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FIRE ALARM AND EMERGENCY COMMUNICATION SYSTEM RECORD OF COMPLETION <br /> To be completed by the system installation contractor at the time of system acceptance and approval. <br /> It shall be permitted to modify this farm as needed to provide a more complete andlor clear record. <br /> Insert N/A in all unused lines. <br /> Attach additional sheets,data, or calculations'as necessary to provide a complete record. <br /> 1. PROPERTY INFORMATION <br /> Name of property: ZEPHYRHILLS WATER (LOADING DOCK EXP/RESTROOMS <br /> Address: 4330 20TH AVE ZEPHYRHILLS,FL <br /> Description.ofproperty: WATER PLANT -- -_---_� -- v — - -_-- -- _— <br /> Occupancy type: BUSINESS <br /> Name of property representative: LLOYD BROWN <br /> Address: <br /> Phone: Fax: E-mail: <br /> Authority,having jurisdiction over this property: PASCO COUNTY <br /> Phone: Fax: E-mail: <br /> 2. INSTALLATION, SERVICE;AND TESTING CONTRACTOR INFORMATION <br /> Installation contractor for this equipment: JCI <br /> Address: .: 10600 UNIVERSITY CENTER DR <br /> License or certification number: EF 20061119 <br /> Phone: Fax: E-mail: <br /> Service organization for this equipment: <br /> Address: <br /> License or certification number: <br /> Phone:. : :. Fax E-mail: . <br /> A contract for test and inspection in accordance with NFPA standards is in effect as of- <br /> Contracted:testing:company: <br /> Address: <br /> Phone: Fax: E-mail: <br /> Contract expires: " _ _ Contract number: __ Frequency of routine inspections: <br /> 3. ,DESCRIPTION OF SYSTEM OR SERVICE <br /> ®Fire alarm system(nonvoice) <br /> ❑Fire alarm with in-building fire emergency voice alarm communication system(EVACS) <br /> ❑Mass notification system(MNS) <br /> ❑Combination system'with the following components: <br /> ❑Fire alarm . ❑EVACS ❑MNS" ❑Two-way,in-building,emergency communication system . <br /> ❑Other.(specify): <br /> NFPA 72, Fig. 10.18.2.1.1 (p. 1.of 12) <br /> copyright©2009 National Fire Protection Association.This form may be copied for individual use other than for resale.It may not be copied for commercial sale or distribution.' <br />