200 S. MAIN STREET / P.O. BOX 826
PROPERTY INFORMATION:
BUILDING NAME:
ADDRESS:
CONTACT PERSON (OWNER/DEVELOPER): PHONE:
ADDRESS:
PHONE: FAX: E-MAIL:
FIRE SPRINKLER / SUPPRESSION DESIGNER AND / OR CONTRACTOR:
NAME OF ENTITY OR PERSON:
ADDRESS: PHONE:
CONTACT PERSON (DESIGNER): PHONE:
CONTRACTOR NAME / ADDRESS:
PHONE: E-MAIL:
Valuation (cost of project):
DESCRIBE WORK:
**NOTE: Inspection of permitted work may reveal code violations not discovered during plan review.
ITEM Quantity
Base Fee For Issuing each Permit $ 50.00
Fire Sprinkler System $ 35.00 each
Fixed Suppression System $ 25.00 each
Fire Pump $ 20.00 each
Fire Sprinkler Head or similar device $ 0.60 each
Backflow Prevention Device - 2 inches or less $ 20.00 each
Backflow Prevention Device - Over 2 inches $ 25.00 each
Special Notes:
PLAN CHECK FEE →
100% OF THE PERMIT FEE
Provide the customer with a copy of the permit.
Inspections required for all devices and systems. Checked By Plans Attached [ ] Yes [ ] No
No backflow prevention device shall be installed in the
public right-of-way. Initial and annual inspection reports Date
Updated 7/23/2019
required on all testable devices.
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF THE LAWS
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES
NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY CITY GUIDELINES, ORDINANCES, CODES, STATE OR LOCAL LAWS
PERTAINING TO OR REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
SIGNATURE OF AUTHORIZED AGENT PRINTED NAME DATE
Phone: (210) 658 - 4175 Fax: (210) 658 - 8065
BUILDING PERMIT APPLICATION - FIRE SPRINKLER/SUPPRESSION SYSTEM
MONTHS AT ANY TIME AFTER WORK IS COMMENCED.
COMMENCED WITHIN 6 MONTHS, OR IF CONSTRUCTON OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 6
THE FIRE SPRINKLER / FIRE LINE / SUPPRESSION PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT
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