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Home My WebLink AboutSPRINKLER CERTIFICATE-% ' METRO FIRE SPRRIRLER SERVICES, INC. 1501 S.E. DECKER AVENUE, BAY 522 Stuart, Florida 34994 PHONE: (772) 288-0615 FAX: (772) 288-5122 GENERAL INFORMATION SCANNED St. Lucie COUI71y CONTRACTOR'S MATERIAL & TEST CERTIFICATE FOR ABOVEGROUND PIPINO PROCEDURE Upon completion of work, inspection and tests shall be made by the contractor's representative and witnessed by an owner's representative. All defects shall be connected and system left in service before contractors personnel finally leave thejob. A certificate shall be filled out and signed by both representatives. Copies shall be prepared for approving authorities, owners and contractor. It is understood the owner's representative's signature in no way prejudices any claim against contractor for faulty material. Poor workmanship or failure to comply with approving authority's requirements or local ordinances. PROPERTYNAME DATE ?^ pqM Tattoo Yachts PROPERTY ADDRESS 5350 Sun Citrus Blvd, Ft Pierce FL PLANS ACCEPTED BY APPROVING AUTHORITIES (NAMES) St. Lucie CougV Fire Prevention ADDRESS 5160 NW Milner Drive, Port St. Lucie, FL 34953 INSTALLATION CONFORMS TO ACCEPTED PLANS YES ❑NO EQUIPMENT USED IS APPROVED OS'ES❑NO IF NO, EXPLAIN DEVIATIONS INSTRUCTION HAS PERSON IN CHARGE OF FIRE EQUIPMENT BEEN INSTRUCTED AS TO LOCATION YES []NO OF CONTROL VALVES AND CARE AND MAINTENANCE OF THIS NEW EQUIPMENT IF NO, EXPLAIN HAVE COPIES OF THE FOLLOWING BEEN LEFT ON THE PREMISES YES ]--]NO 1. SYSTEM COMPONENTS INSTRUCTION ZTS ❑NO 2. CARE AND MAINTENANCE INSTRUCTIONS KIES ❑NO 3. NFPA25 KM []NO LOCATION OF SUPPLIES BUILDINGS SYSTEM SAME SPRINICLERS MAKE MODEL YEAR OF ORIFICE QUANTITY TEMPERATURE MANUFACTURER SIZE RATING iK1i1/A1,1150 7417qAiw N het5lZd! 1 PIPE AND FTrfINGS TYPE OF PIPE It I' TYPE OF FITTINGS ALARM VALVE OR ALARM DEVICE MAXIMUM TUB TO OPERATE THROUGH TEST FLOW INDICATOR CONNECTION TYPE I MAKE MODEL I M.M. SEC. o1d 1 5. DRY PIPE DRY VALVEO.O.D. OPERATING TEST MAKE MOD I SERIALNO. MAKE MODEL III SERIOALNO. TIME TO TRIP WATER AIR TRIP POINT AIR TIME WATER ALARM THROUGH TEST PRESSURE PRESSURE PRESSURE I REACHED TEST OPERATED CONNECTION OUTLET PROPERTLY MIN. I SEC. PSI PSI PSI MIN 1 SEC YES NO WITHOUT O.O.D. WITH O.O.D. IF NO, EXPLAIN DELUGE & OPERATION ❑PNEUMATIC ❑ELECTRIC I ❑HYDRAULIC PREACCION VALVES PIPING SUPERVISED ❑YES LINO DECTING MEDIA SUPERVISED ❑YES LINO DOES VALVE OPERATE FROM THE MANUAL IRIP ANDIOR REMOTE CONTROL STATIONS ❑YES ❑NO IS THERE AN ACCESSIBLE FACILITY IN EACH CIRCUIT FOR TESING IF NO, EXPLAIN MAKE MODEL DOES EACH CIRCUIT OPERATE SUPERVISION LASS MAXIMUM