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16-17664
Zephyrhills
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2016
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16-17664
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Last modified
8/10/2017 10:27:35 AM
Creation date
7/18/2017 7:09:40 AM
Metadata
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Template:
Building Department
Company Name
FLORIDA HOSPITAL ZEPHYRHILLS
Building Department - Doc Type
Permit
Permit #
16-17664
Building Department - Name
FLORIDA HOSPITAL ZEPHYRHILLS
Address
7050 GALL BLVD
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i -;.--,-.� - --`—�-..•---- ------ '------ - ----�1 <br /> - -'-'-."'--- -- - i <br /> i ' ' • <br /> I • • <br /> I � E�ECTRIC <br /> ��/j���r� ( EFiQ'a1PlEERING <br /> ''!�' LI�E oSA�ETY � TECF7P10LOGY <br /> I i AUTOMATIOM <br /> i <br /> LtFE SAFETY <br /> I <br /> 1� RECORD OF SYSTEM OPERATION <br /> ; All operational features and functions of this system were tested by in the presence of the signer shown below, <br /> " on the date shown below, and were found to be o erating properly and in accordance vvith the requirements of: <br /> �NFPA 72 �NFPA 70,National Electrical Code,Article 760 <br /> �Manufacturer's published instructions �Other(please specify): <br /> � ❑Docume c nc 'th Inspection and Testing Form(Figure 9�.6.2.4)is attached <br /> N Signed: ,�.��.-' , �9 Printed name: Rollie J Blake Date: ,�� /� <br /> Organization: APG Life Safety jitie; Forman <br /> , Phone: 727-423-8486 <br /> 13 CERT'9FICA7'ES i�RID APPRO�/ALS <br /> , _ <br /> " 13.1 Systeeaa Ieast�E6atoon Contra�tor <br /> � Organization: APG Life Safety Title: Forman Phone: 727-423-8486 <br /> 93.� Sysgea�a Se�race Co�tractor <br /> This system as specified herein has been installed and tested according to all NFPA standards cited herein. <br /> Signed: Printed name: Date: <br /> Organization: Title: Phone: <br /> 'L3.3 Central�gaon <br /> 7his system as specified herein will be monitored according to all NFPA standards cited herein. <br /> Signed: Printed name: Date: <br /> „ OrganizaSon: Title: Phone: <br /> N <br /> � 93.4 Prope�Representa#ive <br /> This system as specified herein has been installed and tested according to all NFPA standards cited herein. <br /> i Signed: Printed name: Date: <br /> � <br /> '� Organization: Title: Phone: <br /> �� <br /> 'l3.5 Au�6aore�y Having Jurisdaction <br /> I have witnessed a satisfactory acceptance test of this system and find it to be.installed and operating properly � <br /> in accordance with its approved plans and specifications, its approved sequence of opsrations,and with all NFPA <br /> standards cited herein. <br /> Signed Printed name: Date: <br /> i <br /> � Organization: Titie: Phone: ;� <br /> �I <br /> � <br /> � <br /> .,�� <br /> Cantractots ECX.NJLLWSb'E�tgf�ers L'�1��J4"l'�825 1ADtt�A�icnLn 4lo�ih i�`f�eit4�ter,r"c•,ri��337��C�T 72i a�.G377 3 F��i'.�U.G7��5 I d�i��r,a�tgeleculacom ,� <br /> Page 5 of 5 � <br /> I <br /> i <br />
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