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<br />ZEPHYRHILLS FIRE DEPARTMENT <br />38410 SIXTH AVE <br />PH. 813-782- 8184 ZEPHYRHILLS, FL. 33540 FAX 813-i88-9700 <br /> <br />Business Name <br /> <br />,,--~.. <br /> <br />i'-" <br /> <br />OwnerMgr /\4.(:,... i"" ..;:"~ <br /> <br />Address <br /> <br />,r -, <br />,. -.." <br /> <br />,,'""..... :t":,k..~,(/ ;;.t,;. d,>' _' '::'1": <br /> <br />Occupancy Load <br /> <br />.,' <br /> <br />Date Posted <br /> <br />'"11I>.. . " <br />;--Emergency Phone -:-, ..2. < :"'-"-' Contact Person/~u,,,,..-:c..,,<t <br /> <br />;.jl ~"'! <br /> <br />Bus. Phone '-.;' -,'0 <br /> <br />Alarm Company <br /> <br />Phone # <br /> <br />Type of Inspection Conducted <br /> <br />Annual <br /> <br />Final <br /> <br />Other <br /> <br />Commercial Check <br /> <br />Reinspect _ <br /> <br />Quarterly _ <br /> <br />I <br />I <br />I <br />,4::;.>'1 <br /> <br />APPROVED <br /> <br />NOT APPROVED_ <br /> <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 <br /> <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 <br /> <br />OK NOT OK <br />HV AC Shutdown <br />Smoke Doors <br />Elevators <br />Electrical <br />-- <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: <br /> <br />81' ./. ......:..cr,."...'.,..' <br /> <br />":!~: .~. ..~. <br /> <br />..',." ... 'i' ,J~,'~<"I" ~:'~l <br /> <br />.~,.~ ." / .;.... I,~",d. :.. J. <br /> <br />!.. <br /> <br />Time ofInspection <br /> <br />~:,... <br /> <br />Re-Inspection Date -- ~. <br /> <br />Inspection Date <br />Inspectors Name <br /> <br />Owners / Mgr Name'-'~:::?::::'-"'::~- ---- ~.~ <br /> <br />>..---::::::.;:':;~,~- <br /> <br />Title <br /> <br />Fire Department I. D # <br /> <br />."" <br /> <br />'l~ <br /> <br />-""i'1.~ ...... i "."#....,..F <br /> <br />This building bas been assessed by the Zephyrhills Fire Department. Utilizing the Codes and Standards of. NFPA Minimum <br />Standards, the State Fire Marshals Uniform Fire Safet)" Rules and other local fire safety codes. Revised 08-12-99 <br /> <br />White CODY - Fiie <br /> <br />Yellow Copy - Business <br />