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OCCUPANCY NO.: CITY OF ZEPHYRHILLS FIRE RESCUE INSPECTION DEPARTMENT 6907 DAIRY ROAD ZEPHYRHILLS, FL 33542 (813) 780-0035 Administration: (813) 780-0041 ******************************************************************************************************************* Business Name: ~\~~ r fIRE SAFETY INSPECTION ,U Q....,.\ Business Owner: Telephone: Building Name: Street Address: ~?\~ c..e~ Zip ~Scf-7- Building Owner: Telephone: Emergency Contact #1: Telephone: Emergency Contact #2: Telephone: ~:~'~llS Manager: Telephone: Occupant Type: ******************************************************************************************************************* TYPE OF INSPECTION CONDUCTED Annual: Sprinkler: Reinspection: Commercial: Gas: ~I Suppression: Code Violation: Other: Approved: _ Conditionally Approved: _ Not Approved: _ *******~:;;***~~~************* ************************************************************************** Comments: ~Gor-- ~o..-c <:" ~ rf6t;'} f/-I(P}<5 C01Ct~!-cJ by f;xo Ju~:!J 4-Jh ****************************************************************************************************************** This building had been assessed by the Zephyrhills Fire Department. Utilizing the Codes and .3t:::ndards of, NFPA Minimum Standards, the State Fire Marshal Uniform Fire Safety Rules and other local fire safety codes. Code violations specified in this report, ifnot corrected could cause or contribute to the spread of fire, or prevent safe egress during fire. Your immediate attention to the correction of these violations shall be required, failure to comply is a violation of the City of Zephyrhills Fire Prevention Code. ********************* *** ***************************************************************************************** Re-Inspection Date: Inspector LD.#: /1) Inspection Date: Inspector Name: (Print) Inspector Signature: Occupancy Representativ Signature: Computer Entry: Title: Pre-Fire Plan on File: Page of Revised 04/04