Form Center

2. Division of Fire Prevention

   641 Plainsboro Road

   Plainsboro, NJ 08536

   Phone: 609-799-0909 ext. 1203

4. Fire Safety Permit Application
6. Date of Application:*
   Date of Application:
7. Date of Proposed Activity:*
   Date of Proposed Activity:
9. Location Where Activity will Occur:*
11. Organization Name:
13. Applicant Name:*
15. Address:*
16. City:*
18. State:*
19. Zip Code:*
21. Phone Number:*
22. Fax Number:
23. Emergency Number:
25. Email Address*
27. The above named applicant hereby requests permission to conduct the following activity at the above indicated location:*
29. Describe the Keeping, Storage, Sale, Handling, or Manufacturing Involved:
31. State Quantities for each category to be stored or used, and the method stored or used:
33. Electronic Signature Agreement*

    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.

    1. I agree.
35. Electronic Signature:*
40. Permit Application Payment
    *Contact the Division of Fire Prevention to obtain cost of permit if unknown.
42. Fee Schedule
    
    

    Type 1 Permit - $54:  

    • Roof Torch
    • Open Flame - Cooking
    • Food Truck - Open Flame
    • Tent/Canopy over 900sq/ft

     Type 2 Permit - $214:

    • LPG/Compressed Gas Exchange
    • Sparkling/Novelty Device storage or Sale
44. Price

    1. Type 1 Permit - $54
    2. Type 2 Permit - $214

    1. Type 3 Permit - $427
    2. Type 4 Permit - $641
46. Quantity
47. Shipping Cost
48. Taxable
Leave This Blank:


52. Calculate Totals Proceed to Checkout

* indicates a required field