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Fire Sprinkler Project Permit Application Form

2. Fire Sprinkler Project Permit Application Form

4. Date *
   Date

6. Project Name

8. Phased Project? *

   1. Yes
   2. No

9. If YES, what phase number?

11. Project Address*

13. City/County*

15. Within City Limits? *

    1. Yes
    2. No

16. Number of Floors *

18. Occupancy Type

19. Construction Type

21. Partial System?

    Partial system requires 2 hour fire separation

    1. Yes
    2. No
23. Total Square Footage

    include attic if combustible construction and protected

24. Fee = FT² x $0.03 Minimum Fee $54.00

    Fee = FT² x $0.03 Minimum Fee $54.00

28. System Designer

30. Company Name

32. Company Email

33. Company License Number

35. Phone Number

36. Fax Number

40. Project Owner Name

42. Project Owner Address

44. Phone Number

45. Email

49. Fire Alarm being installed?

    1. Yes
    2. No

50. Existing Fire Alarm system?

    1. Yes
    2. No

52. Elevator being installed?

    1. Yes
    2. No

53. If YES, is the elevator hydraulic or electric?

55. Is there an existing elevator?

    1. Yes
    2. No

56. If YES, is the elevator hydraulic or electric?

58. Dry system being installed?

    1. Yes
    2. No

59. Existing dry system?

    1. Yes
    2. No

61. Pre-action system being installed?

    1. Yes
    2. No

62. Existing pre-action system?

    1. Yes
    2. No

64. Antifreeze system being installed?

    1. Yes
    2. No

65. Existing antifreeze system?

    1. Yes
    2. No

67. Is this a new, existing or remodeled building?

    1. Yes
    2. No

68. If YES, which one?

70. Fire pump being installed?

    1. Yes
    2. No

71. Existing fire pump?

    1. Yes
    2. No

73. Fire sprinkler tank being installed?

    1. Yes
    2. No

74. Existing fire sprinkler tank?

    1. Yes
    2. No

76. Are flex heads being installed?

    1. Yes
    2. No

77. Existing flex heads installed?

    1. Yes
    2. No

81. Mailing/Contact Information
    All items to be returned shipping will be at the customer's expense. A properly filled out return label and packaging must be provided to our office with this transmittal form or items will require pick up.

    All items to be returned shipping will be at the customer's expense. A properly filled out return label and packaging must be provided to our office with this transmittal form or items will require pick up.

83. I wish to pick up the plans

    1. Yes
    2. No

84. Mail reviewed plans

    1. Yes
    2. No

85. Return using third party carrier

    (FedEx, UPS, etc.)

    1. Yes
    2. No
87. Name

89. Address

90. Phone Number

92. City/State

93. Zip Code

95. Email

97. Third Party Carrier Information

99. Preferred Carrier

101. Account Number

Leave This Blank:


103. 1. Receive an email copy of this form.
104. Email address

     This field is not part of the form submission.

105. Submit

* indicates a required field