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I T J, OCCUPANCY NO.: CITY OF ZEPHYRHILLS FIRE RESCUE INSPECTION DEPARTMENT 6907 DAIRY ROAD ZEPHYRHILLS, FL 33542 (813) 780-0035 Administration: (813) 780-0041 .. **********************************************************~~**~**************************************************** ~71'<D , /lAtJ;cfV t//C/h FIRE SAFETY INSPECTION Business Owner: K Telephone: y Building Owner: Business Name~ Building Name: Street Address: Suite: -2w I I I Zi~ City: ~3 <J-I"2- Telephone: Emergency Contact # I: Telephone: Emergency Contact #2: Manager: Telephone: X , Occupant Type: I Telephone: **********************$**~************'*************************************************************************** ITYPE OF INSPECTION CONDUCTED Annual: Fire Protection: Reinspection: Sprinkler: ! I Approved: .........---1 Commercial: Code Violation: Gas: Suppression: __ Qtly: Other: ~~ (J ;' Conditionally Approved: _ Not Approved: _ Comments: . ~ A 6)C - "?O/2 ~ I ***************************************t************************************************************************** This building had been assessed by the zePhyrhi~S Fire Department. Utilizing the Codes and Standards of, NFPA Minimum Standards, the State Fire Marshal Uniform Fire Safety Rules and other local fire safety codes. Code violations specified in this report, if not co ected could cause or contribute to the spread of fire, or prevent safe egress during fire. Your immediate attention to the correction of these viol tions shall be required, failure to comply is a violation of the City of Zephyrhills Fire Prevention Code. ********************** *************************************************************************** Inspection Date: Inspector Name: (Print) Inspector Signature: Occupancy Representative Signature: Computer Entry: Re-Inspection Date: Inspector I.D.#: //~ UP~' Title: Pre-Fire Plan on File: Page of