CITY OF EDGEWATER
BUILDING DEPARTMENT
104 North Riverside Drive
Edgewater, Florida 32132
FIRE PROTECTION PERMIT
Phone: (386) 424-2400 X 1514 FAX: (386) 424-2423
buildingdept@cityofedgewater.org
APPLICATION
Application must be completed in ink or typed. All signatures must be notarized. All sections of the application must be accurately
completed including the Work Description with a thorough description of all work proposed by this application. All required
supporting documents, engineering, plans, etc., must be submitted for the application to be valid for review.
REVIEWED UNDER FIRE PREVENTION CODE AND STATE STATUTES
OFFICE USE ONLY
Date
Parcel ID #
Permit #
Permit Amount$
JOB SITE
Complex Name (If Any)
Address
Unit #
Parcel Id #
Job Cost
$
APPLICANT/QUALIFIER INFORMATION
FL License #
Phone
Fax
Email
City
State
Zip
PROPERTY OWNER INFORMATION
Name (as on property record)
Phone
Fax
Company Name
Email
Address
City
State
Zip
DESCRIPTION OF STRUCTURE
Type of Construction
I-A
I-B
II-A
II-B
III-A
III-B
IV
V-A
V-B
Number of Stories from grade
Total square footage
Comments
DESCRIPTION OF WORK
Utilizing the categories below, please check the type of work associated with this fire permit application.
New Installation
Replace Existing (Reviewed under NFPA 72)
New Installation
Replace Existing
New Installation
Replace Existing
New Installation
Replace Existing
(Reviewed under NFPA 20)
New
Alteration (Reviewed Under NFPA 13)
Aboveground
Below ground Type of Fuel
Hood System
Halon
Other - Type
Photoelectric
Ionization
Combination
Number of Stories
New Installation
Replace Existing
Other
(Description of Work)
ENGINEERING AND RECORDING FEES SHALL BE PAID BY THE APPLICANT
Applicant’s Affidavit: I certify that all the information is accurate and complete. I further certify that no work or installation has commenced prior to
the issuance of a permit and that all work will be performed in accordance with the standards of all laws regulating construction in this jurisdiction. I
understand that a separate permit must be secured for applicable independent trade work associated with this fire permit.
Applicant Signature
Print Name
STATE OF
COUNTY OF
The foregoing instrument was acknowledged before me on this by who
is personally known to me or who has produced as identification and who did not take an oath.
NOTARY PUBLIC STAMP/SEAL
OFFICE USE ONLY
FEES
Pre-Engineered Hood System
$75.00
$
Fire Sprinkler System
Base Fee $20.00
Standpipe $10.00 Each Count
Sprinkler $1.00 Each Count
$
$
$
Fire Alarm System:
Base Fee $ 20.00
Pull Station $5.00 Each Count
Detection Device $5.00 Each Count
$
$
$
All Other Suppression Systems
$75.00
$
Life Safety Plan Review Fees
Fire Flow Calculations
$25.00
$
Building Construction
$0.35 Per $1,000.00 Of Valuation, Minimum $50.00
$
Fire Alarm System
$4.00 Per $1,000.00 Of Valuation, Minimum $50.00
$
Fire Sprinkler System
$4.00 Per $1,000.00 Of Valuation, Minimum $50.00
$
Fuel Tank Installation
$4.00 Per $1,000.00 Of Valuation, Minimum $50.00
$
Under Ground Fuel Tank
$4.00 Per $1,000.00 Of Valuation, Minimum $50.00
$
All Others
$4.00 Per $1,000.00 Of Valuation, Minimum $50.00
$
Gas Permit Fee - Commercial Projects - This Is In Addition To Building Department Fees
Natural Gas Or Propane Systems
Base Fee: $50.00 Includes One Outlet
$
Each Additional Outlet
$6.00
$
Below Ground Tank
$10.00
$
SUBTOTAL
$
STATE OF FLORIDA SURCHARGE - 3% of subtotal or $4, whichever is greater. Effective 10/01/10, per F.S.
468.631and 553.721.(When there is an associated plan review and issuance as a Building Department Permit)
$
TOTAL PERMIT FEE DUE
$