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<br />ZEPHYRHILLS FIRE DEPT
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<br />Zephyrhills Florida 33540 (813) 782-8184
<br />FIRE CODE INSPECTION
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<br />Business Name 1/ /" /) 7;'//.,/1..-- /' /~dr ' C-'
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<br />Address ~.,..;, ,. 2 / (-;; /I //
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<br />Classification /-;>"-"7/,,</ e;::;;
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<br />Business Phone
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<br />Owner/Manager l7.~'/f' /IA;::1' (", '/' /~e , .
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<br />Emergency Contact Phone 7<? ':;>- /':;-2 '-I
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<br />Occupancy Load
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<br />Alarm Monitoring Co.
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<br />Phone #
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<br />TYPE OF INSPECTION CONDUCTED
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<br />o QUARTERLY
<br />ORE-INSPECTION
<br />~ APPROVED
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<br />~' FINAL 0 ANNUAL
<br />o OTHER
<br />o NOT APPROVED
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<br />OBI-ANNUAL
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<br />o COMMERCIAL CHECK
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<br />Listed below are items which must be complied with before this occupancy can be approved by the Fire
<br />Department.
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<br />o CODE VIOLATIONS
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<br />This inspection report specifies code violation(s) which if not corrected could cause a fire, contribute to the
<br />spread of fire, or prevent safe egress during a fire. Your immediate attention to the correction of these
<br />violations shall be required, as failure to do so is a violation of the city of Zephyrhills Fire Prevention Code.
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<br />Inspect. Date
<br />Re-Inspect. Date
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<br />l/ .,. Inspect. Time / ",<,-",/) Fire Dept. ID.#
<br />Inspectors Name..r? / /c.' <, /r-c;, ,-,
<br />I},...", r ,-., ,f C Ot,\(Jc Title
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<br />Owner/Manager Signature
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<br />This building has been checked by the Zephyrhills Fire Dept. under the codes & regulations of the NFPA minimum
<br />standards, the State Fire Marshall's Uniform Fire Safety rules and other local fire safety codes.
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<br />White Copy .. File Yellow Copy .. Bid. Dept. Pink Copy _ Business
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