Updated Inspection Certification.pdf

X FIRE SPRINKLER X STANDPIPE X FIRE PUMP

Return completed form to:

(check one) X

(check one) X

(check one) X

Certificate of competency #:

Name, address and phone# of contractor:

UPDATED: 7/31/20

Daytime phone number: 786-302-8305

Inspector: DANIEL SIROTZKY

132371

Name and address of building inspected: JL KING

99 NE 4TH STREET

MIAMI, FL 33132

All standpipe, hoses and system components located at the following address have been inspected and/or tested by a licensed Fire Sprinkler

Contractor for proper operation as required by the adopted codes/standards are:

OPERATIONAL NON OPERATIONAL

The fire pump system, components located at the following address have been inspected and/or tested by a licensed Fire Sprinkler Contractor for proper operation as required by the adopted codes/standards are:

OPERATIONAL NON OPERATIONAL

City of Miami Fire Prevention Bureau

444 SW 2nd Ave, 10TH FL

Miami, FL 33130

The fire sprinkler system, actuation devices and associated components located at the following address have been inspected and/or tested by a licensed Fire Sprinkler Contractor for proper operation as required by the adopted codes/standards are:

OPERATIONAL NON OPERATIONAL

AMERICAN FIRE SPRINKLER SERVICES, INC.

3371 NW 154th Terrace, Miami, Florida 33054 • Office: (305) 628-0100 • Fax: (305) 628-3556

INSPECTION/TEST CERTIFICATION

Miami, Florida 33054 305-628-0100

Inspector SignatureDate of Inspection

Saturday, March 28, 2020

Note: IF THE SYSTEM IS OPERATIONAL: a record shall be maintained and a tag or sticker placed at the base of the system or in the fire pump room, if applicable, showing the date, telephone number and name of the company performing the inspection/test.

DANIEL SIROTZKY

American Fire Sprinkler Services, LLC.

3371 N.W. 154th Terrace

Type of occupancy / specific use:

Name and address of owner or agent: INSPECTION EXPERTS/ DENNCIL VARGAS

9250 RUMSEY ROAD, SUITE #106

COLUMBIA, MD 21045

COMMERCIAL

X QUARTERLY SEMI-ANNAUL ANNUAL

UPDATED: 7/31/2020

INSPECTOR:

Property: Phone:

Address: Fax:

Owners’ Section: YES NO N/A X X X X X

Inspector's Section:

YES NO N/A

X X

X

YES NO N/A

X

X

X

YES NO N/A

X X

YES NO N/A

X X

X

YES NO N/A

X X X X X X

Date installed X

Main Drain Test: YES X NO N/A

If NO explain:

Location of Valve Before Static

4. Are all quick response sprinklers in service for less than 20 years?

5. Are all sprinklers free of paint, corrosion or physical damage?

6. Are all piping free of corrosion, mechanical damage and not leaking?

1. Fire department connections identification sign(s) in place?

F. Date sprinkler system installed:

2. Is the system riser or standpipe accessible?

3. Is there a minimum of 18"(457mm) clearance between the top of the storage and the sprinkler deflector?

3. Are all control valves (except OS & Y and gear operated indicating Butterfly valves) open until spring or torsion is felt in the rod then closed 1/4 turn?

1. Does the system have a hydraulic plate?

B. Control valves

1. Are all system control valves accessible in open or closed position locked, sealed or equipped with tamper switch ?

2. Are all valves identified by a sign?

2. Fire department connections visible, and accessible?

C. Alarm

1. Did the water flow alarm pass the test?

20167. Are all gauges up to date?

Pipe Size Residual

PRESSURE

SEE RECOMMENDATION FOR MAIN DRAIN TEST

2. Is there a copy of NFPA available?

3. Sprinklers less than 50 years old

2. Did the supervisory signal pass the test?

D. Fire department connections

3. Fire department connections plugs or caps in place, couplings and swivels not damaged and rotate smoothly?

E. Sprinklers

1. Is a stock of sprinklers available?

AMERICAN FIRE SPRINKLER SERVICES, LLC.

3371 NW 154th Terrace, Miami, Florida 33054 • Office: (305) 628-0100 • Fax: (305) 628-3556

E-Mail: sprinklerheads@bellsouth.net • Website: www.americanfiresprinklers.com

INSPECTION TEST & MAINTENANCE OF WET FIRE SPRINKLER SYSTEM

A. General

B. Has the classification of hazard of contents remained the same since last inspection?

C. All fire protection system in service?

D. Has the system remained in service without modification since last inspection?

E. Was the system free of actuations of devices or alarms since last inspection?

A. Is building occupied?

INSPECTION DATE: DANIEL SIROTZKY

(754) 703-2411

N/A

3/28/2020

JL KING

99 NE 4TH STREET

MIAMI, FL 33132