nassau county fire protection permit application

Revised 12/30/20 BUILDING PERMIT#_______________ AP#______________________PERMIT #_______________________

Cost $______________Check#____________Receipt#_____________

NASSAU COUNTY FIRE PROTECTION PERMIT APPLICATION

7TH EDITION (2020) OF THE FLORIDA BUILDING CODE IS IN EFFECT THE FLORIDA FIRE PREVENTION CODE 7th EDITION (2018)IS IN EFFECT

Owner’s Name (Please Print)______________________________Signature_____________________________________

Phone: Day (________)_________________________ Alternate (________)_________________________________

Owner’s Address:___________________________________________________________________________________

City:________________________________________State:___________________________Zip Code_______________

Contractor(Please Print)__________________________________Signature_____________________________________

Business Name (Please Print)__________________________________________________________________________

Business Address:___________________________________________________________________________________

City:____________________State:_________Zip Code:__________State Certification or Registration #______________

Phone # (______)_______________Mobile/Beeper (_____)_________________Fax # (_____)_____________________

PROPERTY INFORMATION Property Identification Number: ______ - ______ - ______ - _________ - _________ - ________

Subdivision___________________________ Block__________________ Lot _____________________

Physical Address (Project Site):________________________________________________________________________

City:_____________________________________State:___________________ Zip Code:__________________

SPECIFIC DIRECTIONS TO SITE:____________________________________________________________________

_____________________________________________________________________

Specific Description of Work:________________________________________________________________________

_________________________________________________________________________

Residential ___________ Commercial _____________ New ____________ Repair/Maintenance _____________

Number of Sprinkler Heads ___________ Number of Fire Hose Cabinets _____________ Wet/Dry Standpipes ______________

Alarm System _______________________ Fire (Range/Grease Hood) Suppression System___________

Estimated Construction Cost $__________________

If the estimated cost of construction of this job is greater than $2,500 and not related to a Building Permit, a certified copy of the recorded Notice of Commencement must be submitted to the Building Department prior to scheduling your first inspection (FS 713.135(d).

NOTICE OF COMMENCEMENT

FS 713.13 REVISED 2/1/2020

MUST BE RECORDED AT THE NASSAU COUNTY CLERK’S OFFICE

Property Appraisers Parcel Identification:__________________________________________________________

NOTICE OF COMMENCEMENT State of Florida

County of Nassau

The undersigned hereby given notice that improvement will be made to certain real property, and in

accordance with Chapter 713, Florida Statutes the following information is provided in this Notice of

Commencement.

Legal description of property (include street address, if available)

_____________________________________________________________________________________

_____________________________________________________________________________________

General description of improvements_____________________________________________________

Owner’s Name________________________________________________________________________

Address______________________________________________________________________________

Owner’s Interest in site of the improvement_______________________________________________

Fee Simple Title holder (if other than owner)______________________________________________

Address ___________________________________Phone: _____________Fax: __________________

Contractor___________________________________________________________________________

Address___________________________________Phone:______________Fax:___________________

Surety ____________________________________Phone: _____________Fax: __________________

Address______________________________________Amount of Bond $________________________

Lender’s Name _______________________________________________________________________

Address___________________________________Phone: _____________Fax: ___________________

Expiration date of notice of commencement (the expiration date may not be before the completion

of construction and final payment to the contractor, but will be 1 year from the date of recording

unless a different date is specified) _____________, ______.20____

WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE

NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART 1,

SECTION 713.13, FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS

TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB

SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR

LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF

COMMENCEMENT.

Under penalty of perjury, I declare that I have read the foregoing notice of commencement and that the facts stated

therein are true to the best of my knowledge and belief.

_________________________________________

Print Name and Provide Signatory’s Title/Office

_______________________________________________

_ Signature of Owner or

Owner’s Authorized Officer/Director/Partner/Manager

State of FloridaCounty of Nassau

The foregoing instrument was acknowledged before me by means of [ ] physical presence or [ ] online notarization, this _________ (date) by ___________________ (name of person acknowledging)__________________________, who is personally known to me or who has produced _________________________ (type of identification) ____________________________ as identification.

