44
I C" ! BUSINESS NAME: \j^ ADDRESS: 1 "Z RSQUIRED Ftit£ MAHSHALL FIRE EXTINOUISHER SERIAL NIAIBER REE<XRT FOiUi PHONE INVOICE »: DATE Signctufe of state permrtted Fire Extmomefie^ TecJwiaan performinfl feqtitred service Signature of customer recetving copy of Senal Number R^>oft Form LOCATION SERIAL « FOU-OW-t^ MWVICC ra omecD 1 CM4 026^ 7 SM^? 02-044 ! 3 4 SHl62-?i£f 5 6 7 SM"! 0 ?i SH4^23±5 I 0 10 9»4§6244t il SM§6ZlCf 12 4Mf62t4'Sf It SM'i (52-^43 lA- SH'i 6275T; 1 7H762c^ 17 S W 02%<0i IS 6 02 (4(4 lO k,f1'?6 23Zt^ 7 1 SM46Zc?.?2' 77 c,l440ZC'5^2 77 I4h46z42^ 7il SH602 (ot> 75 W6W 4^ LOCATION 5"^ 26 21 28 29 30 31 32 kWW 35 SERIAL « 5^,1625 a iC2. SM^62^^a- 5>M5AaM3- §±14:625: ISM^O^ £h4:m^ 36. 37. 38. 39. 40- 41. 42. 43. 44- SH5jO FOLLOWS# sefivicc ra K3umB7 45. 46- 47. 49- 50. iiril 9KT02V64 c,m (52^44 Sm62-64;!3 S 0 25r<4< sfyiKo?^^ 2 rrC44S54^ smo>2^ R - Recharges E - 6 Year MsuntenarKe H - Hydro Test O - Other I «-f ^

C · City Fire Inc, 5708 SW 25th Street - Hollywood, FL 33023 Phone 954-987-1338 * Fax 954-987-6989 * Website www cityfireinc.com Ji- ^ Customer ol ^ Date ;

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Page 1: C · City Fire Inc, 5708 SW 25th Street - Hollywood, FL 33023 Phone 954-987-1338 * Fax 954-987-6989 * Website www cityfireinc.com Ji- ^ Customer ol ^ Date ;

I

C"

!

BUSINESS NAME: \j^ADDRESS: 1 "Z

RSQUIRED Ftit£ MAHSHALL FIRE EXTINOUISHERSERIAL NIAIBER REE<XRT FOiUi

PHONE INVOICE »: DATE

Signctufe of state permrtted Fire Extmomefie^TecJwiaan performinfl feqtitred service

Signature of customer recetving copy ofSenal Number R^>oft Form

LOCATION SERIAL «

FOU-OW-t^MWVICCraomecD

1 CM4 026^7 SM^? 02-044 !

3

4 SHl62-?i£f5

6

7 SM"! 0

?i SH4^23±5 I0

10 9»4§6244til SM§6ZlCf12 4Mf62t4'SfIt SM'i (52-^43lA- SH'i 6275T;1 7H762c^

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IS 6 02 (4(4lO

k,f1'?6 23Zt^7 1 SM46Zc?.?2'77 c,l440ZC'5^277 I4h46z42^7il SH602 (ot>

75 W6W 4^

LOCATION

5"^26

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SERIAL «

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Page 2: C · City Fire Inc, 5708 SW 25th Street - Hollywood, FL 33023 Phone 954-987-1338 * Fax 954-987-6989 * Website www cityfireinc.com Ji- ^ Customer ol ^ Date ;

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Page 3: C · City Fire Inc, 5708 SW 25th Street - Hollywood, FL 33023 Phone 954-987-1338 * Fax 954-987-6989 * Website www cityfireinc.com Ji- ^ Customer ol ^ Date ;

BUSINESS NAME

PHONE »:

fUEQUiRED rim MAII8HAI.L FIRE EXTINOUISHERSERIAL NUHKR REI^T FCHIM

ES

INVOICE #:

Signatuf# of ststt p«rmm«<l Fire Ej(tif>oii»hefTecftrucan performing required service

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Page 5: C · City Fire Inc, 5708 SW 25th Street - Hollywood, FL 33023 Phone 954-987-1338 * Fax 954-987-6989 * Website www cityfireinc.com Ji- ^ Customer ol ^ Date ;

