DEPARTMENT OF COMMUNITY DEVELOPMENT
200 North Second Street, Suite 303
St. Charles, MO 63301
Phone: 636-949-3227
Fax: 636-949-3557
FIRE PERMIT APPLICATION FORM
DATE: _______________________ PERMIT NUMBER: ____________________ PERMIT REQUIREMENTS
Completed Permit Application
PROJECT NAME: ________________________________________________________ Two Sets Of Plans/Drawings
Permit Fee (Per system/event)
TYPE OF BUSINESS: _____________________________________________________
PROJECT ADDRESS: ________________________________________________________________________________________
FIRE CONTRACTOR NAME/ADDRESS: ________________________________________________________________________
CONTACT NAME: _________________________________________________________ PHONE: _________________________
CONTACT EMAIL: __________________________________________________________________________________________
The above listed applicant hereby makes application for the following:
o Fire Suppression System Installation/Modification ($50.00)
o Fire Alarm System Installation/Modification ($50.00)
o Fire Suppression For Commercial Kitchen Hood System ($50.00)
o Commercial open burn permits - not recreational ($50.00)
o Installation or removal of above/underground storage tanks (indicate # of tanks, sizes, & contents) ($50.00)
o Fire operational permit ($25.00)
Sco
pe of Work: ______________________________________________________________________________________________
___________________________________________________________________________________________________________
***Fire Operational Permit Only***
Na
me of event: ________________________________________ Type of event: __________________________________________
E
vent Date(s): _________________________________________ Dates & Times (Please list all days separately in table below):
Start Date
Start Time
End Date
End Time
Space
Function
Upo
n receipt of proper paperwork, required permit fee and the Building Commissioners approval your permit will be issued.
Details regarding the above request must be filed when application is made and whenever requested by the Building
Commissioner. It is the applicant’s responsibility to ensure that conditions are in accordance with the applicable State, Local
Fire, and Building Codes.
Date Received Stamp
Applicant Name (Printed): ___________________________________________
Signature of Applicant: ______________________________________________
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