Sworn to and subscribed before me this __ day of ____________

_______________________________ ___________________________________Notary Signature Printed Name

NOTICE OF COMMENCEMENT

FS 713.13 REVISED 2/1/2020

MUST BE RECORDED AT THE NASSAU COUNTY CLERK’S OFFICE

Property Appraisers Parcel Identification:__________________________________________________________

NOTICE OF COMMENCEMENT State of Florida

County of Nassau

The undersigned hereby given notice that improvement will be made to certain real property, and in

accordance with Chapter 713, Florida Statutes the following information is provided in this Notice of

Commencement.

Legal description of property (include street address, if available)

_____________________________________________________________________________________

_____________________________________________________________________________________

General description of improvements_____________________________________________________

Owner’s Name________________________________________________________________________

Address______________________________________________________________________________

Owner’s Interest in site of the improvement_______________________________________________

Fee Simple Title holder (if other than owner)______________________________________________

Address ___________________________________Phone: _____________Fax: __________________

Contractor___________________________________________________________________________

Address___________________________________Phone:______________Fax:___________________

Surety ____________________________________Phone: _____________Fax: __________________

Address______________________________________Amount of Bond $________________________

Lender’s Name _______________________________________________________________________

Address___________________________________Phone: _____________Fax: ___________________

Expiration date of notice of commencement (the expiration date may not be before the completion

of construction and final payment to the contractor, but will be 1 year from the date of recording

unless a different date is specified) _____________, ______.20____

WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE

NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART 1,

SECTION 713.13, FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS

TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB

SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR

LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF

COMMENCEMENT.

Under penalty of perjury, I declare that I have read the foregoing notice of commencement and that the facts stated

therein are true to the best of my knowledge and belief.

_________________________________________

Print Name and Provide Signatory’s Title/Office

_______________________________________________

_ Signature of Owner or

Owner’s Authorized Officer/Director/Partner/Manager

State of FloridaCounty of Nassau

The foregoing instrument was acknowledged before me by means of [ ] physical presence or [ ] online notarization, this _________ (date) by ___________________ (name of person acknowledging)__________________________, who is personally known to me or who has produced _________________________ (type of identification) ____________________________ as identification.Sworn to and subscribed before me this __ day of ____________

__________________________ _________________________________Notary Signature Printed Name

DEPARTMENTAL ROUTING APPROVAL SHEET (Office Use Only)

COMMERCIAL

BUILDING ZONING/GROWTH MANAGEMENT

APPROVED DENIED PENDTNG NOT APPLICABLE

COMMENTS: _____ _ _ _ _ _ ______________ _

STTE PLAN REVIEW -APPROVED __ TN PROGRESS (HOLD ISSUANCE) __ _

CONDITIONS AS NOTED: ___ __ ___________ _ _ __ _

COMMENTS: ____________________ _ _ _ _ _

SIGNATURE, _________ _ DATE - ----

CONCURRENCY MANAGEMENT

APPROVED DENIED PENDING NOT APPLICABLE

COMMENTS: ___ _ _ _ _ _ __________ __ _ ___ _

SIGNATURE __________ DATE, ____ _

FIRE PREVENTION/FIRE & LIFE SAFETY

APPROVED DENIED PENDTNG NOT APPLICABLE

COMMENTS:. __________________ __ ____ _

SIGNATURE, _________ _ DATE, ____ _

BUILDING (IMPACT FEES)


COMMENTS:. _ __ _____________________ _

SIGNATURE, __________ DATE. _____ _

ENGINEERING RIGHT OF WAY PERMIT

EASEMENT RECORDED- DOCUMENT VERIFIED FOR ACCESS:

APPROVED. __ _ DENIED ___ PENDING. _ ___ NOT APPLICABLE. ___ _

COMMENTS: ___ _ __ _ _ ________ _ _ __ _ _ __ _

SIGNATURE, __________ DATE ______ _

DEPARTMENTAL ROUTING APPROVAL SHEET(Office Use Only)

COMMERCIAL

PLANS EXAMINER /BUILDING OFFICIAL

PERMIT APPLICATION

(VERIFICATION OF SUBMITTED PLANS AS TO DETAIL ON PERMIT APPLICATION)


