Fillable FORM NO. BI 63 Rev. 8/19: Application for (City of Virginia Beach)

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FORM NO. BI 63 Rev. 8/19: Application for (City of Virginia Beach)

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  • 14 check-boxes
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File type: PDF

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FORM NO. BI 63 Rev. 8/19
Application for Fire Protection System Permit
CITY OF VIRGINIA BEACH ∙ PERMITS AND INSPECTIONS
2875 Sabre Street, Suite 500 ∙ Virginia Beach, VA 23452 ∙ (757) 385-8769
FAX (757) 385-5777 ∙ www.vbgov.com/buildingpermits
Date: ___________________ Associated Permit #: ______________________
A permit is hereby requested for the following construction at:
Street Address: _________________________________________________________ Lot #/Suite #: _______________________
GPIN: ____________________________________________________________________________________________________
Owner/Occupant Name: ________________________________________________ Owner Phone #: _______________________
Email Address: _________________________________________________________ Cell Phone #: _______________________
Contractor
Compa
ny Name: _____________________________________________ State Registration #: ____________________________
Address: ___________________________________________ Phone: ___________________ FAX: ______________________
Email Address: __________________________________________________________ Cell Phone: _______________________
Additional Information: ___
_________________________________________________________________________________
_________________________________________________________________________________________________________
_________________________________________________________________________________________________________
Master Tradesman/Owner Name (Please Print): _______________________________ Master Tradesman/Owner Signature: _____________________________
I
understand this permit is granted only for the work shown and described in this Application.
Any falsification, misrepresentation, or misleading information given VOIDS this permit.
Applicant’s Name (Please Print): _________________________________________ Applicant’s Signature: ___________________________________________
For office use only:
Plan Review Receipt Number: _________________________________________
Fire Permit Number: _________________________________________________
Related Project Number: ______________________________________________
Approved by: _______________________________________________________ Date: ______________________
Building Type: New Addition Existing Moved
Residential Commercial
Building Construction Type(s): Use Group(s):
Contract Value: $
Equipment: New Replacement Addition Alteration
Sprinkler Type: NFPA 13 NFPA 13D NFPA 13R None Required
Quantity
Quantity
Engine Fire Pump
Fire Alarm Alteration
Fire Dept. Connection
Hydrant
In-bldg Emer. Comm. Coverage
In-bldg Riser 5’ Out
Local Application
Manual Alarm
Monitored Fire Alarm
Quantity
Monitored Waterflow
Post Indicator Valve
Pre-Action System
Sprinkler Alteration
Sprinkler IRC
Standpipe System
Underground Main
Wet Chemical System
Wet Sprinkler System
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FORM NO. BI 63 Rev. 819: Application for (City of Virginia Beach)

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Completed 4 June 2021

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