Operating from seven strategically located stations, the District provides fire, rescue, and emergency medical services.

The St. John's Fire District was organized in 1959 by virtue of legislation to establish a political subdivision to provide fire protection for a territory in Charleston County consisting of the area contained in St. John's School District No.

On July 30, 2011 the St. John's Fire District entered inter into an inter-local emergency services automatic aid agreement.

Notably, the District covers historic landmarks, pristine beaches, extensive navigable waterways, and a number of golf courses including the renowned Kiawah Island Golf Resort Ocean Course.

In addition to the frontline units, the District maintains a fleet of reserve engines.

Truck company functions are delivered primarily through aerial apparatus, including ladders and towers.

The current tower replaced a 2005 E-One Bronto Skylift 114' articulating platform, the first of its kind in the state of South Carolina.

In order to provide fire suppression capabilities, the District operates two water tenders.