Fire Safety Permit Application

The Uniform Fire Code states:

“Permits shall be required, and obtained from the local enforcing agency for the activities specified in this section, except where they are an integral part of a process or activity by reason of which a use is required to be registered and regulated as a life hazard use. Permits shall at all times be kept in the premises designated therein and shall at all times be subject to inspection by the fire official.” [N.J.A.C.

Date of application:

Location where activity will occur:

Date:

Time

Applicant Name:

Applicant Email

Address:

Organization Name:

Phone/Fax Number:

Emergency Contact:

Block/Lot:

Registration#

The above named applicant hereby requests permission to conduct the following activity at the above indicated location

And for the keeping, storage, occupancy, sale, handling or manufacture of the following (include quantities for each category to be stored, or used and the method stored or used):

I hereby acknowledge that I have read this application, that the information given is correct, and that I am the owner, or duly authorized to act in the owner's behalf and as such hereby agree to comply with the applicable requirements of the fire code as well as any specific conditions imposed by the fire official.

Applicant Signature

By:

Lieutenant/Fire Marshal - Jesse Nickum

Fee Amount

Permit Type

Note: There are five types of permits. See the attached sheets for type and fee.

Item Code	Description	Amount	Conditions
1i	Type 1 Bonfires	54.00	Type 1 Permit-Bonfires
1il	Type 1 Torch	54.00	Type 1 Permit-The use of a torch or flame producing device to remove paint from, or seal membrane roofs on, any building or structure;
1iii	Type 1 Occasional Use of Property	54.00	Type 1 Permit-The occasional use of any non-residential occupancy other than Use Groups F, H or S for group overnight stays of persons over 2 1/2 years of age, !n accordance with section F-709.0 of the Fire Prevention Code

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