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<br />'-iI~ <br /> <br />OCCUPANCY NO.: <br /> <br />CITY OF ZEPHYRHILLS <br />FIRE RESCUE <br />INSPECTION DEPARTMENT <br />6907 DAIRY ROAD <br />ZEPHYRHILLS, FL 33542 <br />(813) 780-0035 <br />Administration: (813) 780-0041 <br /> <br />----D <br />'f j (fJ <br /> <br />******************************************************************************************************************* <br /> <br />Business Name: <br /> <br />/ .-- cFIRE SAFETY INSPECTION <br />V;' 1",-/;1'1' racel J (' r(/, Ce. Business Owner: <br />t./ 9 2L /J I,' /JtJ~ .,L k/ Telephone: <br />r <br /> <br />Building Name: <br />Street Address: <br /> <br />Zip ~35"'yt2- <br /> <br />Building Owner: <br />Telephone: <br />Emergency Contact # I: <br />Telephone: <br />Emergency Contact #2: <br />Telephone: <br /> <br />Suite: h.. ' <br /> <br />City: -? (fJh Y tt. / (Is <br /> <br />Manager: <br />Telephone: <br />Occupant Type: <br /> <br />******************************************************************************************************************* <br /> <br />TYPE OF INSPECTION CONDUCTED <br /> <br />Annual: <br /> <br />Reinspection: <br />Gas: <br /> <br />Sprinkler: <br /> <br />Commercial: <br />Suppression: <br /> <br />Code Violation: <br />Other: /-~/ <br />. <br /> <br />Approved: _ <br /> <br />Conditionally Approved: ~ <br /> <br />Not Approved: _ <br /> <br />***********~**~*****J********:***************************************7. ****;;:********~******I****************** <br /> <br />Com men" I /1<{..fu..// Cr/1~/Z!?,- ;<,/C)L /1,/4 -I A. df d 5/~)'.t<..+> (/ <br />'JPr _Y ~ ;by / '/I, / _ <br />/ :i '. ': II .5 /ho /1: :1 el,... <:'/ c,.e / ,.u N' I,... /'/'//7< C ~ ? / .:/, <br />~., / ~/ <br />X/)~~ / , <br />/ r Z;;;S /2<. / / 5' /) Atf.. Co ..<;fc ~K. /";"'y"- "., A'~ K .;z,A..J ;:A!/;! <br /> <br />~ ~'h';.z C"l t,;{"'/ /'c. y,1 /9},1 /1-" );.)~7'A ~- ..1":'" <br />_ &--.-:-~ ~ bt:J vI' _oq_ <br /> <br />~ MIl 6e ~tUk' /;V 1<'/ ~.f <br /> <br /> <br />. ...J:?~..~s1~......~...~.................................................................................. <br /> <br />This building had been assessed by the Zephyrhills Fire Department. Utilizing the Codes and Standards of, NFPA Minimum Standards, the <br />State Fire Marshal Uniform Fire Safety Rules and other local fire safety codes. <br />Code violations specified in this report, if not corrected could cause or contribute to the spread of fire, or prevent safe egress during fire. Your <br />, )mmediate attention to the correction of these violations shall be required, failure to comply is a violation of the City of Zephyrhills Fire <br />~_evention Code;::" <br />i.,.',jr***********~******,~* ***~********************************************************]~~*********************** <br /> <br />~')h$pection Date: b 1/, t:1/) Re-Inspection Date: / V c' 4 Y./. <br /> <br />Inspector Name:(Print) / / v t: 1'/ Inspector I.D.#: 5') L <br /> <br />lIJ~pector Signature: <br /> <br />-Occupancy Representative <br />.Si~ature: <br /> <br />: (Jomputer Entry: <br /> <br />Title: <br /> <br /> <br />Pre-Fire Plan on File: <br /> <br />Page <br /> <br />of <br /> <br />Revised 04/04 <br />