TIME TO OPE TE ALARM DOES EACH CIRCUIT OPERATE VALVE RELEASE RELEASE YES NO MIN SEC LOCATION MAKE& SETTING STATICPRFSSURE MIDUALPKESSURE FLOW RATE PRESSURE &FLOOR MODEL OIVING REDUCING LET(PSO UrLET(PSO IM.ET(PEI) urLEr(Psp VALVE TEST HYDROSTATIC: Hydrostatic tests shall be made at not less the 200 PSI (I3.6 bars) for two hours or 50 PSI (3.4 bars) above static pressure in excess of 150 PSI (I0.2 bars) for two hours. Differential dry -pipe valve clappers shall be left open during test to prevent TEST DESCRIPTION damage. All aboveground piping leakage shall be stopped PNEUMATIC: Establish 40 PSI (2.7 bars) air pressure and measure drop which shall not exceed 1 Y2 PSI (0.1 bars) in 24 hours. Test ressure tanks at normal water level and air ressure and measure at r ressure dro which shall not exceed I %: PSI 0.1 barsin 24 hours. ALL PIPING HYDROSTATICALLY TESTED AT PSI BARS FORHRS IF NO, STATE REASON DRY PIPING PNEUMATICALLY TESTED []YES []NO EQUIPMENT OPERATES PROPERLY ❑ YES []NO DO YOU CERTIFY AS THE SPRINKLER CONTRACTOR THAT ADDITIVES AND CORROSIVE CHEMICALS, SODIUM SILICATE OR DERIVATIVES OF SODIUM SILICATE, BRINE, OR OTHER CORROSIVE CHEMICALS WERE NOT USED FOR TESTING SYSTEMS OR STOPPING LEAKS? ❑YES ❑NO DRAIN READING OF GAGE LOCATED NEAR WATER SUPPLY TESTS PIPE: RESIDUAL PRESSURE WITH VALVE IN TESTS TEST STATIC PRESSURE PSI I TEST PIPE OPEN WIDE UNDERGROUND MAINS AND LEAD IN CONNECTIONS TO SYSTEM RISER FLUSHED BEFORE CONNECTION MADE TO SPRINKLER PIPING VERIFIED BY COPY OF THE U FORM NO.85B []YES 21NO OTHER EXPLAIN FLUSHED BY INSTALLER OF UNDERGROUND ❑YES [LINO SPRINKLER PIPING NUMBER USED LOCATIONS NUMB ER REMOVED BLANK TESTING I GASKETS WELDED PIPING EMS ❑NO IF YES.... YES ❑NO DO YOU CERTIFY AS THE SPRINKLER CONTRACTOR THAT WELDING PROCEDURES COMPLY WITH THE REQUIREMENTS OF AT LEAST AWS DI0.9, LEVEL, AR-3? YES []NO DO YOU CERTIFY THAT THE WELDING WAS PERFORMED BY WELDERS QUALIFIED IN COMPLIANCE WITH THE REQUIREMENTS OF AT LEAST AWS D 10.9, LEVEL AR-37 WELDING DO YOU CERTIFY THAT WELDING WAS CARRIED OUT IN COMPLIANCE WITH A DOCUMENTED QUALITY CONTROL PROCEDURE TO INSURE THAT ALL DISCS ARE RETRIEVED, THAT OPENINGS IN PIPING ARE SMOOTH, THAT SLAG AND OTHER WELDING RESIDUE ARE REMOVED, AND THAT THE 'i ES LINO INTERNAL DIAMETERS OF PIPING ARE NOT PENETRATED DO YOU CERTIFY THAT YOU HAVE A CONTROL FEATURE TO ENSURE THAT ALL CUTOUTS YES LINO ISICS ARE RETRIEVED NAMEPLATE PROVIDED❑YES B O IF NO EXPLAIN Eaq/ DATE LEFT IN SERVICE WITH ALL CONTROL VALVES OPEN: REMARKS NAME OF SPRINKLER CONTRACTOR Metro Fire Sprinkler Services Inc. TESTS WITNESSED BY TEST WITNESSED FOR OWNER/OWNER'S REP (SIGNED) TITLE DATE BY $O$.SP LE RACJ'A (SIGNED) TITL$ DATE hUTHOR11 G JURISDICTION (SIGNED) TITLE n DATE may! ^ , ADDITIONAL EXPLANATION NOTES METRO FIRE SPRINKLER SERVICES, INC. 1501 S.E. DECKER AVENUE, BAY 522 Stuart, Florida 34994 PHONE: (772) 288-0615 FAX: (772) 288-5122 GENERAL INFORMATION CONTRACTOR'S MATERIAL & TEST CERTIFICATE FOR ABOVEGROUND PIPING PROCEDURE Upon completion of work, inspection and tests shall be made by the contractor's representative and witnessed by an owner's representative. All defects shall be connected and system left in service before contractor's personnel finally leave thejob. A certificate shall be filled out and signed by both representatives. Copies shall be prepared for approving authorities, owners mid contractor. It is understood the owner's representative's signature in no way prejudices any claim against contractor for faulty material. Poor workmanship or failure to comply with approving authority's requirements or local ordinances. PROPERTY NAME Tattoo Yachts DATE �i �% /7 /0 PROPERTY ADDRESS 5350 Sun Citrus Blvd., FT PIERCE 34950 PLANS ACCEPTED BY APPROVING AUTHORITIES (NAMES) St. Lucie County Fire Prevention ADDRESS 5160 NW Milner Drive, Port St. Lucie, FL 34953 INSTALLATION CONFORMS TO ACCEPTED PLANS EQUIPMENT USED IS APPROVED IF NO, EXPLAIN DEVIATIONS YES NO Cx1'ES ❑NO INSTRUCTION HAS PERSON IN CHARGE OF FIRE EQUIPMENT BEEN INSTRUCTED AS TO LOCATION OF CONTROL VALVES AND CARE AND MAINTENANCE OF THIS NEW EQUIPMENT IF NO, EXPLAIN YES NO HAVE COPIES OP 711E FOLLOWING BEEN LEFT ON THE PREMISES 1. SYSTEM COMPONENTS INSTRUCTION 2. CARE AND MAINTENANCE INSTRUCTIONS 3. NFPA25 S NO YES ❑NO MWES ❑NO YES ❑NO LOCATION OF SYSTEM SUPPLIES BUILDINGS SAME /d�n �l• SPRINKLERS MAKE MODEL YEAR OF MANUFACTURER ORIFICE SIZE QUANTITY TEMPERATURE RATING PIPE AND FITTINGS TYPE OF PIPE TYPE OF FITTINGS ALARM VALVE OR FLOW INDICATOR ALARM DEVICE MAXIMUM TIME TO OPERATE THROUGH TEST CONNECTION TYPE MAKE MODEL MIN. SEC. DRY PIPE DRY VALVEQ.O.D. OPERATING TEST MAKE I MODEL SERIAL NO. MAKE I MODEL I SERIOALNO. TIME TO TRIP THROUGH TEST CONNECTION WATER PRESSURE AIR TRIP PRESSURE PRESSURE POINT AIR TIME WATER REACHED TEST OUTLET ALARM OPERATED PROPERTLY MIN. SEC. PSI PSI PSI MIN I SEC YES NO WITHOUT O.O.D. WITH O.O.D. IF NO, EXPLAIN DELUGE & OPERATION UPNEUMATIC DELECTRIC HYDRAULIC PPEACTION VALVES pIPINGSUPERVISED UYrS LINO DECTING MEDIA SUPERVISED DYES EINO DOES VALVE OPERATE FROM THE MANUAL TRIP AND/OR REMOTE CONTROL STATIONS UYES UNO IS THERE AN ACCESSIBLE FACILITY IN EACH CIRCUIT FOR TESING IF NO, EXPLAIN MAKE MODEL DOES EACH CIRCUIT OPERATE SUPERVISION LOSS MAXIMUM TIME TO OPE TE ALARM DOES EACH CIRCUIT OPERATE VALVE RELEASE RELEASE