City Fire Inc.5708 SW 25th Street - Hollywood, FL 33023

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Page 6: C · City Fire Inc, 5708 SW 25th Street - Hollywood, FL 33023 Phone 954-987-1338 * Fax 954-987-6989 * Website www cityfireinc.com Ji- ^ Customer ol ^ Date ;

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Page 7: C · City Fire Inc, 5708 SW 25th Street - Hollywood, FL 33023 Phone 954-987-1338 * Fax 954-987-6989 * Website www cityfireinc.com Ji- ^ Customer ol ^ Date ;

City Fire Inc.5708 SW 25th Street - Hollywood. FL 33023

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Page 8: C · City Fire Inc, 5708 SW 25th Street - Hollywood, FL 33023 Phone 954-987-1338 * Fax 954-987-6989 * Website www cityfireinc.com Ji- ^ Customer ol ^ Date ;

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Page 9: C · City Fire Inc, 5708 SW 25th Street - Hollywood, FL 33023 Phone 954-987-1338 * Fax 954-987-6989 * Website www cityfireinc.com Ji- ^ Customer ol ^ Date ;

City Fire Inc.5708 SW 25th Street - Hollywood, FL 33023

Phone 954-987-1338 * Fax 954-987-6989 * Website www.cityfireinc.com

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Page 10: C · City Fire Inc, 5708 SW 25th Street - Hollywood, FL 33023 Phone 954-987-1338 * Fax 954-987-6989 * Website www cityfireinc.com Ji- ^ Customer ol ^ Date ;

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Page 11: C · City Fire Inc, 5708 SW 25th Street - Hollywood, FL 33023 Phone 954-987-1338 * Fax 954-987-6989 * Website www cityfireinc.com Ji- ^ Customer ol ^ Date ;

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Page 12: C · City Fire Inc, 5708 SW 25th Street - Hollywood, FL 33023 Phone 954-987-1338 * Fax 954-987-6989 * Website www cityfireinc.com Ji- ^ Customer ol ^ Date ;

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Page 13: C · City Fire Inc, 5708 SW 25th Street - Hollywood, FL 33023 Phone 954-987-1338 * Fax 954-987-6989 * Website www cityfireinc.com Ji- ^ Customer ol ^ Date ;

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Page 14: C · City Fire Inc, 5708 SW 25th Street - Hollywood, FL 33023 Phone 954-987-1338 * Fax 954-987-6989 * Website www cityfireinc.com Ji- ^ Customer ol ^ Date ;

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Page 15: C · City Fire Inc, 5708 SW 25th Street - Hollywood, FL 33023 Phone 954-987-1338 * Fax 954-987-6989 * Website www cityfireinc.com Ji- ^ Customer ol ^ Date ;

City Fire Inc.5708 SW 25th Street - Hollywood. FL 33023

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Page 16: C · City Fire Inc, 5708 SW 25th Street - Hollywood, FL 33023 Phone 954-987-1338 * Fax 954-987-6989 * Website www cityfireinc.com Ji- ^ Customer ol ^ Date ;

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Page 17: C · City Fire Inc, 5708 SW 25th Street - Hollywood, FL 33023 Phone 954-987-1338 * Fax 954-987-6989 * Website www cityfireinc.com Ji- ^ Customer ol ^ Date ;

City Fire Inc,5708 SW 25th Street - Hollywood, FL 33023

Phone 954-987-1338 * Fax 954-987-6989 * Website www.cityfireinc.com

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Page 18: C · City Fire Inc, 5708 SW 25th Street - Hollywood, FL 33023 Phone 954-987-1338 * Fax 954-987-6989 * Website www cityfireinc.com Ji- ^ Customer ol ^ Date ;

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Page 19: C · City Fire Inc, 5708 SW 25th Street - Hollywood, FL 33023 Phone 954-987-1338 * Fax 954-987-6989 * Website www cityfireinc.com Ji- ^ Customer ol ^ Date ;

City Fire Inc,5708 SW 25th Street - Hollywood. FL 33023

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Page 20: C · City Fire Inc, 5708 SW 25th Street - Hollywood, FL 33023 Phone 954-987-1338 * Fax 954-987-6989 * Website www cityfireinc.com Ji- ^ Customer ol ^ Date ;

