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l ' n <br /> Occupancy No.:Op <br /> ZEPHYRHILLS FIRE SAFETY REPORT <br /> 5335 8T" STREET, ZEPHYRHILLS, FL. 33542 WORK (813) 780-0020 FAX: (813) 780-0021 <br /> Business: ti Em. Contact: <br /> Address: S —� t <br /> / Emergency contact phone# : <br /> Tel No.: 6 (3- ®b6CM Other Information: <br /> The fire safety inspection has been completed utilizing the Florida Fire Prevention Code and any <br /> applicable NFPA code and/or standard. Should you have any questions, you may contact the <br /> telephone number above. <br /> Y/N/NA Y/N/NA Date <br /> 1. Address,front/rear("6"inch minimum) 13. Emergency Lights <br /> 2. Knox Box(keys inside, labeled) 14. Fire Extinguishers <br /> 3. Lightweight Truss Sign 15. Electrical (other) <br /> 4. Fire Lane Access (marked-unobstructed) 16. Storage Issues <br /> 5. Hydrants Accessible 17. Mech/Elect Rms Labeled <br /> 6. FDC Accessible 18. Hood Cleaned/Tagged <br /> 7. Private Hydrant(painted/tagged/test) 19. Fire Alarm/Tagged <br /> 8. Exit Doors Open Freely 20. Hood Suppression/Tagged <br /> 9. Egress Unobstructed 21. Fire Sprinkler/Tagged <br /> 10. Extension Cords/Multi-plug Adapter 22. Suppression (other) <br /> 11. GFI's by Water Source 23. Occupancy Load sign posted <br /> 12. Exit Lights 24. Other <br /> Violation comments shall be noted base on the corresponding number above. Place date of <br /> last inspection for fire protection items in space provided above. <br /> 1.Es O O <br /> �No Violations <br /> Your fire safety inspection determined there were some violations. <br /> The Fire Safety Inspector will be contacting you to advise of the time frame in which the violations noted <br /> shall be corrected.A re-inspection will be conducted after that time frame. Failure to correct in <br /> time frame given may result in fees being assessed. <br /> Reinspect Date: <br /> Report Completed By - Date: <br /> r <br /> Accompanied B Time: <br /> Inspection Acknowledged By: Date: <br />