Fillable Fire Protection System Permit (City of Annapolis)

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Fire Protection System Permit (City of Annapolis)

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U.S.A. forms for City of Annapolis

BROWSE CITY OF ANNAPOLIS (MD) FORMS

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Page 1 of 2
Fire Protection System Permit
General Information
1. All work subject to field inspection and/or testing. NFPA 13D and 13R systems shall require a “bucket test”.
2. No work shall start prior to sprinkler permit issuance.
3. The editions of NFPA 13, 13D, 13R, 14 and 303 referenced by the State Fire Prevention Code are adopted by the
City of Annapolis.
4. Plans and manufacturers’ specs are required.
5. The permit is valid for work commenced within a period of 120 days after issuance. Otherwise, it is void and of no
effect. The permit shall be for periods as the fire chief determines, not to exceed 1 year.
6. Issued sprinkler permits are not transferable for any reason.
7. All fees are not refundable for any reason.
8. A copy of the cost estimate signed by the building owner shall be submitted with the permit application.
Job Location Related Building Permit #
Property Owner Phone, day
Property Owner Address
Occupant Phone, day
If commercial, business trading as
Fire Protection Company
Address
Phone, day State FMO License No.
E-mail address Fax
Proposed Work New building Existing building Other
Residential Commercial Other (explain)
Extent of Work
Total New
Installation
Alter
Existing
Replace
Existing
Service
Work
Standpipe System
NFPA 13 System
NFPA 13R System
NFPA 13D System
Fire Suppression System
Cost of entire installation, including material and labor
City of Annapolis
Department of Planning and Zoning
145 Gorman Street, 3
rd
Fl
Annapolis, MD 21401-2529
FOR CITY USE ONLY
PERMIT #
ISSUED
EXPIRES
Permitting@annapolis.gov • 410-260-2200 • Fax 410-263-9158 • TDD use MD Relay or 711 • www.annapolis.gov
Page 2 of 2
Special Conditions
I certify and agree as follows that I am authorized to make this application; that the information above is correct; that I will
comply with all the conditions, rules, regulations, codes and ordinances of the City of Annapolis that is applicable hereto;
that I will perform no work on the above property not specifically described hereon.
Signature of Licensed Sprinkler Contractor Date
FOR CITY USE ONLY
Total Fee due
Special Conditions:
Permit final date Inspector’s Signature
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Fire Protection System Permit (City of Annapolis)

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Completed 12 January 2021

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