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12-13283,13284,13285
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2012
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12-13283,13284,13285
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Last modified
6/28/2013 1:52:52 PM
Creation date
6/28/2013 1:52:48 PM
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Building Department
Company Name
FLORIDA MEDICAL CLINIC
Building Department - Doc Type
Permit
Permit #
12-13283,13284,13285
Building Department - Name
FMC MARQET SQUARE INC
Address
38105 MARKET SQUARE DR
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H�t tiu��1i�.\� �►.S<>l��FIRti �t.;�Rn�sYS�H.�-95 72-`�:i <br /> FIRE ALARM SYSTEM RECORD OF COMPLETION ; <br /> To be completed by the system instaUation contractor at the time of system acceptance and approval. <br /> 1. PROTECTED PROPERTY INFORMATION , <br /> Name of property:- � ;.''`'�-"i-�-=-j��° `-,--�t`-- �. s,f-le.L/Lt--l-�.:.. —- — -- -- -- -- — <br /> I <br /> Address:_ ; '�S 4�''`r (1�1 '�_�-1� r f.�_v ^ � � �� <br /> µ -�`�-� —��---��``N ..J,'�1-t !t L..• ��_:��--— i <br /> Description of property: i-t('' �A{,�� �.j+� � �_ _ <br /> Occupancy type: _ ___ __ ___ <br /> Name of propert,y representative: � �.N+ F i4-' f},�c� �!� <br /> Address: <br /> i <br /> Phone �! � -� �'b "'e'-(�.� C� Fax: E-mail: <br /> Authority having jurisdiction over this property:__}' �?�l3, C�� ,:_�I/1..� �'���_ ' <br /> Phone• --- Fax: <br /> --- --- --- --- E-mail: � <br /> 2. FIRE ALARM SYSTEM INSTALLATION,SERVICE,AND TESTING INFORMATION <br /> Installation contractor for this equipment: :%��f�-t"ti) l-�`_ ,�_Sr� � �,,�r'� �.�, <br /> / <br /> Address: � �u ( l� � '�-r i c. 1 f�V� %Ta v"`"����_l^L �'� -'�,,�5(y— <br /> .-, -. - <br /> Phone._�!� -.-_�{1' �`1'U� Fax. ---- <br /> --- —__ _ ___. E-mail: <br /> Service organizat.ion f'or this equipment. ; %�nJ C-r�.t ��r �� l:�� !L <br /> Address. `.�✓t�t �� /�`� � i rL�,!� i <br /> Phone. - -- — Fax:-- -- ---- E-mail. <br /> Location of as-built drawings: ___ ___ _ __ Location of historical test reports:_ <br /> Location of system operation and maintenance manuals: <br /> A contract for test and inspection in accordance with NFPA standards is in effect as of , <br /> Contracted testing company <br /> Address: <br /> Phone. Fax: E-mail -- -- — ---- <br /> Contract expires: Contract number• Frequency of routine inspections: <br /> 3. TYPE OF FIRE ALARM SYSTEM OR SERVICE <br /> NFPA �2 Chapter Reference of System Type•_Te;,� ;- � �'f=i L C"�i,��t__�__ �_�_��F p__�L� ` <br /> � <br /> Name of organization receiving alarm signals with phone numbers lif applicable)� <br /> Alarm: '' �,T(,� ,C� E-/i L[ �, , ' ,�_=��c- Phone: <br /> Supervisory:____ - n '� � - ,.z <br /> r� � _LN-=���`�-�---- ---- Phone:_ �_'f L���_5 T--- <br /> Trouble• r-=�< /��;:��r C:r�-t Phone: L',4.z� 1, S - -- - - <br /> r <br /> Entity to which alarms are retransmitted. '�r_r �. [pr�rv/ UNt �., Phone: <br /> Method of retransmission of alarms to that organization or location: <br /> OO 2007 National Fire Protection Association NFPA 72(p.1 of 5) <br /> FIGURE 4.5.2.1 Recorrl of Completion. <br /> 2007 Edition �{ ' <br />
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