HomeMy WebLinkAboutFIRE SAFTY PAPERSAINT LUCIE COUNTY FIRE DISTRICT
W-lu �o FIRE SAFETY PERMIT APPLICATION
J 5160 N.W. Milner Drive
+fa Port Saint Lucie, FL 34983
x, x Telephone: 772-621-3322
Fax: 772-621-3604
Web Address: www.slcfd.com
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Make fees payable to: Saint Lucie County Fire District
Type of Request:
SCANNED
By
St Lucie County
10 Plan Revi kXFixed Fire Protection Tents
Fuel Storage/Disposal ❑ LP Storage/Disposal ❑ Fireworks Display Fireworks Sale Other
Project Name Q /el Y d
Address I R 115 5 • U% t♦ru City L-UUi e
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State License
County License
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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 permit. 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.P.A 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 Il Square Feet I I I Value of Project I 1<151- !' II
Signature I i II Date
THE FLORIDA FIRE PREVENTION CODE, 5th EDITION IS CURRENTLY ENFORCED.
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