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Inspection 9_07_07613 N.W. MERCANTILE PLACE PORT 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 Automel:ic Fire Sprinklers, Inc, 222 CAPITOL CT. OCOEE, FL 34761-3033 407-656-3030 - 407-656-8026 3226 CHERRY PALM DRIVE TAMPA, FL 336109 81 3-630-0303 • FAX: 81 3-830-0312 2321 BRUNER LANE FORT MYERS, FLORIDA 33912 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 ISC#: )00776 Report#: Contract ID#: Owner's Address: 2251 ST JOHNS BLUFF RD S JAX FL 32246 Owner's Phone Number: Property Being Evaluated: DRESSOR RAND Property Address: 482 STEWART ST ATLANTIC BCH FL 32233 Date of Work: Sep 7, 2007 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. QNlonthly Q Quarterly QAnnual Third 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 modifcation since [he 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 filet G. All deficencies reported at last inspection reported? H. I know] the location and understand the operation of all control valves. It' .,,.._ .,.„,... n~r or representative (print name) Signature and Date ~---- Part II -Inspector's Section A.Inspectlons 1. Daily and Weakly Items A. Control valves supervised with seals in correct (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 & accessible? 3. Relief port on RPZ device not discharging? D. For freezer systems, is the gauge near the compressor reading the same as the gauge near the dry-pipe valve? 2. Monthly Inspection Items (in addition to above Items) A. Control valves with locks or electrical supervision in corcect open or closed) position? B. Dry-Pipe Valves: Free from physical damage, [rim 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? C. 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 O. Yes QNo Qi Yes 0 No O. Yes ~ No Oi Yes ~No O. Yes O No Q Yes Q. No O. Yes 0 No O. Yes ~ No Sep 7, 2007 Date O. Yes QNo QN/A 0 Yes i',~ No QN/A O Yes O No ON/A Q. Yes ~No QNlA Q Yes ONO ~N/A O Yes ~ No Oi N/A Q Yes ~ No ON/A Oi Yes Q No ON/A O. Yes Q No ON/A O Yes Q No O. N/A O Yes ~ No Qi N/A B. Testing operating properly and automatic drain valve in place and operating properly?O. Yes ONo QN/A If plugs or caps are no[ in place, inspect interior for obstructions.) 4. Annual Inspection Items (In addition to above items) A. Proper number and type of spare sprinklers?Oi Yes ~ No QN/A B. Visible spinklers: 1. Free of corrosion and physical damage?Oi Yes Q No ON/A 2. Free of obstructions to spray patterns?O. Yes Q No ON/A 3. Free of foreign materials including paint?Oi Yes Q No ON/A 4. Liquid in all glass bulb sprinklers?O Yes 0 No O. N/A C. Visible pipe: 1. In good condition/no external corrosion?0 Yes Q No ~N/A 2. No mechanical damage and no leaks?O. Yes ~ No QN/A 3. Properly aligned and no external loads?O Yes Q No ON/A D. Visible pipe hangers and seismic braces not damaged or loose?O Yes ~ No QN/A E. Dry-pipe valves passed internal inspection?O. Yes ~ No ON/A F. Must be done before cold weather 1. Adequate heat in areas with wet piping?Yes Q No ON/A 2. Low temperature alarms functioning?O Yes ~ No ON/A 3. Interior of pipe that passes through freezers free of ice blockage?O Yes 0 No O. N/A G. Has an internal inspection of the pipe been performed by removing the flushing connection and one sprinkler near the end of a branch line within [he last 5 years?Q Yes ~ No Oi N/A if the answer was "No", conduct an internal inspection.) 5. Fifth Year Inspection Items (In addition to above Items} A. Check valves internally inspected and all parts operate properly, move freely and are in good condition? Q NIC O Yes Q No ON/A B. Strainers, filters, restricted orifices and diaphragm chambers on dry-pipe valves passed internal inspection? O' NIC O Yes ~ No ON/A B. Testing The following tests are to be performed at the noted intervals. Report any failures on Part III of this form. 1. Quarterly Tests A. Mechanical water flow alarm devices passed tests by opening the inspector's test connection or bypass connection with alarm s actuating and flow observed?Oi Yes ~ No ON/A B. Post indicating valves opened until spring or torsion is felt in th e rod, then closed back one-quarter turn?O Yes ~ No O. N/A C. Is the priming level correct and has the low air pressure signal passed its test?O Yes Q No Oi N/A D. Quick opening devices passed test?O Yes ~ No O. N/A E. 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? O. Yes ~ No ON/A 3. Are results comparable [o previous test? O. Yes Q No ON/A