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. � <br /> 2830 Scherer Dr Ste 300 Sarasota. 941 225 7871 <br /> St. Petersburg, FL 33716 � St. Pete 727.209 5122 <br /> Fax: 727209 5126 Tampa. 813 341 5102 <br /> �� NOTI FI ERg CRITICAL SYSTEM SOLUTIONS, LLC ,,,,=,,,�o��_����� <br /> by Honeywel I F►�Ar.�xM�Sriu�R+AccFSS CorrrROL+sECU�rrr*CCTV+MOIVITORING <br /> N'WW.CRlTTCALSYSTEMSOL UTlONS.COM <br /> EF20000427 FPC11-000034 <br /> 72-33 FUNDAMENTALS OF FIRE ALARM SYSTEMS <br /> FIRE ALARM SYSTEM RECORD OF COMPLETION <br /> To be comp/eted by the system installation contractor at d�e time of system acceptance and approval. <br /> 1. PROTECTED PROPERTY INFORMAT[ON <br /> Name of properry: Zephyrhilts Dialysis <br /> Address: 36819 Eiland Blvd, Unir 2 Zephyrhills, FL 33541 Permit# 14582 <br /> Occupancy type: B-I BuSIrieSS Description of property� HGl�1thCA1'e <br /> Name of property representative: BiII Nye Real&Simply Three, LLC J�b� 1-6538 <br /> Address: 34619 SR 54 Zephyrhills, FL 33541 <br /> Phone: Fax: E-mail: <br /> Authority having jurisdiction over this properry• Clty Of ZBphyYhillS <br /> Phone: g13-780-0020 F�� E-mail: <br /> 2. FIRE ALARM SYSTEM INSTAI.LATION,SERVICE,AND TESTING INFORMATION <br /> [nstallation contractor for this equipment: CY1t1CQI SyStBtt2 SOlUrIOY[S, LLC <br /> Address. 2830 Scherer Drive N. Suite#300 St Petersburq, FL 33716 <br /> Phone: (727� 209-5122 F�� (727) 209-5126 E-mail: admin@criticalsystemsolutions.com <br /> Service Organization for this equipment: CPItICaI SySi'eri1 SOIUtIOYlS, LLC. <br /> Address: 2830 Scherer Drive N. Suite# 300 St Petersburq FL 33716 <br /> Phone: (727� 209-5122 F�� (727) 209-5126 E-maii: admin@criticalsvstemsolutions.com <br /> Location of as-built drawings: Close-Out Packaqe Location of historical test reports: File <br /> Location of system operarion and maintenance manuals: Close-Oui PaCkaae <br /> A contract for test&inspection in accordance with NFPA standazds Chapter-10 is in effect as of <br /> Contracted testing company: Critical System Solutions, LLC <br /> Address: 2830 Scherer Drive N Suite# 300 St Petersburq, FL 33716 <br /> Phone: (727� 209-5122 F�� (727) 209-5126 E-mail: admin@criticalsystemsolutions.com <br /> Contract expires: Contract number: Frequency of routine inspections: <br /> 3. TYPE OF FIRE ALARM SYSTEM OR SERVICE <br /> NFPA 72 Chapter Reference of System Type: Chapt6l"- 6 <br /> Name of organization receiving alarm signals with phone numbers(if applicable): <br /> �Alarm: �Trouble: � Supervisory: <br /> Facility Name: $y Othel'S Phone: <br /> Facility Name: Phone: <br /> Entity to which alarms are retransmitted: Phone: <br /> Method of retransmission of alarms to that organization or location: <br /> FIGURE 4.5.2.1 Record of Completion (2007 Edition) ,VFPA 72(pg.l of S) <br />