2470 Mayport Rd Family Dollar Fire Inspections P
FORTITUDE
FIRE PROTECTION —®
2430 University Blvd W.* Jacksonville,FL 32217 * 904-733-9008
www.fortitudefire.com
Good Afternoon
Please find the enclosed inspection reports for your area.
• If you have any questions, have received in error or need further
information please give me a call or email me at
victoriaAfortitudefire.com
Thank you and have a great day.
v�
Victoria Hutchison
Administrative Assistant
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RTITU D
— FIRE PROTECTION —
2430 University Blvd W. * Jacksonville, FL 32217 " 904-733-9008
www.fortitudefire.com
NFPA-25 Inspection, Testing and Maintenance of Wet Pipe Fire Sprinkler Systems
Information on this form covers the minimum requirements of NFPA 25 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 watersupply.
Owner Owner Phone Number Job#: -
Owner's Address:
Property Being Evaluated: Family Dollar#1537
Property Address: 2470 Mayport Road Atlantic Beach, FL 32233
Date of Work: 12/2/2020 (� All responses refer to the current work(inspection,testing and maintenance)performed on this date.
This work is(check one): I }vlonthly uarterly ✓Annual Third Year Fifth Year
Part I-Owner's Section I 1 4.Annual Inspection items(in addition to above items) �1 "'
A.Is the building occupied? ®Yes Orwo A.Proper number and type of spare sprinklers? ()Yes ONo 1 /A
B Has the occupancy classification and hazard of contents remained the same since B.Visible sprinklers: V ^V
the last iaspecfion? ®Yes Ory° 1.Free of corrosion and physical damage? ®Yes .ON'° ,AWA
2.Free of obstructions to spray patterns? 0 Yes f yvo VVI RAA
C.Are all fire protection systems in service? ()Yes ONo /x,'!/74/
O 3.Free of foreign materials including paint? OYes A
D.Has the system remained in service without modification since the last inspection? a es r'°
4.Liquid in all glass bulb sprinklers? es Om' /'1�uq
E.Was the system free of actuation of devices or alarms since the last inspection? *Yes ON' C.Visible pipe: V `Af�
F.Weekly logs of inspections required by NFPA#25 on file? 1.In good condition/no external corrosion? ()Yes OW I N/A
()Yes ONO 2 No mechanical damage and no leaks? ()Yes ONo
OA
G All deficiencies reported at last inspection corrected?
�yy""rr�� ()Yes O� 3.Properly aligned and no external loads?
H.By signing I know the location and understand the o 1f7Yof at control valves.
Pilar Walker 1pi 12/2/2020 D.Visible pipe hangers and seismic braces not damaged or lose? ()Yes O No Q4A
u E.hose,hose couplings and nozzles on sprinkler system passed �/ tvJ
Owner or representative(pont name) Signatge Date �r+�
❑Owner or Owner rep. inspect on in accordance with NFPA 1962? Ones ONo OVA not onsite F Adequate heat in areas with wet piping? *Yes ONo 04/A
inspection of the pipe been performed by narrowing V
Part II-Inspector's Section G.Has an internal i
A Inspections the flushing connection and one sprinkler near the end of a branch ^
1.Daily and Weekly items *Yes Ohio [ 4/
Inn within the last 5 years? VVV---A
A Control valves supervised with seals in correct(open or closed) (If the answer was"No",conduct an internal inspection.)
