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<br />ZEPHYRHILLS FIRE DEPARTMENT
<br />38410 SIXTH AVE
<br />ZEPHYRHILLS, FL. 33540
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<br />FAX 813-780-0036
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<br />PII.813-780-0035
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<br />Business Name
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<br />OwnerlMgr
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<br />Address .L'j i{ <' ,'S,tJ; / j", ' -+.~ H Occupancy Load
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<br />Bus. Phone 7 7 ~ - ':1/;) Emergency PhoneS;;J' ,&'sg~JrrS7'Contact Person
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<br />Alarm Company if.." I iil Phone #
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<br />Date Posted
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<br />Type of Inspection Conducted
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<br />Quarterly _ Final_ Commercial Check v/
<br />APPROVED l~~OT APPROVED_
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<br />Annual
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<br />Reinspect _
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<br />Other
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<br />OK NOT OK
<br />J '/ _ Exit Signs
<br />_ _ Emergency Lights
<br />Heat Detectors
<br />/ Sprinkler System
<br />1 / 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 />F ire 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 Evac,
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<br />Code violations specified in this 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 the correction of these violations shall be
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<br />required, failure to comply is a violation of the City of Zephyrh,!,lk, Fire Prevention Code.
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<br />Comments:? ,/ro;. /:::;(7/7/",,- oi"...j'," 1,,1'; )/,,/,.... ''7' ) ') Pi'/,i/( -:;::: r,or'f-:-"/';'7{//t ;,/, '" /
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<br />Inspection Date .5 // ~ :5':"/ (,.''!L, Time ofInspection /:' r>:.3 Re-Inspection Date
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<br />Inspectors Name '~~./" .,/ .',~v.J,./"___ Fire Department I. D, #..,)"" ),}
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<br />Owners I Mgr Name ,.t. ",,1/ .{~...{... !~ Z.<:, :/.z,L ~,.,\t'n,.A.../ Title
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<br />This building bas been asselllleoby tbe ZepbyrhiUs Fire Department. Utilizing the Codes and Standards of, NFPA Minimum
<br />Standards, the State Fire Manhals Uniform Fire Safety Rules and other local fire safety codes. Revised 08-12-99
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<br />White Copy - File
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<br />Yellow Copy - Business
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