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Page 21: C · City Fire Inc, 5708 SW 25th Street - Hollywood, FL 33023 Phone 954-987-1338 * Fax 954-987-6989 * Website www cityfireinc.com Ji- ^ Customer ol ^ Date ;

City Fire lac.5708 SW 25th Street - Hollywood. FL 33023

Phone 954-987-1338 * Fax 954-987-6989 * Website www.cityfireinc.com

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Page 23: C · City Fire Inc, 5708 SW 25th Street - Hollywood, FL 33023 Phone 954-987-1338 * Fax 954-987-6989 * Website www cityfireinc.com Ji- ^ Customer ol ^ Date ;

City Fire Inc,5708 SW 25th Street - Hollywood, FL 33023

Phone 954-987-1338 * Fax 954-987-6989 * Website www.cltyfireinc.com

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Page 24: C · City Fire Inc, 5708 SW 25th Street - Hollywood, FL 33023 Phone 954-987-1338 * Fax 954-987-6989 * Website www cityfireinc.com Ji- ^ Customer ol ^ Date ;

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Page 25: C · City Fire Inc, 5708 SW 25th Street - Hollywood, FL 33023 Phone 954-987-1338 * Fax 954-987-6989 * Website www cityfireinc.com Ji- ^ Customer ol ^ Date ;

City Fire Inc.5708 SW 25th Street - Hollywood, FL 33023

Phone 954-987-1338 ' Fax 954-987-6989 * Website www.cityfireinc.com

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Page 26: C · City Fire Inc, 5708 SW 25th Street - Hollywood, FL 33023 Phone 954-987-1338 * Fax 954-987-6989 * Website www cityfireinc.com Ji- ^ Customer ol ^ Date ;

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Page 27: C · City Fire Inc, 5708 SW 25th Street - Hollywood, FL 33023 Phone 954-987-1338 * Fax 954-987-6989 * Website www cityfireinc.com Ji- ^ Customer ol ^ Date ;

Proposal Submitted to

New Community Strategies

proposal

City Fire inc.5708 SW 25th Street - Hollywood FL 33023

Phone 954-987-1338 - Fax 954-987-6989

www.citvfireinc.coni

Phone

954-689-4804

Fax

954-689-4806

Address

5100 SW64th Ave

Job Name

City, State & Zipcode

Hollywood, FL

Job Location

Contact

Maureen Payment Schedule : Net 30 Days

Date

7-14-08

We hereby submit spedlications and estimates for.

28 Fire extinguishers cabinets removed for relocation

28 Fire extinguisher cabinets re-installed at proper height

$3.00 ea

$8.00 ea

City Fire is not responsibie for wall damage that may occur during cabinet removal

Inspection of exit and emergency lighting

Replacement batteries for exit & emergency lighting

Replacement bulbs for exit 8t emergency light fixtures

no charge

$24.00 ea

$2.00 ea

All material is guaranteed to t>e as specified. M equipment is to t>e considered property of City Fire Inc. until all t>alartces are paid in full. All work to be completed in a workmanlike manner according to startdard practices and Florida State law Any alteration or deviation from above specifications Involving extra cost will be executed only upon requestand will become an edra charge over and beyond the estvn^. Our^ak^&^fias^ice vehicles are^<llyi,ittsured and coveted by Workers Compensation Insurance.

Authorized Signature:

iStceptame of $topo^lThe atwve prices, specificatiorts and conditions are

satisfactory and are hereby accepted. You are authotsed

to do the work specified Payment wi9 be made as oudmed.

Offer valid for 10 days from Issue date.

Signature:

Page 28: C · City Fire Inc, 5708 SW 25th Street - Hollywood, FL 33023 Phone 954-987-1338 * Fax 954-987-6989 * Website www cityfireinc.com Ji- ^ Customer ol ^ Date ;

Proposal Submitted to

New Community Strategies

^ropo£(al

City rire Inc.5708 SW 25th Street - Hollywood FL 33023

Phone 954-987-1338 - Fax 954-987-6989

www.citvfireinc.cop"

Phone

954-689-4804

Fax

954-689-4806

Address

5100 SW64th Ave

Job Name

City, State & Zipcode

Hollywood. FL

Job Location

Contact

Maureen Payment Schedule : Net 30 Days

Date

7-23-08

We hereby submit spedfications and estimates for.

