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Home My WebLink About14-15806 CITY OF ZEPHYRHILLS '' : - : 5335-8TH STREE7 �'sis��so-oo20 158 6 FIRE SP�RKLERS PERMIT � I PERMIT INFORMATION { LOCATION INFORMATION Permit Number: 15806 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: OWNER INFORMATION Date Issued: 12/02/2014 Name: WAL-MART Total Fees: 130.00 Address: 7631 GALL BLVD Amount Paid: 130.00 ZEPHYRHILLS, FL. 33542 Date Paid: 12/02/2014 Phone: (479)204-1063 Work Desc: TEMPORARY RETAIL SALE SPARKLERS-WALMART CONTRACTOR S APPLICATION FEES TNT F REWORKS(WALMA T FIRE PERMIT FEES 100.00 CONTRACTOR CERTIFICATE 30.00 4 � ' � �- 1 � �-� �� Ins ections Re uired � FIRE INVENTORY ONSITE INSP I 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 sucl� as inspections, plan review,administrative fees,and other costs related to the aforementioned. Complete Plans, Specifications and Fee Must Accompa y Application. Commencement of work without written approval of the Fire Department's Fire Marshal or required permi�s 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 compo�nds,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. � I � � _.� `^� ,I.1 L�- �u�', C�-(�.�"�>>.�� f�-�'�-�-1:...- �° }� CONT CTOR SIGNATURE PERMIT OFFICER�- �' PERMIT EXPIRES IN 30 DAYS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED ZEPHYRHILLS F�RE RESCUE - 813-780-0041 rI I � � � - . , , � November 17, 2014 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 oontact 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 TIVTO Fireworks Director of Compliance walkerc@tntfireworks.com � AMERICAN PROMOTIONAL EVENTS, INC. PO BOX 1318•4511 F�ELTON DRIVE•FLORENCE,AL35630 PHONE(256)764-6131 •FAX(256)760-0154 �w.tntfireworks.com � 2014-15 TNT Fireworks New Year's Sparkler Sales Locations Chain Store# Address City ST Zip County Local Jurisdiction In Store Date Wa1=Mart —WAL0706—7b3-1-GAN.-BOULE1fARD ZEPFFYRHlLLS —F1——33541 Aasco City —WeekoEDecembeL8th _ Page 1 of 1 f � , � � _ '��H��t'�.H[{�� F��.� ��.��1��l� 6907 Dairy Road, �ephyrhills, FL 33542 FIRE SERVI �E USER FEES Occupancy Plo.: � Plan No.: Contractor: Business Name: Billing Address: Business Address: ` Business Phone No.: Billing Phone No.: Business Fax No.: Billing Fax No.: Contact: Contact: PLME REVIEW FEES INSPECTION FEE PERMIT FEE FALSE ALARM FEE BSitePlan N/C Annual N/C Sprinkler $50 1stAlarm N/C Multi-Family/Commercial .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 NIC � Plan Revisions DBL 3rd Re-inspection $250 Hoods $50 4th Alarm $100 4th Re-Inspection $500 Fire Alarm $50 5th Alarm $150 SPRIMKLER 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- per�ank $50 STNdDPIPE SYSTEM Hydro Undergrounds $45 arklers $100 � Per Riser $50 Hydrostatic Test $65 per system Fire Works $500 FIRE PUAAP Acceptance Test $45 persystem Camp Fire $25 � Per Pump $100 Hydrant Flow $75 Controlled Bum $100 FIRE ALARM SYSTEM Hood/Duct $50 0-25 Devices $50 FIRE ALARM SYSTEM Place of Assembly $50 Mnual 26 plus Devices $100 System Acceptance $50 Fire Protection $25 SUPPRESSION SVSTEMS Recall Acceptance $50 Flammable Application $50 nnnua� Wet $50 OTHER Waste Tire Storage $50 Mnual Dry $50 Fire WalUSmoke Wa11 $15 perwall 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 Annual KITCHEN EXHAUST Fumigation Tenting $50 r� � Hood/Ducts $50 Tent 10'x10'or greater $1 Pertent Torch