HomeMy WebLinkAbout14-15343 i
� ' CITY OF ZEPHYRHILLS
5335-8TH STREET
(sis)�so-oo20 �43
FIRE SPARKLERS PERMIT
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Permit Number: 15343 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: ' - � �' aOWNER:INFORMATION=r��^���� '�{��y���§:.s
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Date Issued: 6/03/2014 � Name: WAL-MART
Total Fees: 10 :00 � � Address: 7631 GALL BLVD
Amount Paid: 10�00 �`� ZEPHYRHILLS, FL. 33542
Date Paid: 6/03/2014 Phone: (479)204-1063
Work Desc: FIRE SPARKLER TEMPORARY SALE -WALMART
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-��'��;'�=:CONTRACTOR S - ' ��� APPLICATION:FEES � � --k:° = :��
TNT FIREWORKS WALMA T) FIRE PERMIT FEES 100.00 ��Q F �"� _•],
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�`�;���,=��,§:,.�,�, Ins ections Re uired ' - � - r :`�#.``
F RE INVENTORY ONSITE INSP '
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,does not contain any explosive compounds,does 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.
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C 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
, �
' April 29, 2014
, 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.tntfi rewo rks.co m
2014 TNT Fireworks
Sparkler Sales Locations
Chain Store# Address City ST Zip County Local Jurisdiction In Store Date
K-Mart KMT3761 7422 GALL BOULEVARD ZEPHYRHILLS FL 33541 Pasco City Week of May ist
Wal-Mart WAL0706 7631 GALL BOULEVARD ZEPHYRHILLS FL 33541 Pasco City Week of May 5th
Page 1 of 1
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INSTURCtI0N8:W�I-Mar�ganerativ alat�lhe sales d�splavs� naumer flre�rarlca or�d►tcis�t tha tront oi th�atores
on#he iront side al�tec tActian Alisv�no�rth�en��r��ot��t whtcfi le i�own a�the seasonat al�tla This is a g�
overview of a tvnical Wal-Mart Suo�r Cente�r amd�sduct�laa��pt mav/sharld ba dic�ed by ir�shucNan af the
tnspsctor deaer�dln�on ttra�ndEvFdusE taaalioa�s neede and or stor��tu� .
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- REPRINT - TNT FIREWORK� PACK LIST - REPRINT -
21362 Order #: 1792771-S3-OOQ02
'� Chain �tore Sales-FL Chains Order Date: 4j8/14
Terms : Net 60 Days CUST PO: 4903886258
SLSMN: Chain Stares - East
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�i Sa1d To: 1410002 �hip Ta: 1056�90 - WALO'706
�� WALMART - CORPORA.TE 00001 WALMART 0706
702 SW 8TH STREET 7631 GALL BLVD
BENTONVILLE, AR 72716 ZEPHYRHILLS, FL 33540
'i De�cjCase Packing Item Quanti�y Selling Sugges�.ed
• CP # ordered Units Sell Price
------------------------------------ --
� *****�**�****************** Assortments ***********************
BACKYARD SHOW WOPDQ USA SS Jl 102015A 12 CS l20 EA 19 . 9700
�Q�1 70055727
BLAST ZONE USA SS J10 102018 4 CS 40 EA 29 . 9700
10/1 70046873
FUN BLAST SS COM WjPDQ J1.2 102205 5 CS l20 EA 9. 9700
24/1 550437037
RED WHITE BQOM SS J10 102019 4 CS 24 EA 49. 9700
6/�. 5505034�8
THE ULTIMATE SHOW J14 1Q2328 1 CS 4 EA 79. 97f}4
4/�. 552479743
- *******�**********�******** Base Foun�ains *�*********************
JUMBO 20 RKT FTN PDQ J09 200815 1 CS 48 EA 5 . 0000
gs/� ��o�a3�$�
MINI CALIF(JRNIA RKT 3PK J13 200849A 1 CS �44 EA 2 . 0000
�Jz�f3 70007715