YES NO MIN SEC PRESSURE LOCATION MAKE& SETTING STATICPRESSURE RSSIDUALPRFSSURE FLOW RATE &FLOOR MODEL FLOWING REDUCING LET(PSI) OILET(PSO THLETtPSO UMET(PSI) VALVE TEST HYDROSTATIC: Hydrostatic tests shall be made at not less the 200 PST (13.6 bars) for two hours or 50 PSI (3.4 bars) above static pressure in excess of 150 PSI (10.2 bars) for two hours. Differential dry -pipe valve clappers shall be left open during test to prevent TEST DESCRIPTION damage. All aboveground piping leakage shall be stopped. PNEUMATIC: Establish 40 PSI (2.7 bars) air pressure and measure drop which shall not exceed l h PSI (0. I bars) in 24 hours. Test pressure tanks at nomaal water level and air ressure and measure air assure dro which shall not exceed 1 'h PSI (0.1 barsin 24 hours. ALL PIPING HYDROSTATICALLY TESTED AT PSI FOR HRS IF NO, STATE REASON _BARS DRY PIPING PNEUMATICALLY TESTED OYES ❑NO EQUIPMENT OPERATES PROPERLY ❑ YES ❑NO DO YOU CERTIFY AS THE SPRINKLER CONTRACTOR THAT ADDITIVES AND CORROSIVE CHEMICALS, SODIUM SILICATE OR DERIVATIVES OF SODIUM SILICATE, BRINE, OR OTHER CORROSIVE CHEMICALS WERE NOT USED FOR TESTING SYSTEMS OR STOPPING LEAKS? ❑YES LINO DRAIN READING OF GAGE LOCATED NEAR WATER SUPPLY TESTS PIPE: RESIDUAL PRESSURE WITH VALVE IN TESTS TEST STATIC PRESSURE PSI I TEST PIPE OPEN WIDE I UNDERGROUND MAINS AND LEAD IN CONNECTIONS TO SYSTEM RISER FLUSHED BEFORE CONNECTION MADE TO SPRINKLER PIPING VERIFIED BY COPY OF THE U FORM NO.85B []YES ONO OTHER EXPLAIN FLUSHED BY INSTALLER OF UNDERGROUND ❑YES [:]NO SPRINKLER PIPING NUMBERUSED LOCATIONS NUMBER REMOVED BLANKTESTNG GASKETS I WELDED PIPING rjYES UNO 1F YES.... YES NO DO YOU CERTIFY AS THE SPRINKLER CONTRACTOR THAT WELDING PROCEDURES COMPLY WITH THE REQUIREMENTS OF AT LEAST AWS D 10.9, LEVEL, AR-3? R(YES []NO DO YOU CERTIFY THAT THE WELDING WAS PERFORMED BY WELDERS QUALIFIED IN COMPLIANCE WITH THE REQUIREMENTS OF AT LEAST AWS DI0.9, LEVEL AR-3? WELDING DO YOU CERTIFY THAT WELDING WAS CARRIED OUT IN COMPLIANCE WITH A DOCUMENTED QUALITY CONTROL PROCEDURE TO INSURE THAT ALL DISCS ARE RETRIEVED, THAT OPENINGS IN PIPING ARE SMOOTH, THAT SLAG AND OTHER WELDING RESIDUE ARE REMOVED, AND THAT THE )YES ❑NO INTERNAL DIAMETERS OF PIPING ARE NOT PENETRATED DO YOU CERTIFY THAT YOU HAVE A CONTROL FEATURE TO ENSURE THAT ALL CUTOUTS YES EINO DISKS ARE RETRIEVED NAMEPLATE PROVIDED EIYLS EINO IF NO, EXPLAIN DATE LEFT IN SERVICE WITH ALL CONTROL VALVES OPEN: REMARKS NAME OF SPRINKLER CONTRACTOR Metro Fire S rin1der Services, Inc. TESTS WITNESSED BY TESTWITNESSED BY FOR OWNER/OWNER'S REP (SIGNED) TITLE - DATE FO NTRACTO (SIGNED) f DATE ` LITHORIftYH&ING JURISDICTION (SIGNED) TITLE-H DA / ,7 /OO ADDITTONAL EXPLANATION NOTES /-7iz- 05-3s METRO FIRE SPRINKLER SERVICES, INC. 1501 S.E. DECKER AVENUE, BAY 522 Stuart, Florida 34994 PHONE: (772) 288-0615 FAX: (772) 288-5122 GENERAL INFORMATION CONTRACTOR'S MATERIAL & TEST CERTIFICATE FOR ABOVEGROUND PIPING PROCEDURE Upon completion of Work, inspection and tests shall be made by die contractor's representative and witnessed by an owner's representative. All defects shall be connected and system left in service before contractor's personnel finally leave thejob. A certificate shall be filled out and signed by both representatives. Copies shall be prepared for approving authorities, owners and contractor. It is understood the owner's representative's signature in no way prejudices any claim against connector for faulty material. Poor workmanship or failure to comply with approving authority's requirements or local ordinances. PROPERTY NAME Tattoo Yachts DATE '• PROPERTYADDRESS 5350 Sun Citrus Blvd, Ft Pierce, FL PLANS ACCEPTED BY APPROVING AUTHORITIES (NAMES) St. Lucie County Fire Prevention ADDRESS 5160 NW Milner• Drive Port St. Lucie, FL 34953 INSTALLATION CONFORMS TO ACCEPTED PLANS )FES []NO EQUIPMENT USED IS APPROVED ZYES [:]NO IF NO, EXPLAIN DEVIATIONS INSTRUCTION HAS PERSON IN CHARGE OF FIRE EQUIPMENT BEEN INSTRUCTED AS TO LOCATION 06S ❑NO OF CONTROL VALVES AND CARE AND MAINTENANCE OF THIS NEW EQUIPMENT IF NO, EXPLAIN HAVE COPIES OF THE FOLLOWING BEEN LEFT ON THE PREMISES S ❑NO L. SYSTEM COMPONENTS INSTRUCTION S [:]NO 2. CARE AND MAINTENANCE INSTRUCTIONS S ❑NO 3. NFPA25 YES NO LOCATION OF SUPPLIES BUILDINGS SYSTEM SAME NC0� gST '"! SPRINKLERS MAKE MODEL YEAR OF ORIFICE QUANTITY TEMPERATURE MANUFACTURER SIZE RATING Y 7 k Al %D d ' /IL N Z / Y 7 9' / PIPE AND FITTINGS TYPE OF PIPE NOX TYPE OF FITTINGS ALARM VALVE OR ALARM DEVICE MAXIMUM TIME TO OPERATE THROUGH TEST FLOW INDICATOR CONNECTION YPE MAKE MODEL MIN. SEC. S• DRY PIPE DRY VALVEQ.O.D. OPERATING TEST MAKE MODEL SERIAL. NO. MAKE I MODEL SE GAL NO. TIME TO TRIP WATER AIR TRIP POINT AIR TIME WATER ALARM THROUGHTEST PRESSURE PRESSURE PRESSURE REACHED TEST OPERATED CONNECTION OUTLET PROPERTLY MIN. SEC. PSI PSI PSI MIN SEC YES NO WITHOUT O.O.D. WITH O.O.D. IF NO. EXPLAIN DELUGE & OPERATION []PNEUMATIC ❑ELECTRIC ❑HYDRAULIC PREACrION VALVES PIPING SUPERVISED ❑YES ❑NO DECTING MEDIA SUPERVISED ❑YES ❑NO DOES VALVE OPERATE FROM THE MANUAL TRIP ANDIOR REMOTE CONTROL STATIONS ❑YES ONO IS THERE AN ACCESSIBLE FACILITY IN EACH CIRCUIT FOR TESING IF NO, EXPLAIN MAKE MODEL DOES EACH CIRCUIT OPERATE SUPERVISION LOSS MAXIMUM TIME TO OPE TE ALARM DOES EACH CIRCUIT OPERATE VALVE RELEASE RELEASE YES NO MIN SEC PRESSURE LOCATION