12 New Exit & Emergency light COMBO unitsprice includes $15 installation fee

$155.00 ea

All material is guaranteed to be as AU equipment is to be considered property ol City Fire Inc until ail balatKes ate paid in full. AU work to be completed in a workmanlike manner according to starrdard practices artd Florida State law Any alteration or deviation from above ̂jedfications involving ®ctia cost will be executed only upon requestand will become an extra r^rge over arxJ beyond the are fdly insured artd owered by Workers Compensation Insurance.

Authorized Signature: Offer valid for 10 days from issue date.Z

Acceptance of $ropo!^lThe above prices, specifications and conditions ate

satisfactory and am hereby accepted. You are authorized

to do the work specified. Paymerd wifl be ntade as outlmed.

Signature:

Page 29: C · City Fire Inc, 5708 SW 25th Street - Hollywood, FL 33023 Phone 954-987-1338 * Fax 954-987-6989 * Website www cityfireinc.com Ji- ^ Customer ol ^ Date ;

~g-

^ropogal

City Fire Inc.5708 SW 25th Street - Hollywood FL 33023

Phone 954-987-1338 - Fax 954-987-6989

^mivw. cityfi re i nc. com

Proposal Submitted to

New Community Strategies

Phone

954-689-4804

Fax

954-689-4806

Address

5100 SW 64th Ave

Job Name

City, State & 2!ipcode

Hollywood, FL

Job Location

Contact

Maureen Payment Schedule : Net 30 Days

Date

7-23-08

We tiereby submit spedfications and estimates for.

28 Fire extinguishers cabinets removed for relocation

28 Fire extinguisher cabinets re-installed at proper height

$3.00 ea

$8.00 ea

City Fire is not responsibie for wall damage that may occur during cabinet removal

Inspection of exit and emergency lighting

Replacement batteries for exit & emergency lighting

Replacement bulbs for exit & emergency light fixtures

Replacement clear panels for extinguisher cabinets

Replacement breaker hammer for extinguisher cabinet

no charge

$24.00 ea

$2.00 ea

$10.00 ea

$6.00 ea

All materi^ is guarardeed to be as spectfied. M equipments to be consktered property of City Fire Inc. until all batoncas are paid in full. Ml wockto t>e complied in a workmanlike manner according to starxlard practices and Flonda State law. Any alteration or deviation from abom speciftcattons inwrtving extra cost will be ewcuted only upon request

and will become an «dra charge over and beyond the estimate. Our workers and service vehicles are fully insured and covered l>y Workers Compensation insurance.

Authorized Signature: Offer valid for 10 days from Issue date.

jacceptanie of ̂proposfalThe above prices, specifications and conditions are

satisfactory and are hereby accepted. You are auttnrize^^

to do tfievaork specified. Payment will be made as outlitied.

Signature

Page 30: C · City Fire Inc, 5708 SW 25th Street - Hollywood, FL 33023 Phone 954-987-1338 * Fax 954-987-6989 * Website www cityfireinc.com Ji- ^ Customer ol ^ Date ;

07/07/2008 15:28 9547371119 TOWN OF DAVIE CODE PAGE 05

D^ie Fire RescueFire Prevention Report

6901 Orange Drive

4f

Business Name:

, Davie, PL 33314Tel: 954>797-1329 • Fax? 954-797-1237

r<?^MT/evs/ajr lASSod..uceupan^ Type:

G.-S-Phone No.

