482 Stewart St 20151001 Fire Sprinkler Inspection Report 613 N.W.MERCANTILE PLACE 3226 CHERRY PALM DRIVE
PORT ST.LUCIE,FL 34986 TAMPA,FL 33619
772-878-3350-FAX:772-878-5967 813-630-0303-FAX:813-630-0312
11326 DISTRIBUTION AVENUE WEST \"N/' W�ANN�E 4683 LAREDO AVENUE
JACKSONVILLE,FLORIDA 32256 Automatic Fire Sprinklers. Inc. FORT MYERS,FLORIDA 33905
904-268-3030-FAX:904-268-0724 239-433-3030-FAX:239-433-3263
4370 MOTORSPORT DRIVE 222 CAPITOL CT. 3121 NW 16TH TERRACE
CONCORD,NORTH CAROLINA 28027 OCOEE, FL 34761-3033 POMPANO BEACH,FLORIDA 33064
704-782-3032-FAX:704-795-6838 407-656-3030 -407-656-8026 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 25-2008 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 Report#: 1 OF 1 Call#: 220427
Owner's Address: 2251 ST JOHNS BLUFF ROAD SOUTH JAX, FL.32246 Owner's Phone Number: (904)645-0003
Property Being Evaluated: DRESSER RAND
Property Address: 482 STEWART STREET ATLANTIC BEACH,FL.32232
Date of Work: 10/01/2015 All responses refer to the current work(inspection,testing and maintenance)performed on this date.
This work is(check one): 0 Monthly 0 Quarterly @Annual OThird Year 0 Fifth Year
Part I-Owner's Section
A.Is the building occupied? OYes ONo
B.Has the occupancy classification and hazard of contents remained the same
since the last inspection? OYes ONo 4.Annual Inspection items(in addition to above items)
C.Are all fire protection systems in service'� OYes ONo A.Proper number and type of spare sprinklers? @ Yes ONo ON/A
D.Has the system remained in service without modification since the last inspection? OYes ONo B.Visible sprinklers:
E.Was the system free of actuation of devices or alarms since the last inspection? OYes ONo 1.Free of corrosion and physical damage? @ Yes ONo ONIA
F.Weekly logs of inspections required by NFPA#26 on file? OYes ONo 2.Free of obstructions to spray patterns? Yes ONo ON/A
G.All deficiencies reported at last inspection corrected? OYes ONo 3.Free of foreign materials including paint? Yes ONo ON/A
H.I know the location and understand the operation of all control valves. OYes ONo 4.Liquid in all glass bulb sprinklers? Yes ONo ON/A
J.I would like to have a copy of NFPA#25 @ an extra charge of$50.00. OYes ONo C.visible pipe
K.Owner or rep.requests WAFS to release information from 1.In good condition/no external corrosion? @Yes ONo ON/A
inspections to the underwriters of my insurance company. OYes ONo 2.No mechanical damage and no leaks? @Yes ONo ON/A
3.Properly aligned and no external loads? @Yes ONo ON/A
10/01/2015 D.Visible pipe hangers and seismic braces not damaged or loose? @Yes ONo ON/A
E.Dry-pipe valves passed internal inspection? @ Yes ONo ON/A
Owner or representative(print name) Signature Date F.Must be done before cold weather
Part 11-Inspector's Section NOwner or Owner rep.not on site. 1.Adequate heat in areas with wet piping? 0 Yes ONo @ N/A
A.Inspections 2.Low temperature alarms functioning? 0 Yes ONo @ N/A
1.Daily and Weeldly Items
A.Control valves supervised with seals in correct(open or closed) 3.Interior of pipe that passes through freezers free of ice
position (j)Yes 0 No 0 N/A blockage? 0 NIC 0 Yes ONo @ N/A
B.Dry-Pipe valves:Enclosures around valves maintaining a G.Has an internal inspecton of the pipe been performed by
minimum of 40 F and gauges in good condition showing normal removing the flushing connection and one sprinkler near the
air and water pressure? Yes ONo ON/A end of a bran&line within the last 5 years? 0 NIC OYes ONo @N/A
C.Back Flow Preventers (if the answer was"No",conduct an internal inspection.)
