Rev. 03.03.2020 DA
Permit No.: ________________
City of Rosenberg
FIRE SYSTEM PERMIT APPLICATION
2220 4
th
Street, Rosenberg, Texas 77471
Telephone: 832-595-3500 Fax: 832-595-3501 Email: registration@rosenbergtx.gov
Inspection Request – Fire Marshal’s Office: 832-595-3645
_________________________________________________________________________________
Project Address:
Project Name: Proposed Use:
Property Owner(s):
Address: City: State/Zip:
Phone: Fax: E-mail:
Contractor Information: (Must be registered with the City of Rosenberg)
Company Name: License No.:
License Type: Expiration: RME Name:
Primary Contact(s): E-mail:
Address: City: State/Zip:
Office Phone #: Fax#: Cell#:
Base Fee - $150.00/per riser
# of device(s) x $5.00/each
# of heads(s) x $0.50/each
# of tamper devices(s) x $5.00/each
Second System - $50.00 additional
# of systems x $100.00 each
Three or more systems - $25.00 each additional
# of systems x $100.00 each
Based on Valuation (must include backflow in cost for job)
Valuation: $_________________________
Fire Pump Test (Contractor Equipment)
Permit fees are five times (5x) if work begins without a valid permit.
One (1) electronic set of plans is required to be submitted for review.
The review process will take 5-10 business days.
Work begun without valid permit
Miscellaneous - _____________________
I hereby certify I have read and examined this document and know the same to be true and correct. All provisions of law and ordinances
governing this type of work will be complied with whether specified herein or not. I further understand that plans submitted for approval will
be subjected to a comprehensive check against municipal ordinance and building code. Any set of plans that must be returned for
modifications or corrections in order to come into compliance with ordinance or code will be subject to rechecking in order of submittal.
Under no circumstances will paid fees be refunded or transferred. Applications and plans will be held for 180 days. After 180 days
this application and plans will be voided and disposed of unless a valid building permit is issued.
Contractor Signature Date
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signature
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