PoUApplied $50 OTHER Fire Pump $4 Haz.Materials $100 annuai LP Installation per tank $50 Fire Suppression $3 Fuel Tank Installation $50 System Acceptance (Per Tank) $50 Exhaust Hood/Duct $3 �Natural Gas InstallaUon $50 Re-inspection DB (Per System) (other than annuaq � Spray Booth $50 � Inspection scheduled DB and cancelled less than B 24 hours Constructlon Insp. N/� I B Emergency Vehicle A� $5p � FALSE ALARM PLANS TOTAL� INSPECTION TOTAL PERMIT TOTAL l� TOTAL� � GRAND T TAL Comments: � � Date: Inspector: mn � � F �13-780-0020 _ City of�Zephyrhills Fire Fax-813-780-0021 Per it Application Date Received �Z � Phone Contact for Permit 800 � 868 � 9151 � c=�e��-•.��-°— �_n.__ �._._....�_..._.__ - - .°� _ _, �... .._.�._... Owners Name Wal-Maft#706 Owner's Phone Number 813 782 1957 Owner's Address 7631 Gall Blvd,Zephyrhills, FL 33541 I Fee Simple Titleholder Name Titlehoider Phone Number � � � Fee Simple Titleholder Address � f�..._ � - - m�-� Job Address 7631 Gall Bivd �ot# � ' Sub Division Parcel# C=y.-J.._.....�._...,_.__ ._....,��._.._ -..._.._......_...�._.. _.,.__._, ....�.....� ',.s . _,.....��....._._. ��..�., � Bio-Hazard Waste Storage-ANNUAL � Hazardous Material(Tier II or RQ Facility)ANNUAL � Comm Exhaust Kitchen Hood/Duct � Hood Installation � Controlled Bum � LP/Natural Gas-Installation � Emergency Generator<30 kw � LP/Natural Gas-ANNUAL Sale � Emergency Generator>30 kw � Places of Assembly-ANNUAL �/�$D(p � Fire Protection Maintenance-ANNUAL � Recreational Burn � tr y emi � 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 Pum XX ire Works-SPARKLERS Flamma - NUAL Valuation of Project � Fuel Tanks Q Other: � ..� .�v _.._ _ - - ------� °"`�°' 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 I Company Signature Registered Y/N Fee Current Y/N Address � License# MECHANICAL I 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# �:._ ---- _Y___ — u._..._.. _ - _ - _ _ Directions: Fill out application completely Owner&Contractor sign back of application,notarized(Or,copy of igned contract with owner) If over$2500,a Notice of Commencement is required(Mechanical�ork over$5000) Supply two(2)sets of drawings with applicable documentation Allow 10-14 days for review after submittal date. Pa Icel#-obtained from Property Tax Notice(http://appraiser.pascogov.com) -Site plan at store-placement dictated by Fire Marshals office -State Sparkler Licence attached � -Product List attached � I i �53-01891202 � �: - REPRINT - TNT FIRE ORKS PACK LIST - REPRINT - 21362 Order ##: 1891202-53-00002 Chain Store Sales-FL Chains Order Date: 9/26/14 Terms : Net 60 Days CUST PO: 8154561444 SLSMN: Chain Stores - East Sold To: 1410002 hip To: 1056090 - WAL0706 WALMART - CORPORATE 00001 WALMART 0706 702 SW 8TH STREET 7631 GALL BLVD BENTONVILLE, AR. 72716 ZEPHYRHILLS, FL 33540 Desc/Case Packing Item Quantity Selling Suggested CP # Ordered Units Sell Price *****�********�************ ssortments ********************�** BLAST ZONE USA SS J10 102018 1 CS 10 EA 29 . 9700 10/1 70046873 CELEBRA MI GENTE NY12 102242 1 CS 20 EA 19 . 9700 20/1 551358835 FUN BLAST SS COM W/PDQ J12 102205 1 CS 24 EA 9 . 9700 24/1 550437037 RED WHITE BOOM SS J10 102019 1 CS 6 EA 49 . 9700 6/1 550503498 *************************** lase Fountains *********************** JUMBO 20 RKT FTN PDQ J09 200815' 1 CS 48 EA 5 . 