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<br />ZEPHYRHILLS FIRE DEP rmTMENT
<br />38410 SIXTH AVE
<br />PR 813-782- 8184 ZEPHYRHILLS, FL. 33540 FAX 813-788-9700
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<br />Business Name ! /el ,?-..
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<br />Address G ~r-J G
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<br />, c.. C, Jot ~ //r? -~ :i:! (~ Owner/Mgr
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<br />S ..,i0 e-/' L..r h--, Occupancy Load
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<br />Date Posted
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<br />Bus. Phone j,t)/ 13'1!
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<br />Emergency Phone 771-,~~~ Contact Person )f: /?J\) C\
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<br />Alarm Company
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<br />Phone #
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<br />Type of Inspection Conducted
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<br />Commercial Check /Other_
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<br />Annual _ Reinspect _ Quarterly _ Final _
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<br />APPROVED _ NOT APPROVED_
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<br />OK NOT OK
<br />_ Exit Signs
<br />_ Emergency Lights
<br />Heat Detectors
<br />_ Sprinkler System
<br />Exits
<br />Window Size
<br />Control Valves
<br />_ Water Supply
<br />Duct Detectors
<br />_ Exposures
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<br />OK NOT OK
<br />_ Fire Extinguishers
<br />Smoke Detectors
<br />_ Alarm Systems
<br />_ Hood System
<br />_ Storage
<br />Pressure Test
<br />_ Fire Dampers
<br />Fire Walls
<br />_ Address posted
<br />_ Hydrants
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<br />OK NOT OK
<br />_ _ HV AC Shutdown
<br />_ _ Smoke Doors
<br />_ _ Elevators
<br />_ _ Electrical
<br />_ _ Tamper Switch
<br />_ _ Inspectors Test
<br />_ _ Smoke Separation
<br />_ _ Extension Cords
<br />_ _ Tenant Separation
<br />Smoke E vac.
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<br />Code violations specified in tbis report, if not corrected could cause or contribute to the spread of fire, or
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<br />prevent safe egress during a fire. Your immediate attention to tbe correction of these violations shall be
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<br />required, failure to comply is a violation ~f the City of Zephyrbills Fir, Preyention Code.
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<br />Comments: ) ) /)u JJ C/VJ/i-r':'l :f,./ 5"l'17 j /~ ()~ i'~~>- ,lr,/ '-
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<br />Inspection Date /~ ,/,1 l..i.!f.G- '., Time onnspection
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<br />spectors ame I,.,' /. '--t...;-r/ r
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<br />Owners I Mgr Name
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<br />Re-Inspection Date
<br />Fire Department 1. D_#
<br />Title
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<br />This building has been assessed by the Zephyrhills Fire Department. Utilizing the Codes and Standards of, NFPA Minimum
<br />Standards, the State Fire Marshals Uniform Fire Safety Rules and other local fire safety codes. Revised08-t2-99
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<br />White Copy - File
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<br />Yellow Copy - Business
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