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<br />~"~-'-T -/...7~-' <br /> <br />OCCUPXNCY NO.: <br /> <br />CITY OF ZEPHYRHILLS <br />FIRE RESCUE <br />INSPECTION DEPARTMENT <br />6907 DAIRY ROAD <br />ZEPHYRHlLLS, FL 33542 <br />(813) 780-0035 <br />Administration: (813) 780-0041 <br /> <br />q3..:J~ <br /> <br />******************************************************************************************************************* <br /> <br />__ FIRE SAFETY INSPECTION <br />Bu,ine" Nam" 611/1 el/t/"'/ !",,,,ci ~ ~ Bu,iue" Owne<: <br />Building Name: P</o/- .il"-/'- y r&~d Telephone: <br />Street Address: S2i:Y~ &/1-1! . <br />1..@~vtAc<' l.5 <br /> <br />Building Owner: <br /> <br />Suite: <br /> <br />Telephone: <br /> <br />City: <br /> <br />Zip 53S1-{c <br /> <br />Emergency Contact #1: <br />Telephone: <br />Emergency Contact #2: <br />Telephone: <br /> <br />Manager: <br />Telephone: <br />Occupant Type: <br /> <br />r?1?~ 1ttJ- IS-Z-/ <br /> <br />******************************************************************************************************************* <br /> <br />TYPE OF INSPECTION CONDUCTED <br /> <br />Sprinkler: _ ~Gas: Suppression: <br />Approved: ~ Conditionally Approved: _ <br /> <br />Code Violation: <br />Other: ;:;;,,~ <br /> <br />Reinspection: <br /> <br />Commercial: <br /> <br />Annual: <br /> <br />Not Approved: _ <br /> <br />**************~**************************;1********************************************************************* <br /> <br /> <br />Comments: Ir'~/ #11 pE~ ,4A-1 J'JA-.J;tC~ ,; ~~ <br /> <br />/31 :~~d- j}divo<-.{..-d <br />e~ t>~~ ?\=-e <br /> <br />/Yctl~:5 <br />/I I <br /> <br />****************************************************************************************************************** <br /> <br />This building had been assessed by the Zephyrhills Fire Department. Utilizing the Codes and ':;~~l1dards 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 />immediate attention to the correction of these violations shall be required, failure to comply is a violation of the City of Zephyrhills Fire <br />Prevention Code. <br /> <br />Inspection Date: <br /> <br /> <br />************************************************************************************** <br /> <br />Re-Inspection Date: <br />Inspector I.D.#: <br /> <br />I-G <br /> <br />Title: <br /> <br />Pre-Fire Plan on File: <br /> <br />Page <br /> <br />of <br /> <br />Revised 04/04 <br />