Permit Request • CampusOptics

Please fill out the Impairment/Test Permit if the building fire alarm must be placed into "Test" for maintenance, construction or repair prior to starting work.

If there is Hot Work involved, please use the Hot Work Permit instead.

Requester

Email Address* Required

Phone Number* Required

First Name* Required

Last Name* Required

Permit Date & Time

Start Date* Required

Start Time* Required

Expiration Date* Required

Expiration Time* Required

Location

Campus, Building, or Outdoor Area* Required

Additional Location Details

General Information

Company Name or University Department* Required

Name of contact on site preforming the work* Required

Phone number of on site contact* Required

Is a fire watch needed for the building to complete the work? If the answer is yes, please contact the Fire and Life Safety Manager. ehs@nova.edu or 954-864-4601* Required

Was NSU Security contacted to place the building on "Test"? If the answer is no, please contact NSU Security. 954-262-8999* Required

Type of work activity* Required

Maintenance
Construction
Cleaning
Painting
Fumigating
Fire Alarm Testing/Maintenance
Fire Sprinkler Testing/Maintenance
Fire Pump Testing/Maintenance

Add Supporting Documents

Add files to upload as supporting documentation along with your permit request.

Files

Requester

Permit Date & Time

Location

General Information More information

Add Supporting Documents

General Information