COMMENTS: __________________________ _

CONSTRUCTION PLANS

APPROVED AS SUBMITTED DENIED --- ---

APPROVED WI CHANGES AS REFLECTED ON PLANS -------------

PENDING -AD DI Tl ON AL INFORMATION NEEDED: _____________ _

OTHER: ----------------

FLOOD PLAIN DETERMINATION MAP PAGE# ______ FLOOD ZONE ___ _

COMMENTS: __________________________ _

CONSTRUCTION TYPE: _______ SPRINKLED ___ REQUIRED ___ _

OCCUPANCY CLASS: _______ DESIGN OCCUPANT LOAD: ______ _

PLANS EXAMINER SIGNATURE _ __________ _ DATE. ____ _

BUILDING OFFICIAL SIGNATURE DATE - -- -- ------- -----

PERMITTING COORDINATOR

READY FOR ISSUANCE: ____ ALL DOCUMENTS ATTACHED AS REQUIRED: ___ _

IF NOT, LIST ANY CONDITIONS: ___________________ _

SIGNATURE. _ ____ _____ _ DATE -----

Revised l/26/12

NASSAU COUNTY BOARD OF COUNTY COMMISSIONERS

FIRE-RESCUE DEPARTMENT

FIRE PREVENTION BUREAU 96160 Nassau Place Yulee, Florida 32097

FIRE SPRINKLER PERMITTING REQUIREMENTS

PLANS SUBMITTAL

• Two sets of plans, hydraulic calculations when applicable, and at least one set of

manufacturers' specification for all components shall be submitted to the BuildingDepartment for review by the Department of Emergency Services for approval.

Plans shall indicate among other things, the project address and the suitenumber if applicable.

Submittal shall clearly indicate: scale, location of connection to the water supply,

all pipes, valves, heads and other system components. Plans shall also showthose items from 8-1.1.1, NFPA 13, 1999 edition that pertain to the design of thesystem.

• A permit will be issued only to State Certified Fire Protection Contractor.

e Water supply data shall be based on a test conducted not more than one year

preceding the submittal.

INSPECTION PROCEDURE

• To receive a satisfactory inspection the following is required:

• Installing contractor shall request an inspection by calling the Building

Department at 491-7337. A minimum of 24 hours advanced notice is required.

• An approved set of plans shall be available on the site at all times.

• The installing contractor shall have the completed and signed Contractor'sMaterial and Test Certificate(s) required by NFPA 13 or 24 (as applicable) on thejob site.

The installing contractor shall have the hydraulic design information sign affixedin accordance with 10-5, NFPA 13, 1999 ed.

The contractor shall have adequate staffing available to perform the requiredtests.

Information provided here shall be used only as a guide. Fire Prevention Plans Review reserves the right to request more information if deemed necessary in order to assure proper system installing and testing.

Phone: (904) 491-7525 Fax: (904) 321-5748

NASSAU COUNTY BOARD OF COUNTY COMMISSIONERS NASSAU COUNTY FIRE RESCUE DEPARTMENT

FIRE PREVENTION 96160 Nassau Place, Yulee, Florida 32097

(904) 491-7525 Fax (904) 321-5748

FIRE ALARM PERMITTING REQUIREMENTS

PLANS SUBMITTAL

Two sets of plans and at least one set of manufacturer's specifications for all components, including wire, shall be submitted to the Building Department for approval by the Fire Department.

Plans shall indicate, among other things, the project address, and the suite number if applicable.

Submittal shall clearly indicate; scale, location of all devices (including EOL' s), panels, power supplies, and risers.

A copy of the battery backup calculations shall be submitted for all systems.

Voltage Drop calculations for indicating circuits when required. The voltage drop to the farthest outlet should not exceed 5% of the supply voltage.

For systems with voice evacuation capabilities, amplifier calculations shall be submitted.

Florida Statute 553.79 (6)(e) requires that systems over $5000.00 of value shall bear the seal of a Florida registered Professional Engineer. Provide a copy of the signed contract for proof of valuation.

Fire alarm work shall not begin until the electrical permit is issued.


To receive a satisfactory final inspection the following is required:

Installing contractor shall request an inspection by calling the Building Department at (904) 491-7337. A minimum of 24 hours advanced notice is required.

An approved set of plans shall be available on the site at all times.