—ay//^Postad Max. CapAddress of Inspecuon:

5^ P-O go C V OoMAVOA/ 2ip Code

Occupational Ucense Number: Billing Address

No, of Floofs

□ ANNUAL INSPECTION Q OTHER RE-INSPECTIONnumber FINAL

LIFE SAFETY EQUIPMENT INSPECTED/TgfiTPnD Meeting□ Extinguisher(s).0^ullcling Address□ Permit□ Flame SpreadQ Occupant Load□ Flamtnable Liquids□ Site Plan

□ Fire Works Sales□ Interior Finish

□ Complaint□ Exit{s)□ Exit Lighting□ Emergency Lighting□ Fire Safety Plan□ El0vator(s)□ ElectricalCD Occupational License

□ .Fire Watch□ Access Box□ Commercial Cooking Hood□ Fire Alarm System□ Standplpe/Sprinkler□ Fire Lane□ Smoke Control Evac□ Fire Drill□ LP Gas Appllancea/Cyllndera □ Hydrant Flow Test

I f IJnlitlac□ storage

A,/-'> ■«&-

P A f of^Servrc.* ^l-5SCSa£A-^<+ /

T^rzi ^ /os.3^ Ktrs A Arii—rr-—n— C ^QVT<a^-^ (S-iy . ,J ̂ iwtO t - r-LjOtar^ ^7^ ^ /os.3

L '=trxlt% ,-..1 ^--L liMSlTftK' CkLtJLLtJiT'/i/ rjtl -T ^T*"i lFNf tzT / II ,j lO,f(,yle-lnspection Date: Meuu o,r-.. ^ - ^

—'^SIn M # |C<VMnspedlonOaie: lYlfty OtfrHfelnspectoPrin.- rr.>*^.r -•, " ' _ ,ay sionino .hte , 1 ■^,„,PrintNamd "^o &,c^ Air, having received a copy „„hb report.( .Signafure of Recipient:

' .Date;White copy/BUREAU YdlowCpy/INSPECTOR PmkOopy/CUSTOMeR

Page 31: C · City Fire Inc, 5708 SW 25th Street - Hollywood, FL 33023 Phone 954-987-1338 * Fax 954-987-6989 * Website www cityfireinc.com Ji- ^ Customer ol ^ Date ;

It

Oj ̂

13 C e/iS(^

Page 32: C · City Fire Inc, 5708 SW 25th Street - Hollywood, FL 33023 Phone 954-987-1338 * Fax 954-987-6989 * Website www cityfireinc.com Ji- ^ Customer ol ^ Date ;

07/07/2008 15:28 9547971119 TOWN OF DAVIE CODE PA{^ 04

Davie Fire RescueFire Prevention Report

6901 Orange Drive, Davie, FL33314

04^

Dats; 8usln«a,Non»: Owwandy'lVpK

<Xou.Oq A-^Sac2Phone No.

Posted Max. Cap AJ<freMo,lrwac««, <SlxJ^PooC KcJS;; 1L To2j£>

Occupational Ucanse Numbe: Billing Address PO-f A o aj u ... T"——/O/ /3l £jiP«uV No.ofRcdre

-.fVuftAjfi/Vi? , p! f-ea ,

□ annual INSPECTK^N |R^jJN|PECTl6NFINAL

LIFE SAFETY EQUIPMENT INSPECTED/TESTED□ Meeting□ Extlnguisher(s)

^B^ulldlng Address□ Permit

□ Flame Spread□ Occupant Load□ Flammable Liquids□ Site Plan

□ Fire Works Sales□ interior Finish

□ Complaint□ Exit(s)□ Exit Lighting□ Emergency Lighting□ Fire Safety Plan□ Elevator(s)□ Electrical

□ Occupational License□ LP Gas Appliances/Cylinders□ Utilities

COMMeNTS/VrOLATIONS (FIRE INSPECTOR USBONlT)

□ Fire Watch□ Access Box□ Commercial Cooking Hood□ Fire Alarm System□ Standplpe/Sprlnkier□ Fire Lane

□ Smoke Control Evac□ Fire Drill□ Hydrant Flow TestO Storage

Follow - Up ^Re-Inspection Date; Y/\ajL^ ^ O ?WrA inspector Print: /-i

Signature;8y Signing this report, I am admhting no g^llt for the vWatiom ̂ _^ove, but simply acknowledge having received a copy of this report.Print Name; /H —: Signature of Recipient: .Dale:

White Copy / BUREAU Yellow Copy / INSPECTOR Pink Copy / CUSTOMER

Page 33: C · City Fire Inc, 5708 SW 25th Street - Hollywood, FL 33023 Phone 954-987-1338 * Fax 954-987-6989 * Website www cityfireinc.com Ji- ^ Customer ol ^ Date ;

