L
L
A
PORTE
A PORTE
FIRE
MARSHAL’S
FIRE MARSHAL’S
OFFICE
OFFICE
O
PEN BURNING PERMIT
General Information
Type of Permit (select one):  OPEN BURNINGBON FIRE  Cooking  Other
Requestors Name: Date of Event:
Permit Address:
Specific location of display:
Special Precautions
1
Fire watch is required
2
Fire shall be located no closer than 50' to any building or property line
3
Site shall be clear of combustibles or combustibles shall be protected from fire
4
One person at location shall be over 21 years of age and of a competent state of mind.
5
One of the follow forms of extinguishing agents shall be shall be within 20 feet of the fire location.
¾ 5 pound A/B/C fire extinguisher
¾ 5-gallon containers of water
¾ Connected and charged garden hose
6
Charcoal starter may be used to ignite the fire, but after ignition fluid shall be stored at least 25' from the fire.
7
This permit shall be at this location at the time of the outside open cooking.
8
Other:
Certification:
This document is a governmental record. Individuals who knowingly make a false entry in, or false alteration of, a governmental record are
subject to criminal prosecution under Section 37.10 of the Penal Code, Vernon’s Texas Code Annotated. I hereby certify that I have read and
examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be
complied with whether specified or not. The granting of a permit does not presume to violate or cancel the provisions of any other state of local
law regulating constitution or the performance of Open Fires.
Signature: Date:
FIRE MARSHALS OFFICE USE ONLY
Date of Review: ____________________ Reviewed By: _________________________
Approved: Yes No
Require Follow-up: Yes No Explain:_____________________________________
Fee’s Due: Yes No
Amount Paid: ___________________ Date Paid: ____________________