Nuclear power plant (NPP) is commonly categorized as a harsh environment that gives rise to age-related degradation on the structures of plant and eventually leads to radiation leakage that threatens human. Integrated structural health monitoring (ISHM) technology is a strong candidate for NPP accidents. The emergence of optical fiber technology into SHM system for NPP was greatly interested by researchers, and also prior research works have shown that the fiber Bragg grating (FBG) was able to retain its reflectivity under radiation exposure. In this paper, a metal-coated fiber was newly used to develop a FBG acoustic sensor for ISHM of NPP. The 7 mm length of aluminum, copper/carbon coatings were successfully removed with sodium hydroxide and nitric acid solutions. A 5 mm FBG was successfully inscribed in the silica core through the 7 mm long coating-removed silica section of copper/carbon-coated fiber and the initial reflectivity was 71%. Then, the FBG acoustic sensor was developed in one-end-free FBG configuration on the stainless steel vessel using a high temperature metallic adhesive. The reflective power of the sensor was stabilized at 345°C during the high temperature elevation cyclic process. The FBG acoustic sensor showed good response to the acousto-ultrasonic waves during pencil-lead breaking and laser ultrasonics tests. The high temperature FBG acoustic sensor written in the cost-effective metal/carbon is feasible to be used for ISHM of the NPP.