position? ()Yes OVA
A S.Fifth Year Inspection items(tri addition to above gems) 5 Year Inspection Due: 6/2021
B.Backflow Preventers: A.Alarm valves and their associate strainers.filers and restriction
1 Valves in correct(open or closed)position? *Yes ONo &LA orifices passed internal inspection? ONIC OYes Ohio ®r,yA
2.Sealed,locked or supervised 8 accessible? ()Yes ao OVA B Check values internally inspected and at pans operate properly,move `./ /J�''-'
3.Rebel port on RPZ device not discharging? Ones V VA freely and are in good condition? *MC ®Yes orye I�Ir'A
C.For freezer systems,is the gauge near the compressor reading the V B.Testing Vv
^� The following tests are to be performed at the noted intervals.Report any failures on Part II of this form
sane as the gauge near the dry-pipe valve? *Yes @4/A
VV 1.Quarterly Tests
2.Monthly Inspection Items tin addition to above items)
A.Mechanical water flow alarm devices passed tests by opening the
A Control valves with bcta or electrical supervision in correct(open or ^ inspectors test connection or bypass connection with alarms actuating
closed)position? ()Yes ONo 04/A and flow observed? OYes ONo a'A
OVAB.Sprinkler wrench with spare spnnklers? ®Yes ONo l p/A B Post indicating valves opened until spring or torsion is fel in the rod.
C.Gauges on wet-pipe system in good condition and showing normal then
then closed back one-quarter turn? O'' Ow ®*,A
water supply pressure? ®Yes ONo OVA C Main drain test for system downstream of backflow or pressure reducing valve'. V V
D.Alarm Vales. v 1.Record Static Pressure 45 psi and Residual 35 psi
Pressure
Gauges show normal supply water pressure,free from physical ❑
O See comments-on page 2
damage,valves in correct(open or closed)position and no leakage ^'
from retarding chamber on drains? Oyes ONo O A 2.Was flow observed? *Yes ONo A
3.Quarterly Inspection Items(in addition to above items) `J 3.Ave results comparable to previous test? Flo 0,VA
2.Semiannual Test(in addition to previous items) �f �J
A Pressure Reducing Value:In open position.not leaking.maintaining A Valve supervisory switches indicate movement? *Yes ONo O A
downstream pressure per design cntena,and in good condition with B.Electrical water flow alarm devices passed tests by opening the �/
hand wheels not broken? Oyes ON- @4/A inspectors test connection or bypass connection with alarms actuafirg
B.hydraulic nameplate(calculated systems)securely attached to riser and flow observed? ()Yes V No Owq
and legible?
®Yes t ,`mow lu QE q 3.Annual Test(in addition to previous items) V V
C.Fire Department Connection �J A.Main drain test:
Visible.accessible,coupings and swivels not damaged and rotate 1 Record Static Pressure 45 Pre and Residual 35 psi
Pressure
smoothly,plugs or caps in place and undamaged,gaskets in place and ❑ See comments-on page 2
in good condition,identification sign(s)in place.check valve a not
2 Was flow observed? Wil'es ON. O
leaking,clapper is in place and operating properly and automatic drain WA
valve in place and operating properly? • e 3.Ave results comparable to previous test,
s v `� + e.Ave all sprinklers date 1920 or later?
*No 0,„A*Yes I Y'ia OW q
(�
D.Alarm devices tree from physical damage? *Yes fl_ •
(If plugs or caps are not in place.inspect interior for obseuctlo re I �,J
C.Fast response sprinklers 20 or more years old replaced or successfully
(1,.
��..11 sample tested within last 10 years? *Yes oIlio OA
Wet Pipe Report page2
D.Standard response sprinklers 50 or more years old replaced or OY" v a " C>A Part III-Comments(any"No"answers,test failures orotherproblems found with the sprinklersystem
V_ must be explained here.Also, note here any products noticed on the system that have been the
successfully sample tested within last 10 years? subject of a recall ora replacement program.
E.Standard response sprinklers 75 or more years old replaced or
successfully sample tested within last 5 years? OYes Ohio OdA
F.Dry-type sprinkler replaced or successfully sample tested within last
10 years? OYes 0No o A
G.Specific gravity of antifreeze correct? O
Yes ONrA
H All control valves operated through full range and returned to normal '�
position?
