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<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 />, ;1 AI'-'\. <br /> <br />******************************************************************************************************************* <br /> <br />Business Name: <br /> <br />tv/Jtn5 <br />I - <br /> <br />FIRE SAFETY INSPECTION <br /> <br />Business Owner: <br /> <br />Building Name: <br /> <br />Zip S~"'SLf 1- <br /> <br />Telephone: <br />Building Owner: <br />Telephone: <br /> <br />/~~h 2V;j~/f/ <br />97-1 F?-9 J <br /> <br />Street Address: ~ r 30 <br />Suite:' <br />City: .::2-ep ~'-1l-h :ll~ <br /> <br />b.4l/ <br /> <br />Emergency Contact # I: <br />Telephone: <br />Emergency Contact #2: <br />Telephone: <br /> <br />Manager: <br />Telephone: <br />Occupant Type: <br /> <br />.,~- <br /> <br />'-"?~ <br /> <br />***********************************************************************************~...~************************* <br />",", <br /> <br />TYPE OF INSPECTION CONDUCTED <br /> <br />Annual: <br />Sprinkler: <br /> <br />Reinspection: <br />Gas: <br /> <br />Commercial: ~ <br /> <br />Code Violation: <br /> <br />Suppression: <br /> <br />Other: <br />Not Approved: ~. <br /> <br />Approved:______ <br /> <br />Conditionally Approved: ______ <br /> <br />******************************************************************************************************************* <br /> <br />- <br /> <br /> <br />Comments: ~ <br /> <br />.- <br /> <br />J.I <br /> <br />E ;,1 E <br /> <br />b c.- ~ eL. ~ ~ cc..1 C~ r ,.(, ~ C yo.. <br /> <br />-- ~& t::- YJ/1 rt1 r' /: LJ Vr~lA ,. t1 l.nea) I/J j t ~ ( ~-:e y"V1 S- <br />**** ***** ** :::.:.*** l4.* *****.".1./'>1** *~oN<* *~*** *** 'l?': * * _ ** * * *7f}:*::'" *&*)}* ** *)f:.J- *** *Z;:.* ;':5-*** ** ** *** ** * ** * ** *** <br /> <br />This building had been asse e{b~1lf? zepllYrliills Ire Dep~ tJt~ing die Codes and St~!ldard~ 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, ifnot 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 />" <br /> <br />*************************** <br /> <br /> <br />~# <br />~fi4 <br /> <br />Re-Inspection Date: <br />Inspector LD.#: _ <br /> <br />Inspection Date: <br /> <br />Inspector Name: (Print) <br /> <br />Inspector Signature: <br /> <br />O.ccupancy Rep~tiy': <br />SIgnature: ~ <br /> <br />Computer Entry: <br /> <br />II"? <br />;' <br /> <br />Title: <br /> <br />Pre-Fire Plan on File: <br /> <br />Page <br /> <br />of <br />