10-331-001• ,�— rmrrrurtrr -vauv t tic t�car..uc
�= MIAMI -DADS
Fire Alarm Pre - Submittal Checklist
s ` ` Based On NFPA 72 2002 edition & NFPA 1 and 1012006 edition = `-
Building Department Process Number 1.a begins with —C or Date:
M i l —Q /�!P B /
Project Name: r and is provided in title block of
tans
YES
NO
NIA
LOCATION t COMMENT:
Address in title block to match address found in Building Department Computer
System ". If address contains a building, suite, or specific unit number or letter,
same to be provided in title block — to match Building Department Computer
System.
V
A copy of the contract or a notarized affidavit from the w the total cost
-4
p
}:
`' ` ^a"
tol9riR9
1 of the equipment and installation is provided. Cost 5
.°,; ,
2 Systems costing more than $5,000 are sealed or approved by a Florida Registered
; \% o� F
Engineer.
el
3 1 The total number of devices and components beinq installed is
4 A copy of alarm Qualifi., r's state license is attached, EC EF EH EY #
Complete, current manufacturer's specification and installation sheets are provided
&• �' - `�i;�
5 for all devices, modules, control units and components. All additions to existing
fire alarm stems shall include manufacturer's specification sheets for FACP.
6 Manufacturer's documentation of device compatibility has been provided.
7 is this permit application for fire alarm work a result of a Notice Of Violation issued
by Miami -Dade FIrQ Rescue? If yes, a copy of the Notice qf Violation is provided.
This fire alarm: is required under R (fill In the
code)
8 (Ex: Occupancy chaptedsection from NFPA 101) or indicate if it is a life safety
e uivalency, or is a non — required system or component.
This fire alarm system is not required, but owner f tenant elects to have the
occupancy protected by a fire alarm system. Fire alarm system shall be installed
per NFPA 101 &
9 NFPA 72
standard.
This fire alarm system is not required to have emergency forces notification, but
owner I tenant elects to have system monitored. If this is a new system, monitoring
10 shall be through a listed central station or a listed proprietary supervising station.
This fire alarm system is far sprinkler system supervision only, Sprinkler
11 supervisory only fire alarr systems, new or existing, shalt also monitor duct
detectors if an ,and su cessions tams if an , as r NFPA 72 and NFPA 90.
This is an EXISTING sprinkler supervision only £re alamy that Is monitored off -site
and provided emergency forces notification through an Existing Remote
Supervising Station, and is stated as an Existing Remote Supervising Station Fire
Alarm System on the plans. AHJ may require documentation of prior approval of
12 system as a Remote Supervising Station Fire Alarm System in the fors of the
original Fire DepL approved job copy set of plans or certified microfilm copy of
same.
This is a NEW sprinkler supervision only fire alarm that is monitored off -site and
13 provided emergency forces notification through a Certificated (__) or Placarded
Central station Service Firs Alarm and is stated as such on the pl aps.
This system will be a NEW Certificated () or Placarded (_) "Central Station
14 Service Fire Alarm System" and is stated as such on the plans. (24 hours
second ower
If this is a NEW "Central Station Service Fire Alarm System," a copy of the UL or
ETL certificate or FM placard for the contractor pulling permit or, from the Central
15 Station Service Company responsible for the Installation, servicing and monitoring
(.
of the system, is attached.
This Is an EXISTING "Central Station Service Fire Alarm System." A copy of the
existing UL or ETL certificate, or FM Placard, specifically identifying this protected
16 premise by address,
and uniquely identifying this building's fire alarm system, is
(/
attached.
If the contractor that issued the existing certificate or placard for this building's fire
alarm system is different than the contractor applying for this permit, to perform
work on n existing Central Station Service Fire Alarm System, is the required
17 Affidavit tao Work on another Company's Certificated or Placarded Fire Alarm
Systern provided?
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Designed bAREI 'F K 1 C D 1 R_ Phone #: dS7- 7 r JZ O
Signature: Created by: MDFR I I / 2009
THIS IS A D DOCUMENT ON ALL FIRE ALARM PLAN SUBMITTALS