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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 />Business Name <br /> <br />1<;4..-. <br />'. . ~ '....., <br /> <br />Owner/Mgr <br /> <br />., /".. ,.,,.1 , <br />~ .". /"f/<...,: J"'" <br /> <br />Address <br /> <br />-: - ? ..:;- ...'.<",J <br />" ,1.--. _ rr-- <br /> <br />Occupancy Load <br /> <br />Bus. Phone <br /> <br />Emergency Phone <br /> <br />Date Posted <br /> <br />Contact Person <br /> <br />Alarm Company <br /> <br />Phone # <br /> <br />Type of Inspection Conducted <br /> <br />Annual <br /> <br />fl-:.:'W <br />Reinspect _ Quarterly _ Final JiL Commercial Check <br /> <br />APPROVED ~ NOT APPROVED_ <br /> <br />Other <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 />~ -.-- --.... <br />c __>~ <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 />_ _ Tamper Switch <br />_ _ Inspectors Test <br />_ _ Smoke Separation <br />_ _ Extension Cords <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 /> <br />prevent safe egress during a fire. Your immediate attention to the correction of these violations shall be <br /> <br />required, failure to comply is a violation of the City of Zephyrhills Fire Prevention Code. <br />C ./ ... . ,)I,.-c, ./'. -' <br />omments: ;'-r c:..-_~,.,./ ,~>~'_ ~~/ <br />_/' <br />..,/ <br /> <br />Inspection Date <br /> <br />-. ' <br />.... J: :"f <br /> <br />/"! ~~ <br /> <br />Time of Inspection <br /> <br />.: .~ ~;:::/r; <br />..... ,.... " <br /> <br />.-,- <br />Inspectors Name ..,..,(/ ;-?/? '-;' ,l~ <br /> <br />Owners / Mgr Name. ",~l'.'~M~k::':' <br /> <br />Re-Inspectlon Date <br />Fire Department 1 D. # <br />Title ~~ <br /> <br /><, -----.- <br />., - ,., <br />....-r. ..,...".,.",":t..... ,J.I <br />~ ~...,.',"~---;, -._-c, I' <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 Manhals Uniform Fire Safety Rules and other local fire safety codes. Revised 08-12-99 <br /> <br />White Copy - Fill: <br /> <br />Yellow Copy - Business <br />