MAKE& SETTING STATIC PRESSURE RESIDUALPRESSURE FLOWRAIM &FLOOR MODEL REDUCING LET(Psn OUTLET(PSI) INIM(PSI) Vruaws) VALVE TEST HYDROSTATIC: Hydrostatic tests shall be made at not less the 200 PSI (13.6 bars) for two hours or 50 PSI (3.4 bars) above static pressure in excess of 150 PSI (10.2 bus) for two hours. Differential dry -pipe valve clappers shall be left open during test to prevent TEST DESCRIPTION damage. All aboveground piping leakage shall be stopped. PNEUMATIC: Establish 40 PSI (2.7 bars) air pressure and measure drop which shall not exceed 1 %. PSI (0.1 bars) in 24 hours. Test pressure tanks at normal water level and air pressure and ensure air pressure drop which shall not exceed 1 V2 PSI 0.1 barsin 24 hours. ALL PIPING HYDROSTATICALLY TESTED AT M PSI BARS FOR HRS IF NO, STATE REASON DRY PIPING PNEUMATICALLY TESTED YES []NO EQUIPMENT OPERATES PROPERLY ❑ YES EINO DO YOU CERTIFY AS THE SPRINKLER CONTRACTOR THAT ADDITIVES AND CORROSIVE CHEMICALS, SODIUM • SILICATE OR DERIVATIVES OF SODIUM SILICATE, BRINE, OR OTHER CORROSIVE CHEMICALS WERE NOT USED FOR TESTING SYSTEMS OR STOPPING LEAKS? []YES QN0 TESTS DRAIN READING OF GAGE LOCATED NEAR WATER SUPPLY TESTS PIPE: RESIDUAL PRESSURE WITH VALVE IN I TEST STATIC PRESSURE PSI TEST PIPE OPEN WIDE UNDERGROUND MAINS AND LEAD IN CONNECTIONS TO SYSTEM RISER FLUSHED BEFORE CONNECTION MADE T'O SPRINKLER G VERIFIED BY COPY OF THE U FORM NO.85B []YESPYES NO OTHER EXPLAIN FLUSHED BY INSTALLER OF UNDERGROUND []YES OR�NO SPRINKLER PIPING BLANKTESTING NUMBER USED LOCATIONS NUMBER REMOVED GASKETS I WELDED PiFIN( 6flYES ❑NO IF YES.... LOJYES ❑NO DO YOU CERTIFY AS THE SPRINKLER CONTRACTOR THAT WELDING PROCEDURES COMPLY WITH THE REQUIREMENTS OF AT LEAST AWS D10.9, LEVEL, AR-3? YES ONO DO YOU CERTIFY THAT THE WELDING WAS PERFORMED BY WELDERS QUALIFIED INCOMPLIANCE WELDING WITH THE REQUIREMENTS OF AT LEAST AWS D 10.9, LEVEL AR-37 DO YOU CERTIFY THAT WELDING WAS CARRIED OUT IN COMPLIANCE WITH A DOCUMENTED QUALITY CONTROL PROCEDURE TO INSURE THAT ALL DISCS ARE RETRIEVED, THAT OPENINGS IN PIPING ARE SMOOTH, THAT SLAG AND OTHER WELDING RESIDUE ARE REMOVED, AND THAT THE BYES ❑NO INTERNAL DIAMETERS OF PIPING ARE NOT PENETRATED DO YOU CERTIFY THAT YOU HAVE A CONTROL FEATURE TO ENSURE THAT ALL CUTOUTS S LINO DISKS ARE RETRIEVED NAMEPLATE PROVIDED YES NO IF NO EXPLAIN DATE LEFT IN SERVICE WITH ALL CONTROL VALVES OPEN: ' RENIARKS NAME OF SPRINKLER CONTRACTOR Metro Fire Sprinkler Services Inc. TEST WITNESSED - TESTS WITNESSED BY BY FOR OWNER/OWNER'S REP (SIGNED) TITLE DATE FOR SPRI k CON OR (SIG ) TITLE /it4A11'I DATE/� n/ Gf FO 0 JURISDICTION (SIGNED) TITLE DATE ADDITIONAL EXPLANATION NOTES