HomeMy WebLinkAboutFIRE SAFETY PERMIT APPLICATIONRECEIVED
SEP 2 12018
ll� SAINT LUCIE COUNTY FIRE DISTRICT Permitting oap rtment
FIRE SAFETY PERMITAPPLICATICIN a
St. Lucie CountV
5160 N.W. Milner Drive
Port Saint Lucie, Fl. 34983
Telephone: 772-621-3322
Fax: 772-621* 3604 -1 SEP 2 2018
SCANNED
BY Web Address: www.sidd.com
St. Lucie County Make fees Payable to: SaInt Lucie Count Fire District
y
Type of Request:
JaPlan
�ework�sDlsplay
A EAdd,,s
ddress Wb—o
'411 Pu r'f Pt c- P.co
Address
contractor
Address
Telephone
-7-72- --
I - b,�l -13 ?> I
00012,00
state zip (4 C1
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r�ntmctor Affidavit: Application Is hereby made to obtain a Pemlttodo the workand Installation as Indicated. I c0tIfY that no work orinstallationhas cornatenced
P'lOftO the IssudnCeOisald pemit. In the consideration Of gmntfng this requested PerMI4 I do herb
installation In accardancewith the aPProvLd plans, the appIIabje, Fl. Yagme that Wwe.wilL
theU.P-ACodes. A Plan revillonafterth 'A all resPects6 Perkrrn theworkand
dd'FI'eP=e"t'MC0de Saint L4CIL GDMIYFIre District ResolutiOM Florida Building Code, and
subj& to field InspectION compliance Wa Issuance of the pernit 1, subjectu, appmval by the Saint Lucia County F
dification, and approral ", Saint Lude County fue DiaukL ire (XstrfcL /Ul Work and insuation as indicated is
value Per square Foot Square Peet 7 570 V// 7
Signature I !Ik' J IGAA 11 1 A It M =-0
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LORIDA FIRE p�REVENJODat y
rHE Fw —10
N CODE, 2012 EDITION —IS
110, 0- W yelfle A\ Ic- 0 r- (�o 0 �11