*Yes O m ONA
I.Backflow devices passed backflow test? *Yes ONo Q.0A
J.Backflow devices passed full flow test? OYes Ohio L! A
K.Pressure reducing valves passed partial flow test? OYes Otis CP'A
4.Test to be done every third year:
Hose(more than 5 years old)connected to the system has been service tested in accordance with
]FPA 1962 Water discharged and water flow alarms operated? nr,rc ()Yes
5.Test to be done every 5th year �J_ ^J�'
A Spnnklers rated above high temperature tested? Oyes (O o ®N/A
B.Gauges checked by caibrated gauge or replaced? OYes V( )ilo ®'i/'A
C.Pressure reducing valves passed full flow test? Oac OYes V
()No ( A
C.Maintenance V
1.Regular Maintenance Items
A If spnnklers have been replaced,were they proper replacements? 00e5 C)4* OvA
B.Used hose was cleaned.drained and dried before being placed back in service? OYes ()N' *N n
C.Hose exposed to hazardous rretenals was disposed of or
decontaminated in an approved renner? °Yes ONsA
D.Systems normally filled with hesh water were drained and refilled twice if raw
water got into the systemf? °Yes ONrm *N/A
E.If any of the following were discovered,was an obstruction Investigation
conducted? ()Yes Ohio *WA
Explain reason(s)and obstruction inresogelion finding in Part III
1.Defective intake screen on pump with suction from open sources.
2.Obstructive netenal discharged during water flow tests
3.Foreign material found in dry-pipe valves,check valves or pumps.
4.Foreign natenal in water during drain test or plugging of inspector's 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 moire in the vicinity.
8.Abnormally frequent false-topping of dry-ppe valves. Part IV - Recommendations: Not a
part of the NFPA-25 inspection, the Idbwing items may need to
9.System is returned to service after an extended period out of service(greater than one year). be reviewed by a fire protection engineer.
10.There
rosivereason to copper thep systemcontainssodiumsiicate or its derivatives or highly Backflow seal #0003093 0003094
corrosive fluxes in copper pipe systems.
F.If conditions were found that required flushing,was flushing of system �►, Riser seal #0003113
conducted? Oyes ■ Ivo SIA
2.Annual Maintenance Items(in addition to previous items) v v
A Operating stern of all O58Y valves lubricated completey closed.and /�'�
reopened? 0Y" Ohio ( (u/A
B.Sprinklers and spray nozzles protecting commercial cooking equipment aV/
and ventilating systems replaced except for bulb-type which show no
signs of grease buildup? 8Yes 0 No&I/A
C.Does there appear to be recalled fire sprinklers insteled at this see? Yes ONo A
3.Regular Maintenance Items
A Alarm panel clear? ()Yes 0N OWA
B.System left in service? ()Yes ()No ONA
C.Is system impaired?(Impairment program phi into place per IiFPA-25 and
Fortitude Fire Protection protocols) ()Yes Ohio Part V-Inspector's Information
I state that the information on this bon is correct at the time and place of my inspection and that all
equpnent tested at this fire was left in operational condition upon completion of this inspection except
as noted in Part III above.
Date: 12/2/2020
Printed Name of Inspector: TJ Racer
Signature of Inspector:
License or Certification Number(if applicable): FPI1 8-0002955
Color of tag placed on system: 7Red I ]Green ellow
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FORTITUDE
FIRE PROTECTION —®
Inspection Report - Summary of Observations
During water flow test observed alarm signal was not sent to
panel. Recommend alarm company be notified to fix.
By signing below, I understand the items listed above are not part of an NFPA 25 Inspection. The
identification of these items does not constitute a design review or engineering analysis of your system. These
items were noticed during your inspection of your fire protection system performed in accordance with NFPA 25
but are not part of the NFPA 25 inspection. Fortitude Fire Protection, LLC makes no guarantee or assurance that
any or all design or engineering defects or deficiencies have been detected.
Customer Signature: Property Name:
Date:
12/2/2020 Family Dollar #1537
Inspector Name: TJ Racer