1.Valves in correct(open or dosed)position? @ Yes ONo ON/A 6.Fifth Year Inspection items(in addition to above items)
2.Sealed,locked or supervised&accessible? @ Yes ONo ON/A A.Check valves internally inspected and all parts operate properly,
3.Relief port on RPZ device not discharging? 0 Yes ONo @ N/A move freely and are in good condition) ONIC OYes ONo @)NIA
D.For freezer systems,is the gauge near the compressor reading B.Strainers,filters,restricted onfices and diaphragm chambers on
the same as the gauge near the dry-pipe valve? 0 Yes ONo (j)NIA dry-pipe valves passed intemal inspection? ONIC OYes ONo @N/A
2.Monthly Inspection items(in addition to above Items)
A.Control valves with locks or electrical supervision in correct B.Testing
The followng tests are to be perfonned at the noted inteivals.Report any failures on
(open or dosed)position? @ Yes ONo ON/A Part III ofthis fom.
B.Dry-Pipe Valves: 1.Quarterly Tests
Free from physical damage,trim valves in appropriate(open or Yes ONo ON/A A.Mechanical water flow alarm devices passed tests by opening
closed)position,and no leakage from intermediate chambeo. the inspector's test connection or bypass connection with alarms
C.Sprinkler wren&with spare sprinklers? Yes ONo ON/A actuating and flow observed? @ Yes ONo ON/A
3.Quarterly Inspection Iterns(in addition to above items) B.Post indicating valves opened until spring or torsion is felt in the
A.Pressure Reducing Valve:In open position,not leaking,maintaining 0 Yes ONo rod,then dosed back one-quarter turn? OYes ONo (j)NIA
downstream pressure per design criteria,and in good condition with @ Not installed
hand wheels not broken? 0 Design criteria is not available C.Is the priming level correct? @Yes ONo ON/A
B.Hydraulic nameplate(calculated systems)securely attached to riser D.Has low air signal passed its test? OYes ONo @ N/A
and legible? OYes ONo E.Quick opening devices passed test? OProvisions not provided.0 Yes 0 No (R)NIA
C.Fire Department Connection F.Main drain test for system downstream of backfiow or pressure reducing valve:
Visible,accessible,couplings and swivels not damaged and rotate 1.Record Static Pressure-psi and Residual Pressure-Psi-
smoothly,plugs or caps in place and undamaged,gaskets in place and E] See comments-on page 2
in good condition,identification sign(s)in place,check valve is not 2.Was flow observed? OYes ONo @N/A
leaking,dapper is in place and operating properly and automatic drain 3.Are results comparable to previous test? OYes ONo @NiA
valve in place and operating property? @)Yes ONo ON/A
(Iflolugs or caps are not in place,inspect interior for obstructions.)
Call#: 220427
2.Semiannual Test(in addition to previous items) 2-Annual Maintenance hems(in addition to previous items)
A.Valve supervsory switches indicate movement'? OYes ONo @NA A.Operating stem of all OS&Y valves lubricated completely closed,and
B.Electrical water flow alarm devices passed test by opening the reopened? @Yes ONo ON/A
inspector's test connection or bypass connection with alarms B.Interior of dry-pipe valves cleaned? @ Yes ONo ON/A
actuating and flow observed? @ Yes ONo ONA C.Low points drained prior to the onset of freezing weatherli @ Yes ONo ON/A
3.Annual Test(in addition to previous Items) D.Sprinklers and spray nozzles protecting commercial cooking
A.Main drain test: equipment and ventilating systems replaced except for bulb-type
1.Record Static Pressure—psi and Residual Pressure—Psi- which show no signs of grease buildup? OYes ONo @N/A
[] See comments-on page 2
2.Was flow observed? @ Yes ONo 0 N/A Part III-Comments(Any"No"answers,test failures or other problems found
3.Are results comparable to previous test? @Yes ONo 0 N/A with the sprinkler system must be explained here Also,note here any
products noticed on the system that have been the subject ofa recall or a
B.Are all sprinklers date 1920 or later? 0 Unable to determine @ Yes ONo replacement program.)All items that need repaired or replaced are the
C.Fast response sprinklers 20 or more years old replaced or successfully owners responsibility and are not included in the price of inspection.
sample tested within the last ten years' 0 NIC 0 Yes ON.