0000 48/3 55050�486 *************************** ( Sparklers ************��********* #20 NEON SPARKLERS J11 380266'� 1 CS 48 EA 5 . 0000 48/7 70077709 #$ GOLD SPARKLER J10 38026i 2 CS 96 IP 2 . 0000 48/6/5 ********�****************** Counter Cases *********************** DSP WM SS TR NY14 672674 1 CS 1 EA 2018 . 0800 1/1 Containing: BLAST ZONE USA SS J10 10201 20 EA 20 EA 29 . 97 10/1 70046�73 SMOKE BALLS BOX OF 8 J12 351052 96 EA 96 EA 2 . 00 4/24/8 550437025 FUN BLAST SS COM W/PDQ J1 10220� 24 EA 24 EA 9 . 97 24/1 55043'�037 BACKYARD SHOW WOPDQ� USA SS 10201�A 20 EA 20 EA 19 . 97 10/1 70055727 SIGN -NFPA SM FRWKS NO SMO 73064�E 2 EA 2 EA 0 . 00 1/1 #8 SPARKLERS ASST 2 PDQS J 38024 �A 84 EA 84 EA 2 . 00 2/42/6/5 27736022755 4 PAK SNAP 4 PDQS J14 320532J 160 EA 160 EA 2 . 00 4/40/4/50 27736b22960 Page No 1 i � - REPRINT - TNT FIRE4�TORKS PACK LIST - REPRINT - � � Order #� 1891202-53-00002 .. , . , Desc/Case Packing Item Quantity Selling Suggested CP # Ordered Units Sell Price ------------------------------------- ----------------------------------------- r- GROUND BLOOM FLOWER 20 CT 290157A 20 EA 20 EA 5 . 00 ' 2/20/20 551358833 I Cas Totals : 9 CS Total Pallets : PL Total Repa k Cases : CS DECLARATION OF COMPLIANCE American Promotional Events, Inc . , dba TNT Fireworks, certifies that all consumer fireworks identified on thisl invoice have been tested by the American Fireworks Standards Laboratory and found to conform with all applicable regulations, standards an � 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 firev�orks : 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 Laborat ry (AFSL) 7316 Wisconsin Avenue, Suite 214 Bethesda, MD 20814 301-907-9115 af slhqc�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: pendergrasskC�tntfireworks .co . www. tntfireworks . com Page No 2 1 q TNTo FlREWORKS � Site Plan Worksheet STORE NAME 1 LOCATION #LAYOUT OF WAL-MART LOCATION'S TYPE OF EVENT: In�store sales af Consu er Fireworks Walmart 706 Zephvrhllls FL REAR OF BUILDING .i=�:rM�"w_�>a;;�.�'�ctFM�_. n�.��, ��, , 1�� .w.�a��.r:....,.. , . - . __ �� 1-:�_:t+,...'Y.`.:�di�•.�.�.=.i:i� �4q�i!y,"i:i._�/Y�']-..Y �:'.9'.��5,'.'fiPd"c�r"�&�R'a?:"_ ' + �' �fi'� ::t: -�� .:»�,.". Ei'.�:a'y:�;,:,�`_".��;..r.i.:� �Ki�.�e°#��::<''..._:.z. :.i �a_ _ - - ;:�:�":.,:v .:r._...��:�-�:x„3.+;; :�1>1�...4�:"-'�.-.��*.�: - '.w t.. ' _'-:-.7::. 1�'�'�;,- ....*��_. .^.'' " i. " 'Y i: _i��r��!�k��,.: , ,:t,.�^;'�irrr�.:',�"a:;;;,,�' r;.,,� ..'."_ '-i _':� �:j:,tM,-�^'� _...Sk::�"M;,��'s..,^�w_t.'-."•i�„�i..i ..i� .� i`:� f��' .- ._ , .. ActlonAOeY(&u�tlAiale) `'3 I s y,-S �.. � FJmrorlu � 'S` � ;,. � ;�,. �'. egiaters � y�i. � - I , ' , � ' ' , 1 , , , , � i �yh '"$i �i� SiINANC[EVf .nY� }� FRON'f INSTURCTIONS:Wal•Mart aenerallv alaces the sales di clavs of consumer fireworks oroducts tn the front of the stores , on the Front stde alsles(Action AIle�1 nearthe entrancelexit whlch Is known as the seasonal alsle.This is a e� � overview of a t ical Wal-Mart Su er Center and roduct lacement ma /should be dictated b instruction of the Inspector deoendine on the indEvtdua!locations needs�and or store setuo �:;1�� _ _ �� _ i ��ry:.M ',,�,;:R, �i �.� �:��:� C 5�C�,f�S4a .s,�� r�. � �.. - � - � -.:��T�;� �-_-:�: .�.��: �:�:�_��::�.�_; _ . 1� , :'.�L.:7 r.!.0,c�,� }r�!`•:-�'ii: � � ��j ��[ �.._- .�-:�':��'�.;.F2.�.�"��.�.,�`� -- � . . �'t i: ��"; -.N E 4'L��S�_1�%��—'! " ', � l