07/07/2008 15:28 9547971119 TOWN OF DAVIE CODE PAGE 02

Davie Fire Rescue ^Fire Prevention Report

6901 Orange Drive, DavTe, FL 33314Tel: 954-797-1229 • Fax: 954-797-1237

Date:

-5—sr-s-

I Buclrtoss^amo: " I Occupancy Typ^.^.T^ ̂ A.sS<Sgl

Postoa Max. Cap No. AddrdSS of Inspecfion:

Phona No. "SqU

Va. CLvy\,f/lof^ Zip Coda:

Oecupailonal License Numtisr;

O-oucioo

' "■■ T, ^ " , tM! fi^ V- T ' • ~ ^

Billing Address CXZ^T A-^50<lla>-|oM ScJ-xt/tC.S/-A- LAS A- "TpefSpt-V ^'LX/

/Tl 11?rt4tvrt-r;^ ^ >, , , ^rVj ■■

fS

Sq. Fl No. of Floors3

Q ANNUAL INSPECTION Q) OTHER RE.INSPECt!dN /NUIVI8ER FINAL

□ Meeting□ Extingulsher(s)

yQ'Buildlng Address□ Permit

□ Flame Spread□ Occupant Load□ Flammable Liquids□ Site Plan

□ Fire Works Sales

□ Interior Finish

□ Complaint□ Exlt($)□ Exit Lighting□ Emergency Lighting□ Fire Safety Plann Elevator(s)□ Electrical

□ Occupational License□ LP Gas Appliances/Cylinders□ Utilities

COMMENTS/VIOLATIONSSi Ft A.-^-r7i^

□ Fire Watch

□ Access Boxn Commercial Cooking HoodIZl Fire Alarm System□ Standplpe/Sprinkler□ Fire Lane

□ Smoke Control Evac□ Fire Drill□ Hydrant Flow Test□ Storage

(F/HE INSPECTOR USE ONLY)mciqa lot /.f

) &oii. K Uj._v - i.,cza A-l-I.S-,!p S^ro|c< c.fvfvAcJcr' *j^aA tot — ^

.. 5err\//r'y * ti«|r --guj nff ^ y AfF^/a/v/— t ̂ ^ (f^r HI? firC.A'—EU(\£i<» <rff H ^ ^ ^aJ k^OtLy S NFPA /0/-a/.^,r

- rwf^l/rr.^ g t.1 C.loL>jy, rtif>Lic.c

^ Tl P IK PU .MPr^ A- } n,7.

Follow • UpRe-ln$peclion Oate.^VW^ <0^-3^0 ̂ Pire inspector Print: /-* STP^^ , Sionaturei^^^*^ fCt^a,

ay signing this rapprl. I am admitting no guilt for the violations cited above, but simply acknowledge-having receivedr, . K. To £t!olr<c\.'iPnnt Name: i Signature ot Reoipient

a copy of this report

Date: ^

White Copy/bureau Yeflow Copy / INSPECTOR Pink Copy / CUSTOMER

Page 34: C · City Fire Inc, 5708 SW 25th Street - Hollywood, FL 33023 Phone 954-987-1338 * Fax 954-987-6989 * Website www cityfireinc.com Ji- ^ Customer ol ^ Date ;

"S:"

r'-'V"- - ■?;. ,V;

J.J-

Page 35: C · City Fire Inc, 5708 SW 25th Street - Hollywood, FL 33023 Phone 954-987-1338 * Fax 954-987-6989 * Website www cityfireinc.com Ji- ^ Customer ol ^ Date ;

07/07/2008 15:28 9547971119 TOWN OF DAVIE CODE

Oaia:

cT-^-or"

^ Davie Fire RescueFire Prevention Report

6901 Orange Drive, Davie, FL33314Tel: 954'797'1229 • Fax: 954-797-1237

PAGE 03

Business Nems:

Posted Max. Cap No. of<i@^ldgs.

C.aLipf^Occ^aitayTypa:a—ii-

Addrass of Inspection: "

_ 5'uJ CaH

PftonoNo,

cxo

Occupational License Number: Billing Address O //of t ̂

Q ANNUAL INSPECTION Q OTHER^—^oA-y.