D.Standard response sprinklers 50 or more years old replaced or MAIN CTRL VALVE TAMPER SEAL#is 1023747 1023748
successfully sample tested within last 10 years? 0 NIC 0 Yes ONo
E.Standard response sprinklers 75 or more years old replaced or
successfully sample tested within last 5 years? 0 NIC OYes ONo
F.Dry-type sprinkler replaced or successfully sample tested
within last 10 years? 0 Unable to determine 0 Yes ONo @ N/A
G.All control valves operated through full range and returned to normal DEFICIENCIES:
position? @ Yes ONo ON/A
H.Low temperature alarm passed test? 0 Yes ONo @ N/A (1)CORRODED OUTLET OS&Y IS LEAKING AROUND PACKING.
1.Dry pipe valve parball flow trip test?
1.Record initial air pressure 40 psi&water pressure 46 psi UNABLE TO TIGHTEN PACKING GLAND DUE TO POOR
2.Record tripping air pressure 00 psi&tripping time 60 (sec.) CONDITION OF BOLTS.
3.Are results comparable to previous test? @ Yes ONo ON/A
J.Automatic air maintenance device passed test? 0 Yes ONo @ N/A (2)AIR COMPRESSOR REQUIRES MAINTENANCE OR REPLACEMENT
K.Backflow devices passed backnow test'? @)Yes ONo ON/A
L.Backfitivy devces passes full flow test? @ Proosions not provided 0 Yes ONo ON/A
M.Pressure reducing valves passed
partial flow test? 0 Proosions not provided 0 Yes ONo @N/A
4.Test to be done every third year:
Dry pipe valve partial flow trip test?
1.Record initial air pressure — psi&water pressure —Psi
2.Record tripping air pressure— psi&tripping time _(sec.)
3.Record water delivery time — (min.) —(sec.)
Water delivery time not required to be 60 sec.per NFPA 25
4.Are results comparable to prenAous test? 0 Yes ONo @ N/A
6.Test to be done every 6th year
A.Sprinklers rated above High temperature tested? 0 NIC 0 Yes ONo @ N/A
B.Gauges checked by calibrated gauge or replaced? 0 Yes ONo
C.Pressure reducing valves passed full flow test? 0 NIC 0 Yes ONo @N/A
C.Maintenance
1.Regular Maintenance items
A.If sprinIders have been replaced,were they proper 0 Yes 0 No
replacements? 0 Cannot be determined
B.Air leaks in dry-pipe system resulting in air pressure
loss more than 10psitweek repaired? 0 Yes ONo @)N/A
C.Dry-pipe systems maintained in dry condition? @Yes ONo
D.Have low point drains been emptied? @ Yes ONo ON/A Part IV-Observations:Not a part ofthe NFPA-25 inspection,the
E.If any of the following were discovered,was an following items may need to be reviewed by a fire protection engineer
obstruction investigation conducted? 0 NIC 0 Yes ONo @N/A
F.Alarm panel clear? @ Yes ONo ON/A
G.System left In service? @Yes ONo ON/A
Explain reason(s)and obstruction investigation finding in Part H/
1.Defective intake screen on pump with suction from open sources.
2.Obstructive material discharged during water flow tests.
3.Foreign materials found in dry-pipe valves,check valves or pumps.
4.Foreign matenal in water during drain test or plugging of inspectors test connection.
5.Plugging of pipe or sprinklers found during activation or alteration.
6.Failure to flush yard piping or surrounding public mains following new installation or repairs.
7.Record of broken mains in theminity.
B.Abnormaily frequent false-tiripping of dry-pipe valves.
9.System is returned to service after an extended period out of service(greater than one year).
10.There is reason to believe the system contains sodium silicate or its derivatives or highly
corrosive fluxes in copper pipe systems.
J.If conditions were found that required flushing,was flyAfng,9"Js—iem_--,
conducted'? 0 Yes\(_7)No @N/A
Part IV-Inspectoes Information
Date: 10/01/2015
Signature of lnspector:;�9L J
Print Name: MICHAELTAUVELY Color of tag placed on system:
License or Certification Number(if applicable): FPI 13000027 FX Red
I state that the information on this form is coaect at the time and place of my inspection and that al F�Green
equipment tested at this time me left in operational cordibon upon completion of my inspection except as
noted in Part III above.
