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FIRE SAFETY PERMIT APPLICATION
SAINT LUCIE COUNTY FIRE DISTRICT �Q,OUIVn. FIRE SAFETY PERMIT APPLICATION rv� 5160 N.W. Milner Drive Port Saint Lucie, FL 34983 X'�i9Fpl�v Telephone:772-621-3322 Fax:772-621-3604 Web Address: www.slcfd.com Make fees payable to: Saint Lucie County Fire District J11L002015 S BY: CANNED St. Lucie County Type of Request: Plan Review Permit Renewal Fire Sprinkler Fire Alarm Fixed Fire Protection Tent/s TO Fuel Storage/Disposal LP Storage/Disposal Fireworks Display Fireworks Sale ❑ Other Project Name Address I J State Telephone I 'A n Ld 4 _� / ^ -) �/7 /,7 7 11 Fax: City Zip Contractor Qualifier QN' Address City State Zip Lam/, 1 M 1 Telephone I—���` ia�' 'UO Fax: I'��g gsl State License CG-l/©J 13 Compliance Engine ID Contractor Affidavit: Application Is hereby made to obtain a permit to do the work and installation as indicated. I certify that no work or installation has commenced prior to the issuance of said pemtit. In the consideration of granting this requested permit, 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.PA Codes. A plan revision after the issuance of the permit is subject to approval by the Saint Lucie County Fire District. All work and installation as indicated is subject to field inspection, compliance modification, and approval by the Saint Lucie County Fire District Value per Square Foot I I I Square Feet I I I Value of Project Signature Date F ` r THE FLORIDA FIRE PREVENTION CODE, 2010 EDITION IS CURRENTLY ENFORCED. Scope of Work