Zip Code:

So. Ft. No. of Roors

3

FINALre-inspectionnumber

LIFE SAFETY EQUIPMENT INSPECTED/TEST^n

□ Meeting. □ Extjngulsher(s)& Building Address□ Permit

□ Flame Spread□ Occupant Load□ Flammable Liquids□ Site Plan

□ Fire Works Sales

□ Interior Finish

□ Complaint□ Exl1(s)□ Exit Lighting□ Emergency Lighting□ Fire Safety Plan□ Elevator(s)□ Electrical

□ Occupational LicenseO LP Gas Appliances/Cylinders□ Utilities

Q Fire Watch□ Access Box□ Commercial Cooking Hood□ Fire Alarm System□ Standplpe/Sprinkl er□ Fire Lane□ Smoke Control Evac□ Fire Drill

D Hydrant Flow Test□ Storage

COMMENTS/VIOLATIONS (FIRE INSPECTOR USE ONLY)

xapHay(^/si;v Y-a 5--^.^.^''fet rrrT~• — iJt%k-er', ' -=ia^,,,cjel fin</\

/ 7 T7 . B ^ ^6 . ^rT-'

• fc r-v y ^ I L; Y I

a^,ue.f ^ fiO f / 4- ^ ^ ^

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t ̂ t i i ^ f A. I /S ^ . J _ _ - ^'^ri [f^ C2jy tS^Ac^ryU I ^ ^(^rriOK)^ '^UeJc^r wAtF-PAFollow - Up "" • 'Ro-tnapaction DaIo; §2^0^ Fire Inspector Print: STvKoei.

R\/ etnntnn tisin I ,_i..!__ _ ... - . . ' ' . '. Signature:i ' — w>^naiurti;By signing .his report,. am .dmH^g n, flxll. fo. .he vIoiaUon. d.ed above, bu. slnipiy acknowledge havin;, receive. , copy o( mb repod

P»n,Name: o,R«,p.en.:While Copy / BUREAU Yellow Copy / INSPECTOR Rink Copy / CUSTOMER

Page 36: C · City Fire Inc, 5708 SW 25th Street - Hollywood, FL 33023 Phone 954-987-1338 * Fax 954-987-6989 * Website www cityfireinc.com Ji- ^ Customer ol ^ Date ;

■i-#irr'^r7

^ Pd/ IChJei^Ji

Page 37: C · City Fire Inc, 5708 SW 25th Street - Hollywood, FL 33023 Phone 954-987-1338 * Fax 954-987-6989 * Website www cityfireinc.com Ji- ^ Customer ol ^ Date ;

City Fire Inc,5708 SW 25th Street - Hollywood. FL 33023

Phone 954-987-1338 ' Fax 954-987-6989 * Website www.cilyfireinc com

DateCustomer; t-'SH

Address : XoggiX LAkeS. Phone :

Contact: Vv^t> ^ Tech :

Fire SupprcMion E/iuipment Inventory

Size Type Service Serial # Location Description

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Page 38: C · City Fire Inc, 5708 SW 25th Street - Hollywood, FL 33023 Phone 954-987-1338 * Fax 954-987-6989 * Website www cityfireinc.com Ji- ^ Customer ol ^ Date ;

City Fire lac.5708 SW 25th Street • Hollywood. FL 33023

Phone 954-987-1338 ' Fax 954-987-6989 * Website www.cityfireinc.com

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Page 39: C · City Fire Inc, 5708 SW 25th Street - Hollywood, FL 33023 Phone 954-987-1338 * Fax 954-987-6989 * Website www cityfireinc.com Ji- ^ Customer ol ^ Date ;

City Fire lac*5708 SW 25th Street • Hollywood. FL 33023

Phone 954-987-1338 * Fax 954-987-6989 * Website www.cilyfireinc.com

Customer ;

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Page 42: C · City Fire Inc, 5708 SW 25th Street - Hollywood, FL 33023 Phone 954-987-1338 * Fax 954-987-6989 * Website www cityfireinc.com Ji- ^ Customer ol ^ Date ;

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Page 43: C · City Fire Inc, 5708 SW 25th Street - Hollywood, FL 33023 Phone 954-987-1338 * Fax 954-987-6989 * Website www cityfireinc.com Ji- ^ Customer ol ^ Date ;

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