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, <br /> � , <br /> i . - • � `��..�c�ic <br /> ���,.: �EtiF�tA4EERIt�dC� <br /> ���-' L.B�� SA�E`TY � TECB-ItVOIOGY <br /> � <br /> � AIiTOMATIOM <br /> � � LIFE SA�EfY <br /> C 4��.I / . <br /> \� � � Fire Alarm Syste Record of Completion <br /> � <br /> � To be completed b system installa' contractor at ti�e time of system acceptance and approval. <br /> i <br /> � 1 PROTECTED PROPERTIf INFORIlA�1TION <br /> � Name of Property: Florida Hospital Zephyrhills <br /> ti <br /> i Address: 7050 Gall Boulevard Zephyrhills 33541 <br /> Description of Propei-ty: Hospital <br /> Occupancy type. Health care <br /> Name of Property Representative: Klaus Mehlhorn _ <br /> Address: 7050 Gall Boulevard Zephyrhills 33541 <br /> I Phone: $13-�83-6�89 Fax: 813-783-6106 E-mail: �laus.mehlhorn@ahss.org <br /> Authority having jurisdiction over this property: <br /> X Phone: Fax: E-mail: <br /> � FIRE 14U4RM SYSTEM INSTALLATION,SEFtVICE,AND TESTING INFORMATION , <br /> Installation contractor for this equipment: APG Life Safety <br /> � Address: 4825 140th Ave N <br /> d Phone: 72�-530-0077 Fax: 72�-530-0045 IE-mail: Lifesafety@apg.company <br /> Service organization for this equipment: CIt1t8S <br /> Address: 9318 Florida Palm Drive Tampa Florida 33619 <br /> , Phone: 813-621-6094 F�: 813-628-4661 E-mail: N/A <br /> ;� Location of as-built drawings: Engineering office Location of historical test reports: Engineering office <br /> Location of system operation and maintenance manuals: Engineering office <br /> A contract for test and inspection in accordance with NFPA standards is in effect as of� ��1�15 <br /> I Contracted testing company: Cintas <br /> Address: 9318 Florida Palm Drive Tampa Florida <br /> Phone: $13-621-6094 F�X: 813-628-4661 E-mail: ��A <br /> contract expires: ��A Contract number. N�A Frequency of Routine inspections: N�� <br /> 3 TYPE OF FIRE ALARM SYSTEM OR SERilICIE <br /> NFPA 72 Chapter Reference of System Type: �ire alarm with voic2 CommuniCation <br /> Name ofi organization receiving alarm signals writh phone numbers(if applicable) I <br /> Alarm: �(�. I 1�--� Phone: t(`St�c� y3 a � �� ' <br /> r I <br /> supervisory: �1 �'L� v'�� Phone: ��pcl �l3 a. ' �'�I <br /> Trouble: �'1� C�, � v'� Phone: l�'�� �3�-' ��� <br /> Entity to which alarms are retransmitted: Zephyrhills Fire Department <br /> Method of retransmission of alarms to that organization or location: <br /> . Csittractors ECi;��ti�h;�8��E�gf�-�:crs t;�9�r":,+�5 1�ILth%�:rams;:��;th+GI:i:;eL3Lr�.�r�1�3�l%�'L t T 7�i,5�2t;r�7��F 7��7.;��.+�U,S?anvti�a.apaetec�ri�.cvr� <br /> Page 1 of 5 <br /> 1 <br />