HomeMy WebLinkAboutSLC FIRE SAFETY PERMIT APPLICATION��UIViy
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SAINT LUCIE COUNTY FIRE DISTRICT
FIRE SAFETY PERMIT APPLICATION
5160 N.W. Milner Drive
Port Saint Lucie, FL 34983
Telephone: 772-621-3322,.
Fax: 772-621-3604 :z
Web Address: www.slcfd.com
Make fees payable to: Saint Lucie County Fire District
Type of Request:
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CEI E
UN 2 C 2018
BY:
SCANNED
BY
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Plan Review Permit Renewal Fire Sprinkler Fire Alarm Fixed Fire Protection Tent/s
Fuel Storage/Disposal LP Storage/Disposal Fireworks Display Fireworks Sale Other
Project Name V t 1 Q� �,� •�0.�
Address a� '1Y'ne'Y (3. ,, r city �
Owner
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Contractor
Qualifier.
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State License
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Compliance Engine lD
Contractor Affidavit: Application is hereby made to obtain a permit to do the work and installation as indicated. I certify that no work orinstallation has commenced
prior to the Issuance of said permit. In the consideration of granting this requested permlt, I do herby agree that I/we will, In all respects, perform the work and
Installation in accordance with the approved plans, the applicable, Florida Fire Prevention Code, Saint Lucie County Fire District Resolution, Florida Building Code, and
the N.F.PACodes. Aplan revision after the issuance ofthe permit is subject to approval by the Saint Lucie County Fire District All work and installation as indicated is
...rf bject tofield inspection, compliance modification, and approval by the Saint e County Fire District �n r. `alueper Square Foot - Square Feet 1 I Value of Project rb
Signature
Date
THE FLORIDA FIRE PREVENTION CODE, 2012 EDITION IS CURRENTLY ENFORCED.
Scope of Work �-t \ \r
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