Inspection 12_15_08PORT ST LUCIE, FL 34986
772-878-3350 • FAX: 772-878-5967
11326 DISTRIBUTION AVENUE WEST
JACKSONVILLE, FLORIDA 32256-2745
904-268-3030 -FAX: 904-268-0724
4370 MOTORSPORT DRIVE
CONCORD, NORTH CAROLINA 28027
704-782-3032 -FAX: 704-795-6838
Wi~YNE
Autamt~tlic Fire Sprinklers, Inc.
222 CAPITOL CT.
OCOEE, FL 34761-3033
407-656-3030 - 407-656-8026
TAMPA, FL 336109
81 3-630-0303 • FAX: 81 3 -630-0312
4683 LAREDO AVENUE
FORT MYERS, FLORIDA 33905
239-433-3030 -FAX: 239-433-3263
3121 NW 16TH TERRACE
POMPANO BEACH, FLORIDA 33064
954-917-3030 -FAX: 954-917-9424
NFPA-25 Inspection, Testing and Maintenance of Dry-Pipe Fire Sprinkler Systems
Information on this form covers the minimum requirements of NFPA 25-2002 for fire sprinkler systems connected to distribution systems without
supplemental tanks or fire pumps. Separate forms are available to inspect, test, and maintain fire pumps, water tanks and other fire protection systems.
More frequent inspection, testing and maintenance may be necessary depending on the conditions of the occupancy and the water supply.
Owner: BBT Investors LLC
Owner's Address: 2251 St. Johns Bluff Road S. Jacksonville, FL. 33246
Property Being Evaluated: Dresser Rand
Property Address: 482 - 4828 Stewart St. Atlantic Beach, FL. 32232
Date of Work: ~ 5 December 2008
This work is (check one):
Part I -Owner's Section
All responses refer to the current work (inspection, testing and maintenance) performed on this date.
QWlonthly Q Quarterly 0 Annual oThird Year O Fifth Year
A. Is the building occupied?
B. Has the occupancy classification and hazard of contents remained the
same since the last inspection?
C. Are all fire protection systems in service?
D. Has the system remained in service without modification since the last
inspection?
E. Was the system free of actuation of devices or alarms since the last
inspection?
F. Weekly logs of inspections required by NFPA-25 on file?
G. All deficencies reported at last inspection corrected?
H. I know the location and understand the operation of all cor}(r~ valves.
Owner or representative (print name) Signature and Date
Part II -Inspector's Section
A. Inspections
t. Daily and Weekly Items
A. Control valves supervised with seals in coned (open or closed)
position?
B. Dry-Pipe valves: Enclosures around valves maintaining a
minimum of 40 F and gauges in good condition showing normal
air and water pressure?
C. Back Flow Preventers
1. Valves in correct (open or closed) position?
2. Sealed, locked or supervised 8 accessible?
3. Relief port on RPZ device not discharging?
D. For freezer systems, is the gauge near [he compressor reading
the same as the gauge near the dry-pipe valve?
2. Monthly Inspection Items (in addltlon to above items)
A. Control valves with locks or electrical supervision in correct
open or closed) position?
B. Dry-Pipe Valves:
Free from physical damage, trim valves in appropriate (open or
closed) position, and no leakage from intermediate chamber?
C. Sprinkler wrench with spare sprinklers?
3. Quartlery Inspection Items (in addition to above items)
A. Pressure Reducing Valve: In open position, not leaking,
maintaining downstream pressure per design criteria, and in
good condition with handwheels not broken?
B. Hydraulic nameplate (calculated systems) securely attached [o
riser and legible?
G. Fire Department Connections:
Visible, accessible, couplings and swivels not damaged and
rotate smoothly, plugs or caps in place and undamaged,
gaskets in place and in good condition, identification sign(s)
in place, check valve is not leaking, clapper is in place and
Yes QNo
s QNov~Yes QNo
es QNo
V ' es Q
O Yes
es o
Yes QNo
15 December 2008
B. Testing
operating properly and automatic drain valve in place and
operating properly?O Yes QNo QN/A
If plugs or caps are not in place, inspect interior for obstructions.)
4. Annual Inspection Items (in addition to above items)
A. Proper number and type of spare sprinklers?O. Yes QNo ON/A
B. Visible spinklers:
1. Free of corrosion and physical damage?O Yes QNo ON/A
2. Free of obstructions to spray patterns?O Yes QNo ON/A
3. Free of foreign materials including paint?O Yes QNo ON/A
4. Liquid in all glass bulb sprinklers?Q Yes QNo QN/A
C. Visible pipe:
Date
ISC#: )00776 Report#:
Owner's Phone Number: 904.645.0003
1. In good condition/no external corrosion?
2. No mechanical damage and no leaks?
3. Properly aligned and no external loads?
D. Visible pipe hangers and seismic braces not
E. Dry-pipe valves passed internal inspection?
F. Must be done before cold weather
1. Adequate heat in areas with wet piping?
2. Low temperature alarms functioning?
O Yes QNo QN/A
O Yes QNo QN/A
O Yes QNo O. N/A
damaged or loose? O Yes QNo QN/A
O Yes QNo Qi N/A
O Yes QNo ON/A
O Yes QNo QN/A
O Yes QNo QN/A 3. Interior of pipe that passes through freezers free of ice
blockage? ONIC QYes QNo Qi N/q
G. Has an intemal inspection of the pipe been performed by
Oi Yes QNo ON/A removing the flushing connection and one sprinkler near the
end of a branch line within the last 5 years? ONIC QYes QNo Oehl/A
Qi Yes QNo QN/A if the answer was "No", conduct an internal inspection.)
Oi Yes QNo ON/A 5. Fifth Year Inspection Items (in addition to above items)
O Yes QNo ON/A A. Check valves internally inspected and all parts operate properly,
move freely and are in good condition? O NIC O Yes QNo Oi N/A
O Yes QNo Oi N/A B. Strainers, filters, restricted orifices and diaphragm chambers on
dry-pipe valves passed internal inspection? QNIC QYes QNo Qi N/A
B. Testing
O Yes QNo QN/A The following tests are to be performed at the noted intervals. Report any failures on
Part III of this form.
1. Quarterly Tests
Qi Yes QNo ON/A A. Mechanical water flow alarm devices passed tests by opening
Qi Yes QNo ON/A the inspector's test connection or bypass connection with alarms
O Yes O No
actuating and Flow observed? O Yes O• No QN/A
QNot installed.
B. Post indicating valves opened until spring or torsion is felt in the
QDesign criteria is not available
rod, then closed back one-quarter turn? O Yes QNo ON/A
C. Is the priming level correct? Oi Yes QNo V"/A
D. Has low air signal passed its test? O Yes QNo Oi N/A
O Yes O• No E. Quick opening devices passed test? QProvisions not provided.QYes QNo ON/q
F. Main drain test for system downstream of backflow or pressure reducing valve:
1. Record Static Pressure 50 psi and Residual Pressure 40 psi.
2. Was Flow observed? Qi Yes QNo QN/A
3. Are results comparable to previous test? Q Yes ~ No ON/A