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<br />ZEPHYRHILLS FIRE DEPARTMENT <br />38410 SIXTH AVE <br />PH. 813-780-0035 ZEPHYRHILLS, FL. 33540 FAX 813-780-0036 <br /> <br />..- <br /> <br />':'",.,.- <br /> <br />~z <br />..!~, <br /> <br />Business Name~< .-'? <br /> <br />Owner/Mgr <br /> <br />Address <br /> <br />1:"- ~ <br /> <br />Occupancy Load <br /> <br />,) ~~._-- <br /> <br />',. - <br /> <br />Bus. Phone <br /> <br />Emergency Phone <br /> <br />Date Pos~ <br /> <br />\ <br />'-- <br />"" <br /> <br />Contact Person <br /> <br />Alarm Company <br /> <br />Phone # <br /> <br />Type of Inspection Conducted <br />, <br /> <br />Annual <br /> <br />, <br />". <br />Reinspect _ Quarterly _ Final-L' Commercial Check <br /> <br />APPROVED ,.../ NOT APPROVED_ <br /> <br />Other <br /> <br />OK /NOT OK <br />,../ / Exit Signs <br />--,-- 1- <br />-..L _ Emergency Lights <br />Heat Detectors <br />-- <br />_ L Sprinkler System <br />f . <br />---L EXIts <br />Window Size <br />Control Valves <br />_ Water Supply <br />Duct Detectors <br />_ Exposures <br /> <br />OK NOT OK <br />.....L .. _ Fire Extinguishers <br />---.L.../ Smoke Detectors <br />_ _ Alarm Systems <br />_ L- Hood System <br />/ <br />-L' _ Storage <br />Pressure Test <br />Fire Dampers <br />..-,~ / Fire Walls <br />~. _ Address posted <br />_,/ Hydrants <br />-- <br /> <br />OK NOT OK <br />_ __ HV AC Shutdown <br />_ __ Smoke Doors <br />_ __ Elevators <br />_L'<_ Electrical <br />_ __ Tamper Switch <br />_ __ Inspectors Test <br />_ __ Smoke Separation <br />Extension Cords <br />--- <br />_ __ Tenant Separation <br />Smoke Evac. <br /> <br />Code violations specified in this report, if not corrected could cause or contribute to the spread of fire, or <br />prevent safe egress during a fire. Your immediate attention to the correction of these violations shall be <br />required, failure to comply is a violation of the City of Zephyrhills Fire Prevention Code. <br />- . <br />Comments:] C ,- '- ,r /'j;' <br /> <br />Inspection Datec:./<''':/~,~ . Time ofInspection ~~;? :;- Re-InspectlOn Date <br />,,,,,.--, ,""" .~~ ....l ~~ <br />---....., .'--',~ -~ /" ,." <br />Inspectors Name ._~./ .r ~.,~ ,~ A':;" _--<'~- ..........'. . Fire Department I D # <br />/' -('" "." / " :JI ' -,,' <br />Owners / Mgr Name ./ ".J.-.-..... /r/ -"L, ,....~/ ~ . ~~ _ Title <br /> <br />This building has been assessed by the z,Phyrhills Fire Department. Utilizing the Codes and Standards of, <br />Standards, the State Fire Manhals Uniform Fire Safety Rules and other local fire safety codes. <br /> <br />White Copy - File <br /> <br />Yellow Copy - Business <br /> <br />.-.,- <br /> <br />,'~' -- <br /> <br />NFPA Minimum <br />Revised 08-12-99 <br />