0-25 Devices a50 FIRE ALARM SYSTEM Place of Assemb�y a50 �,,,,u,� 26 plus Devices s100 System Acceptance S50 Fire Protection $2g SUPPRESSION SYSTEMS Recall Acceptance a50 Flammable Applicetion S50 �nnuai Wet S50 OTHER Waste Tire St � �ry �50 Fire WalUSmoke Wall a�s �e `� A^^ual r,.er wau Generator<�(yy s100 CO2 a50 LP Ges 325 patenk Gene1'ator>30 KW 15p Other S50 Natural Gas 325 �syaem Bio-Hazard Waste a100 �„�wi KITCHEN EXHAUST Fumigation TenNng S50 �Hood/Ducts a50 Ter►t 10'x10'or grester st 5 psr unt Torch Pof/Applied s50 OTHER Fire Pump 345 Haz.Materials alpp A,,,,,,si LP Installation per Iank s50 Fire Suppressbn S30 Fuel Tenk Installation 350 System Acceptance ❑ (Per Tank) �50 B Exhaust Hood/puct S30 Natural Gas Insfallation S50 Re-In8peCtiOn DBL (Per System) (other than annual) �Spray Booth a50 �Inspection scheduled DBL 8 and cancelled less than � 24 hours ConsWction Insp. N/C Emergency Vehicle Aa 350 FALSE AU1RM PLANS TOTALL� INSFECTIDN TOTAL� PERMIT TOTAL� TOTAL,C�___ _) GRAND TOTAL Comments: --Dat�� d Ins�,�ctor: .v� v �Z t = --. 4C� C�� s�a-�eo-oo2o City of Zephyrhilis Fire Fax-813-780-0021 Permit Application Date Received Phone Contact for Pertnit 800 868 9151 Owner's Name Publix#1245 Owner's Phone Number 813 782 1957 Owners Address 7838 Gall Boulevard,Zephyrhills, FL 33541 Fee Simple Titleholder Name Titleholder Phone Number � � � Fee Simple Titleholder Address Job Address 7838 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 � LPlNatural Gas-ANNUAL Sale � Emergency Generator>30 kw � Places of Assembly-ANNUAL �% ��Z � Fire Protection Maintenance-ANNUAL � Recreational Burn ry emi �n er Sprinkler � ❑ ❑ ❑ B 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 a Fire Alarm Installation � Waste Tire Storage ANNUAL � Fire Pumps � 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 78th Street, OCala, FL 34474 License# 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 reqwred(Mechanical work over$5000) Supply two(2)sets of drawings with applicable documentation Allow 10-14 days for review after submittal date. Parcel#-obtained from Property Tax Notice(http://appraiser.pascogov com) -Site plan at store-placement dictated by Fire Marshals office -State Sparkler Licence attached -Product List attached �53-01609529 - REPRINT - TNT FIREWORKS PACK LIST - REPRINT - 21362 Order #: 1609529-53-00002 Chain Store Sales-FL Chains Order Date: 4/2/13 Terms : Net 30 Days CUST PO: SLSMN: Chain Stores - East Sold To: 1420005 Ship To: 2056670 - PUB1245 PUBLIX - COMPANY 0002 PUBLIX 1245 PO BOX 32008 7838 GALL BOULEVARD LAKELAND, FL 3 3 8 0 2 ZEPHYR CONIl�IONS ZEPHYRHILLS, FL 33541 Desc/Case Packing Item Quantity Selling Suggested CP # Ordered Units Sell Price -------------------------------------------------------------------------------- *************************** Counter Cases *********************** FDP SS USA (PP RK CB SS) J12 672059 1 CS 1 CS 415 . 77 1/1 27736030514 Containing: MINI CALIFORNIA RKT 3PK J 200849 36 EA 36 EA 2 . 00 4/36/3 944812 SHORT STACK J12 200924A 54 EA 54 EA 1 . 00 216/1 27736028054 COLOR BLAST SS AG J10 102016 6 EA 6 EA 19 . 99 10/1 939669 PATRIOT PAK BAG SS-USA J09 101936A 17 EA 17 EA 9 . 99 24/1 819059 FDP SS USA(MG RK DN LR 4F2) J1 672060 1 CS 1 CS 297 . 00 1/1 27736030521 Containing: DINOSAURS FTN 3 PAK PDQ J 200816 24 EA 24 EA 2 . 00 �2�3 933517 DOUBLE PAK MORNING GLORY J 380276 29 EA 29 EA 1 . 00 4/54/8 188305 LASER RAINBOW W/YP 200573U 10 EA 10 EA 5 . 00 16/1 944810 MINI CALIFORNIA RKT 3PK J 200849 24 EA 24 EA 2 . 00 4/36/3 944812 AMAZING FOUNTAIN 4 PK J09 200037A 47 EA 47 EA 1 . 00 12/24/4 821977 4 FOR 2 VALUE PAK (RAIN) J 200850 15 EA 15 EA 5 . 00 36/4 939668 *************************** Promotional Supplies *********************** SIGN -SPARKLERS NO SMOKING 730643E 2 CS 2 EA 0 . 00 1/1 ��.e�al i!t��s'YLAN(S)HAVE$'EF1V 1RE��E�� Y ZEPHYRHILLS FIRE MARSHAL'S OFFICE Date:��\�� "�' � � ��_---...��- Page No 1 - . - REPRINT - TNT FIREWORKS PACK LIST - REPRINT - Order #: 1609529-53-00002 Desc/Case Packing Item Quantity Selling Suggested CP # Ordered Units Sell Price ----------------------------------------------------------------------- Case Totals: 2 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 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 TNT`� FIREWORKS Site Plan Worlcsheet ADDRESS__ �'�,{ 3�'.f C�I C��V C� CITY �'v ��S STATE FL ZIP �'3`�y ( PHONE �I3- �'$3-l�`�( STOf�NAME/�OCa�ON� t� °�I� !� �; 7YPE OF Ei�ENT: In-a#ore salea of F��d�Sta�e.aoproyad soarlcclers � � IIII ��-� ��s�:�s go� SPECIAL fN8TURCTI0N8 lorated■mr��r.w 7Slt from an exit g � � . � � 3 _ � � X d W � � � � � � C r � � � � 01 � � OVO A 1� OD N Gl Ll Gl D D D � � � O O O C C C r r r < G < A � � v o v � m m m a N v v v �' < < � 'r w a �o �o � 2 2 2 y� 2 G G G � � � T N � r rp t�i E d o o F � N N T T T �A r r r y w w w w w w � � � A A A f+ f+ f+ � � � v d d N N N n t� e� O O O n n � « <� n '� A � x � x °• °, °, � � 3 � < ��e� N � S � S 0 (`� �I nT '.i�4 ! �y v �j v �f� � I'� � � � April 26, 2013 Jackie Boges Building Dept 5335 8th Street Zephyrhills, FL 33542 Dear Jackie, Enclosed please find all permitting information for the locations that we will be furnishing with state approved sparklers this 4th of July 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 Director of Compliance TNTO Fireworks walker@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