613 N.W.MERCANTILE PLACE 3226 CHERRY PALM DRIVE
PORT ST.LUCIE,FL 34986 TAMPA,FIL 33619
772-878-3350-FAX:772-878-5967 813-630-0303-FAX:813-630-0312
11326 DISTRIBUTION AVENUE WEST WAYNE 4683 LAREDO AVENUE
JACKSONVILLE,FLORIDA 32256 Automatic Fire Sprinklers, Inc. FORT MYERS,FLORIDA 33905
904-268-3030-FAX:904-268-0724 239-433-3030-FAX:239-433-3263
4370 MOTORSPORT DRIVE 222 CAPITOL CT. 3121 NW 16TH TERRACE
CONCORD,NORTH CAROLINA 28027 OCOEE, FL 34761-3033 POMPANO BEACH,FLORIDA 33064
704-782-3032-FAX:704-795-6838 407-656-3030.407-656-8026 954-917-3030-FAX:954-917-9424
Fire Alarm System Inspection and Testing Report
This testing was performed in accordance with applicable N.F.P.A.standards.
Owner: BBT INVESTORS LLC Call#: 220427 Date: 10/01/2015
Owner's Address: 2251 ST JOHNS BLUFF ROAD SOUTH JAX,FL.32246 Owners Phone Number: (904)645-0003
Property Being Evaluated: DRESSER RAND
Property Address: 482 STEWART STREET ATLANTIC BEACH,FL.32232
Monitoring Entity Panel Manufacturer: SILENT KNIGHT Model NO. 5104B
Name: COPS Circuit Styles: STYLE B(CLASS B) Amt 3(IDC)
Telephone: 1-800-934-2527 Last Date System Had Service Performed: SEPTEMBER 2014/WAFS
Account Ref.No. 820-0501 Last Date Software or Configuration was Revised: NA
Service
AHJ DIRECTOR OF PUBLIC SAFETY
C-Weekly
Monthly AHJ phone# (904)247-5864
Quarterly
Semi-Annually (0— -Digital
Annually R.F.
Other(Specify) Other Specify
Inspected by(print) MICHAE U L Date: 10/01/2015 Time: 0818
Signature of Alarm Agent: (Agent Meets Requirements Per Florida Statute 489.518)
Name of Owner or representative
Signature Date: 10/01/2015 FX_owner or owner rep.not on site.
I would like to have a copy of NFPA#72 @ an extra charge of$50.00. OYes ONo
Owner or rep.requests WAFS to release information from
inspections to the underwriters of my insurance company. OYes ONo System restored to normal operation:Time: 1024
Notifications are made Yes No Who Time
Monitoring Entity FX_ F VIAWEBSITE 0818
Building Occupants F F
Building Management F F
Other(Specify) F F
1. ALARM NOTIFICATION APPLIANCES TEST AND INSPECTION
Device - Circuit Style/Quantity Operational Test - Approved Location - Pass Fail
Bells Quantity Size Type F F F F
Horns A B F F F F
Speakers A B F_ F F F
Chimes A B F F F F
Strobes A B F F F F
Other:(Specify) A B F F F F
No.of Alarm indicating circuits: Are Circuits supervised? (—Yes (—No
Page 2
[I.INITIATING AND SUPERVISORY DEVICE TEST AND INSPECTION
Device - Circuit Style/Quantity Operational Test - Simulated Test Pass Fail
Manual Stations A B( 1 FX_ F FX_ F
Ion Detectors A B F F F F
Photo Detectors A B 1 F F FX_ F
Duct Detectors A B F F F F
Heat Detectors A B F F F F
Waterflow Detectors A B F F F F
Supervisory Switches A B F F F
Pressure Switches A B 1 F 1X_ F
Low Air A B F F F
Other(Specify): A B F F
Ill. SUPERVISORY SIGNAL INITIATING DEVICES&CIRCUIT INFORMATION
Site Water Temp. C Yes No (e—N/A
Site Water Level C Yes No (9—N/A
Fire Pump Power C Yes No N/A
Fire Pump Running C Yes No N/A
Fire Pump Auto Position C Yes No N/A
Fire Pump or Pump Control Trouble C Yes No N/A
Generator In Auto Position C Yes No N/A
Generator or Controller Trouble C Yes No (e—N/A
Switch Transfer C Yes No N/A
Generator Engine Running C Yes No N/A
Lock Box C Yes No N/A
A.SIGNALING LINE CIRCUITS
Quantity and style(See NFPA 72,Table 3-6)of signaling line circuits connected to system
Quantity NA Style(s): MA
IV.SYSTEM POWER SUPPLIES
A.Primary(Main):Normal Voltage 120VAC Amps 3
Over current Protection:Type: CKT BIRK Amps 20
Location(Panel#): PANEL BATWEST END OF BLDG
Disconnecting Means Location: CKT 15
B.Secondary(Standby): 12VDC/INSTALLED OCTOBER 2014
Storage Battery:Amp-Hr.Rating 7Ah
Calculated capacity to operate system,in hours: FX_ 2 4 F_ 60
NA Engine driven generator dedicated to fire alarm system:
C.Location of Fuel Storage: NA
D.TYPE BATTERY SECONDARY POWER
Dry Cell Type Visual Functional
Nickel Cadmium Battery Condition rx—
rX_ Sealed Lead-Acid Load Voltage FX_
F_ Other(Specify): Discharge Test Min. FX_
Specific Gravity F
E.Emergency or standby system used as a back-up to primary power supply,instead of using a secondary
power supply. NA Emergency system described in N.F.P.A.,.Article 700.