*************************** California Candles ***********************
JUMBO CALIF CANDLES 3PK SS Jl 230019A 2 CS 96 EA 5 . 0000
'� 48/3 550437032
� ���**��*��**�������������r�� Ground Spinners *�:�*��������r�����������
GR(�I:IND BLOOM FLflWER 2 0 CT BOX 2 9 015 7A 2 CS 8 0 EA 5 . 4 0 0 Q
2/20/20 551358$33
�***��**�**�***�******��*�* Smoke �*�*���*��***���***���*
SMC?KE BALLS BOX OF 8 J12 351Q52 2 CS 192 EA 2 . 00Q0
4/24/8 550437025
*************************** Sparklers ***�*******************
#20 NEON SPARKLERS J11 380266 2 CS 96 EA 5 . 0000
48/7 70d77709
#8 SPRKLERS ASST BOX PDQ J09 380247 7 CS 588 EA 2 . 0000
� 84/6f5 5545Q34$1
14 IN SUPER PAK MG J12 380265 2 CS 2S6 EA 2 . 0000
2/54/20 7007774�
r
Page No 1
- 1•Lr;YK1N'1' - '1'N'1' r'IREWORKS PACK LIST - REPRINT -
� � . Order # : 1792771-53-00002
Desc/Case Packing Item Quantity Selling Suggested
CP # Ordered Units Sell Price
------------------------'--------------------------------------------------------
*****************�********* Counter Cases ****�***�r******�****�**
COUNTER CS WM (CFFGB) 2 PDQ J1 672378 1 CS 1 EA 230 . 0000
1/1
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
*************************** Promotional Supplies ************��*********
SIGN -SPARKLERS NO SMOKING 730643E 2 CS 2 EA 0 . 0000
1/1
Case Totals : 46 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
afslhqC�afsl .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
Page No 2
: i•
� r 813-780�0020 Ciry of Zephyrhills Fire Fax-813-780-0021
Permit Application
Date Received Phone Contact for Permit 800 868 _ 9151
r�. _._1_._.,._____ ...v.�d_ - —._.� ...._.,._.__._. - - -- _____._�
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
r� �. - - �------°-,
JobAddress 7631 Gall Blvd �ot# �
Sub Division Parcel#
r-`-- --.-_____, - _____._�.. . ____.�
� Bio-Hazard Waste Storage-ANNUAL � Hazardous Material(Tier II or RQ Facility)ANNUAL
� Comm Exhaust Kitchen Hood/Duct � Hood Installation
� Controlled Burn � LP/Naturai Gas-Installation � n ��
� Emergency Generator<30 kw � LP/Natural Gas-ANNUAL Sale � / �
� Emergency Generator>30 kw � Places of Assembly-ANNUAL
� � Fire Protection Maintenance-ANNUAL � Recreational Burn
tr y emi � er
Sprinkler � ❑ ❑ ❑ � Sparklers Inside Retail Sales of State Approved Sparklers
Fire Alarm � ❑ ❑ ❑ � � Sprinkler System Installations
Hood Cleaning � ❑ ❑ ❑ � � Standpipes(Sprinkler Sys)
' Hood Suppression � ❑ ❑ ❑ � � Torch RoofinglTar Kettle
� Fire Alarm Installation � Waste Tire Storage ANNUAL
� Fire Pumps �
XX Fire Works-SpARKLERS /� c� 7�
� Flammable Application-ANNUAL �(.> W t Valuation of Project
� Fuel Tanks
Q Other:
e-�, �.� _ .... __�.�_______. __ ��_�_._.=..�
Contractor Company
Signature Registered Y/N Fee Current Y/N
Address License#
ELECTRICIAN Company
Signature Registered Y/N Fee Current Y/N
Address Lice�se#
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 �icense#
__.__._.. _ _.�_��_______..__.._._. .�____......,�..._._..,..�.__.��..,,._.�..�.__�_,._..�..�_�_.__.��__ _._.__._.__._._.._.. -°�-�.���
Directions;
Fill out application completely.
Owner 8�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://appraiser.pascogov.com)
-Site plan at store-placement dictated by Fire Marshals office
-State Sparkler Licence attached
-Product List attached