Fillable Form 3419 Here (City of Anna)

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Form 3419 Here (City of Anna)

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U.S.A. forms for City of Anna

BROWSE CITY OF ANNA (TX) FORMS

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Page 1 of 2
FIRE PROTECTION PERMIT – Application
Anna Fire Department - Fire Marshal’s Office
305 S. Powell Pkwy. | Anna, TX 75409 | Phone (972) 924-2143
Website: www.annatexas.gov/fire
Email: firecad@annatexas.gov
____Plan review expenses: Actual cost of 3
rd
party review. Additional permit fee is required by the Fire Department.____
Fire Alarm System Fire Sprinkler System Operational Permits
☐New ($150) ☐New ($250) ☐Aerosol Products ($90)
☐Alter Existing* ($100) ☐Alter Existing* ($100) ☐High-Rack / High-Piled Storage ($150)
☐Hazardous Materials ($100)
Fire Sprinkler Monitoring System Tanks
☐New ($100) ☐UST ($120) ☐Other ($100) ______________________________
☐Alter Existing* ($90) ☐AST ($120)
Fire Pump Standpipe System Industrial Oven
☐New ($150) ☐New ($90) ☐New ($90)
☐Replace Existing ($100) ☐Alter Existing* ($60) ☐Replace Existing ($60)
Cryogenics Clean Agent System Fuel Dispensing System
☐New ($100) ☐New ($100) ☐New ($100)
☐Alter Existing ($70) ☐Alter Existing* ($70) ☐Alter Existing ($70)
Special Hazard Fire System Compressed Gasses Commercial Cooking (Kitchen) Hood System
☐Paint Booth ($90) ☐New ($90) ☐New ($100)
☐Battery / Solar Photovoltaic ($60) ☐Alter Existing ($60) ☐Alter Existing* ($70)
Special Applications
☐Smoke Control / Exhaust System ($100)
☐Two-Way Communication System ($90)
____Permit/Plan review expenses: Refer to the Fire Department fee schedule.____
Underground Fire Main Access Control System Fire Department Gate Access System
☐New ($90) ☐New ($90) ☐New ($90)
☐Alter Existing* ($60) ☐Alter Existing ($60) ☐Alter Existing ($60)
Remote FDC Special Applications Operational Permits
☐New ($90) ☐Emergency Generator ($100) ☐Fireworks / Pyrotechnics {1.3G or >} ($300)
☐Alter Existing* ($60) ☐Fireworks / Pyrotechnics {1.4G or <} ($200)
☐Food Truck ($60)
☐Special Events / Amusement Rides ($100)
☐Other ($100) ____________________________________ ☐Tent / Membrane Structure ($60)
*Minor modifications to fire protection equipment do not require permit submittal or fee payment, however, a scope of work
letter shall be submitted. This includes alterations/modifications to the following: System Risers, Less Than 10 Sprinkler
Heads, or Less Than 10 Horn/Strobe Notification Devices. Contractors conducting general maintenance or similar services
shall install a white service tag indicating the location (i.e. Suite #) and scope of work (i.e. “Added horn/strobe”).
3
RD
PARTY REVIEW REQUIRED PRIOR TO SUBMITTAL
PLANS NOT REQUIRING 3
RD
PARTY REVIEW PRIOR TO SUBMITTAL
*WORK NOT REQUIRING PERMIT*
Page 2 of 2
Plans: ☐New ☐Revised Note: If plan is a revision customer must provide original permit number. Permit # ____________
Project Address: ______________________________________________________
Name of Project, Business, or Event: ______________________________________________
Submittal Date: __________________
Square Footage: _________________________ Occupant Load: ______________________
Company Name: _____________________________________________
Contact Name: __________________________________ Phone #: _______________________________
Contact Email: __________________________________
Installing Company (contractor): _________________________________________________
TOTAL FEE AMOUNT: $____________________________
• ALL FEES ARE DUE BEFORE APPROVED PERMIT IS ISSUED.
• WORK SHALL NOT COMMENCE UNTIL PERMIT HAS BEEN ISSUED. WORKING WITHOUT A PERMIT
WILL RESULT IN FINES.
• ALL CONSTRUCTION AND OPERATIONAL PERMITS ARE SUBJECT TO FIELD INSPECTION.
• A COPY OF THE APPROVED PERMIT AND PLANS SHALL BE KEPT ON SITE AND POSTED. FAILURE
TO POST THESE DOCUMENTS WILL RESULT IN FINES. ALL FINES MUST BE PAID PRIOR TO
INSPECTIONS. PERMIT EXPIRES 180 DAYS FROM THE DATE OF ISSUANCE.
Name of Customer Receiving Approved Permit/Plans: _________________________________________
Date Received: __________________ Signature: ____________________________________________
Revised 9/18 (RI)
PERMIT INFORMATION
APPLICANT INFORMATION
- FIRE DEPARTMENT USE ONLY -
Fee Amount Verified By: _______________________________ Date: _______________________
Permit #: _____________________ Application Received By: _____________________________
Status: ☐Approved ☐Resubmit Reviewed By: ________________________________________
Date of Issuance: __________________________
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Form 3419 Here (City of Anna)

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Completed 14 July 2020

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