482 Stewart St Wayne's Sprinkler TestDepartment of Financial Services
Division of State Fire Marshal –Regulatory Licensing Section
Page 1 of 1
Form DFS-K3-2015 (Eff. 03/2021)
Rule 69A-46.041, F.A.C.
Uniform Summary Inspection, Testing, and Maintenance (ITM) Report
ITM Service Company:Contact Telephone #:
Inspector's Name:Inspector's Permitee #:
Inspected Property Name:Inspection Start Date:Inspection Finish Date:
Inspected Property Address:City:State:ZIP:
FL
System(s) Inspected:Inspection Status:
Red
Tag
Yellow
Tag
Green
Tag
Brief Description of Noncritical Deficiencies:
Brief Description of Critical Deficiencies:
Brief Description of Impairments:
Additional Comments:
WAYNE AUTOMATIC FIRE SPRINKLERS 904-268-3030
TED AILSTOCK FPI-17000027
BBT INVESTORS LLC 11/30/22 11/30/22
482 STEWART STREET ATLANTIC BEACH 32232
DRY SYSTEM
✔
red from annual. pressure switch didn't send signal.