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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 />Business Name: Ilt L~\ bl../w-.. <br />\ <br /> <br />FIRE SAFETY INSPECTION <br /> <br />Building Name: <br />Street Address: j{f J /5 <br /> <br />Business Owner: <br /> <br />Zip <br /> <br />3.3SY2 <br /> <br />Telephone: <br />Building Owner: <br />Telephone: <br />Emergency Contact #1: <br />Telephone: <br />Emergency Contact #2: <br />Telephone: <br /> <br />/' ,J -L( if <br />l.A'-"'~ <br /> <br />City: <br /> <br />'7 I J, i$ <br />--(' / ("''11 f-.\U \ ~ <br /> <br />Suite: <br /> <br />Manager: <br />Telephone: <br />Occupant Type: <br /> <br />******************************************************************************************************************* <br /> <br />Annual: ~ <br /> <br />TYPE OF INSPECTION CONDUCTED <br /> <br />Reinspection: <br /> <br />Commercial: <br /> <br />Code Violation: <br /> <br />Qtly: <br />Other: <br /> <br />Fire Protection: <br /> <br />7r: <br /> <br />Approved: _ <br /> <br />Gas: <br /> <br />Suppression: <br /> <br />******************************************************************************************************************* <br /> <br />Conditionally Approved: _ <br /> <br />Not Approved: _ <br /> <br />Comments: <br /> <br /> <br />'-' <br /> <br />\..1 <br /> <br /> <br /> <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, 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 Zephyr hills Fire <br />Prevention Code, <br />/' <br />**********************~,i"~* *********************************************************************************** <br /> <br />Inspection Date: ! .,' fJ ~- Re-Inspection Date: <br /> <br /> <br />Inspector Name: (Print) <br /> <br />[nspector Signature: <br /> <br />::>ccupancy Represe <br />~ignature: <br /> <br />=:omputer Entry: <br /> <br />Inspector I.D.#: <br /> <br />//1 <br />,~ <br /> <br />Title: <br /> <br />Pre-Fire Plan on File: <br /> <br />Page <br /> <br />of <br />