Laserfiche WebLink
<br />.. (f I <br /> <br />OCCUPAl}C'Y 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 />******************************************************************************************************************* <br /> <br />FIRE SAFETY INSPECTION <br /> <br />Business Name: <br /> <br />/ <br />E. <br /> <br />/. <br />" <br /> <br />~"I ./; Business Owner: <br /> <br />City: <br /> <br />Telephone: <br />Building Owner: <br />Telephone: <br />Emergency Contact # 1 : <br />Telephone: <br />Emergency Contact #2: <br />Telephone: <br /> <br />Building Name: <br />Street Address: <br /> <br /> <br />Suite: <br /> <br />Zip <br /> <br />Manager: <br />Telephone: <br />Occupant Type: <br /> <br />******************************************************************************************************************* <br /> <br />TYPE OF INSPECTION CONDUCTED <br /> <br />Suppression: __ <br /> <br />Qtly: <br />Other: <br /> <br />Annual: <br /> <br />Reinspection: <br />Sprinkler: <br /> <br />Commercial: <br /> <br />Code Violation: <br /> <br />Fire Protection: <br /> <br />Gas: <br /> <br />I <br /> <br />Approved: L./' <br /> <br />Conditionally Approved: _ <br /> <br />Not Approved: _ <br /> <br />******************************************************************************************************************* <br /> <br />Comments: <br /> <br />~ , <br /> <br />!(,f <br /> <br />1;/ <br />L'l/ <br /> <br />~.~ -:~) <br /> <br />****************************************************************************************************************** <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 /> <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 ofthese violations shall be required, failure to comply is a violation of the City of Zephyrhills Fire <br />Prevention Code. <br /> <br />***************************~*************************************************************************************** <br /> <br />Inspection Date: <br /> <br />Inspector Name: (Print) <br /> <br />Inspector Signature: <br /> <br />Occupancy Representative <br />Signature: <br /> <br />-, ./; il-' <br /> <br />. ('. (., <br /> <br />t" It" /' <br /> <br />J' , ,.f' <br />r/..:.(' T' . <br /> <br />(' <br />/- <br />,,/ t.<'{ <br /> <br />Re-Inspection Date: <br />Inspector I.D.#: <br /> <br />,,>~.. <br /> <br />// <br /> <br />,~......' <br /> <br /> <br />Title: <br /> <br />Computer Entry: <br /> <br />Pre-Fire Plan on File: <br /> <br />Page <br /> <br />of <br /> <br />Revised 04/04 <br />