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3. 

6. **IF THE BUSINESS IS LOCATED INSIDE THE CITY OF CARROLLTON, THE CITY OF BREMEN, OR INSIDE FAIRFIELD PLANTATION THEN THE FIRE MARSHAL FOR THAT DISTRICT SHOULD BE CONTACTED**

8. Inspection Requestor Information
10. CONTACT NAME*

    Name of contact for the inspection.

11. CONTACT TITLE*

    ex. Business Owner, Property Owner, Store Manager, etc.

13. CONTACT PHONE NUMBER*
14. CONTACT EMAIL ADDRESS*

    An email address is required to electronically send the inspection report upon completion.

18. Inspection Information
20. TYPE OF INSPECTION REQUESTED*
    -- Select One --BUSINESS LICENSE INSPECTION / BUSINESS LICENSE RENEWAL / CERTIFICATE OF OCCUPANCYCONSTRUCTION 100%CONTRUCTION 80%SPRINKLER TEST/INSPECTIONFIRE ALARM TEST/INSPECTIONCOMMERCIAL HOOD TEST/INSPECTIONSPECIAL EXTINGUISHING SYSTEM TEST/INSPECTIONCONSULTATION INSPECTIONRE-INSPECTION FOR CORRECTED VIOLATIONSSHORT TERM RENTAL INSPECTIONOTHER
22. Fire Inspection Checklist
    Certificate of Occupancy Fire Inspection Checklist

    Please download the Fire Inspection Checklist before submitting this Inspection Request. The checklist contains items that are inspected during the Fire Inspection.

24. BUSINESS NAME*

    Input the name of the business to be inspected.

25. BUSINESS PHONE NUMBER
27. BUSINESS TYPE*
    -- Select One --ASSEMBLY / CHURCH / DAYCARE / SCHOOLRESTAURANT / FOOD SERVICE FOOD TRUCKCONVIENCE STORE / GAS STATIONRETAIL STORE / DEPARTMENT STOREMANUFACTURING / STORAGE / INDUSTRIALBUSINESS OFFICEHEALTH CARESHORT TERM RENTAL (AIRBNB)OTHER
29. OTHER BUSINESS TYPE
31. BUSINESS STREET ADDRESS*
33. CITY*
34. ZIP CODE*
36. PROVIDE FURTHER DETAILS REGARDING INSPECTION REQUEST*
40. Inspection Availability Dates/Times

42. **INSPECTION REQUESTS MUST BE SUBMITTED AT LEAST 3 BUSINESS DAYS IN ADVANCE TO ALLOW FOR SCHEDULING**

44. Select the dates/times that the Business is ready and available for inspection. Please request inspections 3 business days before the available date to allow for scheduling.

    The Fire Marshal's Office will reach out via email to confirm a date/time for the inspection after submittal.

46. DATES AVAILABLE FOR INSPECTION*
    DATES AVAILABLE FOR INSPECTION Start Date

    —

    DATES AVAILABLE FOR INSPECTION End Date
47. INSPECTION TIME*

    1. 10:00am - 12:00pm
    2. 1:00pm - 3:00pm
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49. 1. Receive an email copy of this form.
50. Email address

    This field is not part of the form submission.

51. Submit

* indicates a required field