The contractor shall have the Certificate of Completion & Inspection Testing & Maintenance forms, provided in NFPA 72 (2010 Edition).

The Fire Alarm Control Panel shall have the certification tag affixed in accordance with the State Fire Marshal Rule 69A-48.

The Contractor shall have adequate staffing available to perform the required tests.

Information provided here shall be used only as a guide. Fire Prevention Plans Review reserves the, right to request more information if deemed necessary in order to assure proper system installation and testing.

REV 1/1/15

NASSAU COUNTY BOARD OF COUNTY COMMISSIONERS NASSAU COUNTY FIRE RESCUE DEPARTMENT

FIRE PREVENTION 96160 Nassau Place, Yulee, Florida 32097

(904) 491-7525 Fax (904) 321-5748

RANGE HOOD FIRE SUPPRESSION PERMITTING REQUIREMENTS

PLANS SUBMITTAL PROCESS

* Two sets of plans and two sets of manufacturers’ specification for all components, including wiring, shallbe submitted to the Nassau County Building Department for review, and departmental approval by NassauCounty Fire Rescue, Fire Prevention.

* Plans shall indicate among other things, the correct project address, suite number if applicable, andcurrent edition of NFPA 1 Chapter 50, NFPA 17A, and NFPA 96 as adopted by the Florida Fire PreventionCode.

* Submittal shall clearly indicate: scale, approximate location of all kitchen equipment, heads, and piping.

* For systems tied to the fire alarm panel, the fire alarm contractor must tie in the wiring to the fire alarm.

* For systems not tied to the fire alarm system, upon activation of the automatic fire-extinguishing system,an audible alarm or visual indicator shall be provided to show that the system has activated.

* Hood suppression work shall not begin until the permit is issued or the hood suppression contractor willbe charged four (4) times the fee for the permit.


To receive an inspection and final the following is required:

* Certified installing contractor shall request an inspection by calling the Nassau County BuildingDepartment at (904) 491-7337. You must call in by 4:00 pm the day before to schedule an inspection forthe following day.

* The approved stamped set of plans shall be available on site at all times for review.

* The contractor shall provide any documentation required by NFPA 96 and the hood and pull station shallhave the certification tag affixed in accordance with the State Fire Marshal rules.

* The contractor shall have adequate staffing available to perform the required tests and inspections.

* Movable cooking equipment shall be provided with a means to ensure that it is correctly positioned inrelation to the appliance discharge nozzle during cooking operations. Alignment devices are required.

* Movable cooking equipment shall be provided with restraints so as not to pull gas connections fromdevice.

The information provided herein shall only be used as a guide for review and inspection(s). Fire Prevention reserves the right upon the plans review process to request more information if deemed necessary in order to assure proper system installing and testing.

Upon any hood suppression inspection(s), if design specifications do not meet reviewed set of plans or the inspection fails for any other reason a re-inspection fee may be charged and would have to be paid before a re-inspections is set up through the Nassau County Building Department.

BOARD OF COUNTY COMMISSIONERS

NASSAU COUNTY FIRE RESCUE

Fire Prevention

96160 Nassau Place, Yulee, Florida 32097 (904) 530-6605 or (855) 305-3905 Fax (904) 321-5748

Nassau County Fire Rescue Site Plan Checklist

General Information:

1. Provide the owner's name, address and phone number on the plan2. Provide engineer's name, address, phone and fax number on plan

3. Indicate the number of structures on site (New and Existing)4. Provide construction type for each structure, include truss and frame type

5. Indicate number of floor per building

6. Provide square footage per building per floor7. Provide proposed building and eave height

8. Indicate address(es) for each existing structure9. Place the minimum required fire flow upon the proposed site plan, use FFPC 1-18.4 and

table 18.4.5.1.2 include specific construction type

Provide the following comments:

10. Water for firefighting purposes shall be indicated with a blueroadway reflector placed one foot off the center line of theroad facing the fire hydrant. This includes new AND existingsources (NFPA 1: 18.5.10.1)

A 36 in. (914 mm) clear space shall be maintained around the circumference of fire hydrants except as otherwise required or approved (NFPA 1: 18.5.3)

A clear space of not less than 60 in. (1524 mm) shall be provided in front of each hydrant connection having a diameter greater than 21/2 in. (64 mm). 18.5.7.2

Water for firefighting purposes shall be available at the time combustibles are brought onsite.

