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Occupancy No.:
<br /> ZEPHYRHILLS FIRE RESCUE
<br /> 6907 DAIRY RD.ZEPHYRHILLS, FL. 33542 WORK(813)-780-0041 FAX: (813)780-0044
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<br /> Business: ' ;�L�r�� ,G�l6l Em.Contact• _ r«�•�r�- �,�.�����,
<br /> Address: �7f�f.�" -5 t�S�(, �r�����il� Emergency contact phone#:_ ��l;� 7!y - �f 3 ;1
<br /> Tel No: O � 3 � �r`'# "jr3j Other Information:
<br /> The fire safety inspection has been completed utilizing the Fiorida Fire Prevention Code and any
<br /> applicable NFPA code and/or standard.Shouid you have any questions, you may contact the
<br /> Fire Marshal at the telephone number above.
<br /> Y/N/NA Y/N/NA/Date
<br /> 1.Address,front/rear("6"inch minimum) � � 13.Emergency lights �,
<br /> 2.Knox Box(keys inside,labeled) ���� 14. Fire Extinguishers '�,
<br /> 3. Lightweight Truss Sign J�' �q� 15.Electrical(other) !�.
<br /> 4.Fire Lane Access(marked-unobstructed) ` �" 16.Storage Issues
<br /> 5. Hydrants Accessible /�; µ. 17.Mech/Elect Rms labeled �� ,�-
<br /> 6.FDC Accessible � 18.Hood Cieaned/Tagged L' �
<br /> 7. Private Hydrant(painted/tagged/test) � 19.Fire Alarm/Tagged (�
<br /> 8.Exit Doors Open Freely , p�, - 20. Hood Suppression/Tagged 1,
<br /> 9. Egress Unobstructed 21. Fire Sprinkier/Tagged L ,.�-
<br /> 10.Extension Cords/Multi-plug Adapter 22.Suppression(other) !1�
<br /> 11.GFI's by Water Source 23.Occupancy Load sign posted �E , ,�
<br /> 12.Exit Lights � 24.Other
<br /> Violation comments shall be noted base on the corresponding number above. Place date of
<br /> last inspection for fire protection items in space provided above.
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<br /> Your�re safety inspection determined there r some viola ns. , .
<br /> The Fire Marshal will be contactin ��t i`�,��1,
<br /> g you to advise of the time frame in which the violatio�s noted
<br /> shalJ be corrected. A re-inspection will then be conducted after that time frame. Failure to
<br /> correct in time frame given may result in fees being assessed. -�°°�"=
<br /> � „ Reinspect Date: � � � �
<br /> Report Completed By: - '�4 - Date: � �- �� � ���-' �
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<br /> Accompanied By:,� , ti. ,��) �"�f.,�;'/�,'� Time: �' +`� y,S �r,.
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<br /> InspectionAcknowledgedBy. ��� �1`, /� •�/:��'"��f Date: -�,�� �� ���.
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