Fire Pump Installation Application

2. Application Date*
   Application Date
4. Applicant(s) Name*
6. Company
8. Address*
10. City*
11. State*
12. Zip*
14. Contact Phone*
15. Contact Email*
17. Project Name*
19. Project Address*
21. Permit Fee
    $75 Permit Fee. Cash or check made payable to "City of Daphne" only.
23. Provisions
    Any person who installs fire pumps must be licensed by the Alabama State Fire Marshal’s Office and approved by the Fire Code Official. No person shall install a fire pump without first obtaining a permit from the Bureau of Fire Prevention. Installer must have fire pump plans reviewed by the Fire Code Official before commencing installation. All testing of the fire pump shall comply with NFPA 25. The Fire Code Official may require certain operational test upon final inspection.
25. General Requirements:

    1. Current City of Daphne Business License
    2. General Liability Insurance for $1,000,000 with the City of Daphne listed as a certificate holder
    3. Current Training Certificates (Manufacturers or NICET) for all technicians (these must be submitted each year)
27. Digital Signature*
28. Date*
    Date
Leave This Blank:


30. 1. Receive an email copy of this form.
31. Email address

    This field is not part of the form submission.

32. Submit

* indicates a required field