New fire hydrant(s) shall be installed so that a four and one-half (4½) inch port is facing the roadway by which it is accessed. Hydrant(s) shall be positioned not more than five (5) feet away from the curb or berm of the roadway. Also, all hydrants shall be readily accessible without the need to transverse swales, ditches etc.

"

Nassau County Fire Rescue

Fire Prevention Inspection Types

February 6, 2001(5/14/13)

ALL INSPECTION REQUESTS ARE REQUIRED TO BE INITIATED BY THE PERMIT HOLDER, ALL REQUESTED

INSPECTIONS SHALL HAVE THE PERMIT NUMBER UPON RQUEST, THE TYPE OF INSPECTION, THE NAME OF THE INDIVIDUAL MAKING THE REQUEST AND A TELEPHONE NUMBER WHERE THE INDIVIDUAL CAN BE REACHED IF

NECESSARY.

THE FOLLOWING IS A LIST OF FIRE PROTECTIONAND LIFE SAFETY INSPECTIONS PERFORMED BY NASSAU

COUNTY FIRE RESCUE, FIRE PREVENTION WITH A BRIEF DESCRIPTION OF THE PURPOSE FOR THE INSPECTION

INSPECTIONS REQUESTED FOR THE FOLLOWING WORK DAY MUST BE CALLED IN PRIOR TO 4:00 P.M. THE DAY BEFORE INSPECTION IS REQUIRED.

TYPE DESCRIPTION 700 - FIRE ALARM INSPECTION: This inspection is made after all installation of the alarm components have been installed and the contractor has completed the certificate form provided in NFPA 72 (as applicable on the job site) and the fire alarm control panel has the certification tag affixed in accordance with the State Fire Marshal Rule 69-48. (must also Set up a 799 for final) 705 - FIRE ALARM ROUGH INSPECTION: This inspection is made after all wiring is installed and before any cover up is completed or building framing is completed. This inspection is to verify that the wiring is properly sized, installed and fastened within the building walls and concealed spaces. 710 – FIRE SPRINKLER HYDRO AND ROUGH: The Fire Inspector shall witness a water hydro pressure test that has been pressurized for a minimum of two (2) hours at 200 PSI on the fire sprinkler system. 715 – FIRE SPRINKLER FINAL: This inspection is made after all fire sprinkler system components are installed and have been tested by the installing contractor. The installing contractor shall furnish the Contractors Material & Test Certificate for Above Ground Piping to the Fire Inspector as proof of completion. (must also set up a 799 for final) 720 – FIRE STANDPIPE ROUGH: This inspection is made after all standpipe system components have been installed. The inspector shall witness a pressure test of 200 PSI on the system. (must also set up a 799 for final) 730 –FIRE HOSE CABINET ROUGH: This inspection is a portion of the Fire Standpipe Inspection (720) and is only required when Class II and Class III Standpipe Systems are required. (must also set up a 799 for final) 740 – RANGE HOOD FIRE SUPPRESSION SYSTEM – This inspection is made after all components are installed and are operational. All gas and electric items must shut off under the hood system and not reactivate until manually reset. This will also test the electronic gas shut off valve that shall be installed. (must also set up a 799 for final) 750 – UNDERGROUND FIRE PIPING AND COMPONENTS ROUGH - This inspection is made after all components of the private water based fire suppression system have been installed underground and are ready for inspection by the Fire Inspector. The Fire Inspector shall witness a water hydro pressure test that has been pressurized for a minimum of two (2) hours at 200 PSI on the system. This rough may require one or more inspections. (Must also set up a 799 for final) 760 – TENT INSPECTION: This inspection is made after the tent(s) are in place and exit signs and fire extinguishers are in place. (must also set up a 999 for final) 799 - FINAL INSPECTION FOR 700, 715, 720, 730 and 740, 750– Both rough and final (799) are to be set up at the same time.

FINAL INSPECTIONS ARE REQUIRED ON ALL PERMITS. FAILURE TO OBTAIN FINAL INSPECTION MAY RESULT IN ADDITIONAL FEES

nassau county fire protection permit application

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