Plan Review And Permit Application For Fire Protection Systems Form - Rescue Department
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1MOBILE FIRE
MOBILE FIRE
MOBILE FIRE
MOBILE FIRE – – – – RESCUE DEPARTMENT
RESCUE DEPARTMENT
RESCUE DEPARTMENT
RESCUE DEPARTMENT
FIRE CODE ADMINISTRATION
FIRE CODE ADMINISTRATION
FIRE CODE ADMINISTRATION
FIRE CODE ADMINISTRATION
Plan Review and Permit Application
Plan Review and Permit Application
Plan Review and Permit Application
Plan Review and Permit Application
for
for
for
for
Fire Protection
Fire Protection Systems
Systems
Fire Protection
Fire Protection
Systems
Systems
Date: _____ / _____ / ____ BLD_____________-_______________Contact: (____) ______ - ________
Project Name: ____________________________ Project Address: ____________________________
Contractor Company Name: ____________________________________________________________
I submit this application affirming possession of valid certifications; license and insurance, with the
understanding that all work performed shall be in accordance with the provisions of the 2009
International Fire Code with local amendments, also known as the "Fire Code of the City of Mobile."
UNDER PENALTY OF INTENTIONAL MISREPRESENTATION AND/OR PERJURY, I declare that I
have made this application and it is true and correct to the best of my knowledge and belief.
Authorized Contractor: Print __________________________ Signature _________________________
Check Applicable Box(s)
Fire Alarm System: base fee + $1 per appliance and device + $25 per floor above 3rd floor
$151
Fire Alarm System (existing system) involving 3 to 25 appliances and devices
$101
Fire Alarm Control Panel
$151
Sprinkler System: base fee + $1 per head + $25 per floor above 3rd floor
$151
Sprinkler System (existing system) involving 3 to 25 heads
$101
Sprinkler System Fire Pump
$121
Sprinkler System Standpipe: base fee + $5 per hose connection
$121
Sprinkler System Private Fire Hydrant: base + $50 per additional hydrant
$241
Sprinkler System Underground Piping to Fire Protection Systems: base fee + $241 per riser
$241
Alternative Suppression Systems; Kitchen Hood, Clean Agent, Water Mist ect.......
$151
All of the following information is to be completed by Fire Code Administration Plan Reviewer
Reminder: Electric Water-Flow Bells are required to be connected to the FACP with battery back up.
Reminder: Electric Fire Pumps are required to have a generator back up.
Permit Title/Scope of Work: _________________________________________________________________
Comments: _______________________________________
Reviewer: Permit Fee Due $ ______________
Reviewer Initials: ___________________ Plan Review Completion Date _____ / _____ /__________
Mobile Fire – Rescue Department / Bureau of Fire Prevention
Fire Code Administration
2851 Old Shell Road Mobile, AL 36607
(251) 208.7484
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