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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 />**********************************************************~~*.***************************************************** <br /> <br />Building Name: <br />Street Address: I/13{; <br />Suite: <br /> <br />A/&~ #/t?A.-J <br />. <br /> <br />FIRE SAFETY INSPECTION <br />Business Owner: .Y <br />Telephone: 'f <br /> <br />Business Name: X <br />, <br /> <br />City: <br /> <br />Zip ::s~ ~yt"L- <br /> <br />Building Owner: <br />Telephone: <br />Emergency Contact # I: <br />Telephone: <br />Emergency Contact #2: <br />Telephone: <br /> <br />0# <br /> <br />Manager: <br />Telephone: )( <br />Occupant Type: <br /> <br />*************************~**************************************************************************************** <br /> <br />TYPE OF INSPECTION CONDUCTED <br /> <br />Annual: <br /> <br />Fire Protection: <br /> <br />Reinspection: <br />Sprinkler: <br /> <br />Approved:~ <br /> <br />Commercial: <br /> <br />Code Violation: <br /> <br />Conditionally Approved: _ <br /> <br />Not Approved: _ <br /> <br />Qtly: <br />Other: ---- <br />~~ <br /> <br />Gas: <br /> <br />Suppression: __ <br /> <br />******************************************************************************************************************* <br /> <br /> <br />Comments: a~ k bp\ It r ~ 'y /:.., ~A? G) k ~~r;::c ~, <br />/ <br /> <br />4-/1 <br /> <br />('4 f-ka <br />~ye;;: c:;; <br />/' <br /> <br />/' <br />~.v/c~~ <br /> <br />/<'754,/k/ ~ <br /> <br />/oe' <br /> <br />~~ <br /> <br />~c:J <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 fITe safety codes. <br />Code violations specified in this report, ifnot corrected could cause or contribute to the spread offire, 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 />Inspector Name: (Print) <br /> <br />Inspector Signature: <br /> <br />Occupancy Representative <br />Signature: <br /> <br />Computer Entry: <br /> <br /> <br />********************************************************************************** <br /> <br />~ <br /> <br />Re-Inspection Date: <br /> <br />Inspector I.D.#: <br /> <br />/~ <br /> <br />Title: <br /> <br />Pre-Fire Plan on File: <br /> <br />Page <br /> <br />of <br />