Page 3
V.SYSTEM TESTS&INSPECTIONS
A.Type Visual Functional D.Notification Appliances - Visual Functional
Control Panel Fx- Fx- Audible F— F
Interface Equipment F F Visual F F-
L.E.D.s/Lamps Fx- Ix- Speakers F r-
Fuses/Micro Breakers r— r— Voice Clarity F
Primary Power Supply rx— rx—
Trouble Signals rx— rx—
Disconnect Switches 1x— r—
Ground Fault Monitoring Fx- r- E.ON/OFF Premises Monitoring
Yes No N/A
B.Emergency Communication Equipment Alarm Signal (01 C C
Type Visual Functional N/A Alarm Restoral (0— C C
Phone Set r- F- Fx- Trouble Signal C C
Phone Jacks F r- Fx- Trouble Restoral C C
Off Hook Indicators F r- Fx- Supervisory Signal C C
Amplifier(s) F— r— rx— Supervisory Restoral
Tone Generator(s) F F Ix- Remote Annunciator
Call In Signal F F rx-
System Performance F— rx—
C.Interface Equipment DEVICE SIMULATED
(SPECIFY) VISUAL OPERATION OPERATION
r- F F
F F
F
Special Hazard System(Specify)
F
F F
VI.COMMENTS:
V11.DEFICIENCIES: These items are the owners responsibility to be repaired and will be quoted separate from inspection cost
Monitonng
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CENTRAL STATION Individual Account Histo
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Legend:
D.H. = Dispatcher Handled
Filter signals by code:
Code/Zone 7
Signal Orloinall NCF
Type Time 2aft Time JA Code Action Passcode Auth
Account Name Account Partition ba4 Rer'd Rec'd Proc'd Proc'd modified) Code Recv'd ZQ0j Condition Taken7 Given Name'Notifled R.P. Virtual Ani
Test DRESSER RAND 820-0501 0 10/01/2015 10:24:37 110 03 RESTORE FIRE 904-249-6779
Result SPRINKLER
10 WATER FLOW
Test DRESSER RAND 820-0501 0 10/6,1/2015 10:24:12 110 003 AUD FIRE FIRE 904-249-6779
Result SPRINKLER
WATER FLOWj
3. Test DRESSER RAND 820-0501 0 10+2015 10:03:58 354 011 RESTORE/FA 904-249-6779
Result
COMMUNICAf
011
Test DRESSER RAND 820-0501 0 10/04/2015 10:03:19 354 011 RESTORE/FA 904-249-6779
Result TO
COMMUNICA
011
5. Test DRESSER RAND 820-0501 0 10/04/4015 10:02:51 354 011 SILENT 904-249-6779
Result TROUBLE FAI
TO
COMMUNICA
011
6. Test DRESSER RAND 820-0501 0 10/ f2015 10:02:06 110 002 AUD FIRE 904-249-6779
Resutt PULL
STATION
Test DRESSER RAND 820-0501 0 10/15J�2015 10:00:34 110 002 AUD FIRE 904-249-6779
Result 'PULL
STATION
Test �DRESSER RAND 82G-0501 0 10/ /2015 09:58:54 110 002 AUD-FIR 904-249-6776
Result PULL
STATION
Test DRESSER RAND 820-0501 0 10/0 015 09:58:12 110 002 AUD FIRE 904-249-6776
PULL
Result STATION
f I I I.-
10. Test DRESSER RAND 820-0501 0 10/0i/2015 09:57:25 110 AUD FIRE 904-249-6779
Result PULL
STATION
I
11. R RAND 820-0501 n lin/ 110 JJAUD FIRE -249-6779
PULL
STATION
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