HomeMy WebLinkAboutFIRE SAFETY PERMIT APPLICATIONSCANNED
BY
St. Lucie County
SAINT.LUCIE COUNTY FIRE DISTRICT _
�sr60UN17 FIRE SAFETY PERMIT APPLICATION ��•%r
3 f 5 160 N.W. Milner Drive
Par
tSaint Lucie, FL 34983 — Zo�1� I
¢nis�w~ Telephone:772-621P3322 AU
Fax: 772-621-3604
Web Address: www.sicfd.com ft
Make fees payable to: Saint Lucie County Fire District
Type of Request:
Plan Review Permit Renewal �' Fire Sprinkler [] Flre Alarm Fixed FIre.Protectlon: Tents
❑ Fuel Storage/Disposal LP Storage/Disposal. o Fireworks Display �] Fireworks Sale: Other
Project Name
Addross I -G
Owner I�l
Addreu I
uty
Fax:
Contractor
Qualifier
t'C -v
Address
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cityLAkx
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'State
.r
Zip..
33�03
Telephone /'—g-' 0011"
Fax. -
State License
Cempllance EnglnelD
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Contractor Affidavits Application Is hereby made to obtain a permit to do thework and Installation as Indlcateviceniry that no work arinstallatbn has commenced
prior to the Issuance of said permit. In the consideration of granting this requested permit. I do herbyagree that l/we will, in all, respects, perform thework and .
Installation in accordance with the approved plans, the applicable, Florida Fire Prevention Code, Saint Lucie County Fire DistrictResolution, Florida Building Code, and
the NS.P.ACodes. A plan revision after the Issuance ofthe permit is subject toapproval by the Saint Lucie County Fire District All workand lnstallatlonas.Indicated is
subject to Reid Inspection, compliance modlRcatlon; and approval by the Saint Lucie County Fire District .
Valuapersquare Faot Square Feet LLI�00 Value of Project.
Signature Date s n
THE FLORIDA FIRE PREVENTION CODE, 2012 EDITION IS CURRENTLY ENFORCED,
scope of Work
g�UNI?
SAINT LUCIE COUNTY FIRE DISTRICT
FIRE SAFETY PERMIT APPLICATION
S760 N.W. Milner Drive
Port Saint Lucie, FL 34983
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Telephone:772.621=3322
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Fax: 772-621-3604
Web Address: www.slcfd.com
Make fees payable to: Saint Lucie County Fire District
Type of Request:
Plan Review permit Renewal �'Flre Sprinkler [] Fire Alarm Fixed Fire Protection ❑ TenVs
Fuel StoragelDlsposal l LPStorage/Disposal. [f FlreworksDlsplay �] Flreworks5ale Other
Project Name
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Address.
1�
�.. .
f A7 Ce—nJ<4rcity
Contractor
Qualifier
'V
Address
.,
CityLovx
i
State �' ..
ZIP 33L 3
.J
Telephone
:5 j oo li'
Fax:
State License 51 5
Compliance Engine ID
Contractor Affidavit: Application Is hereby made to obtain a permit to do thework and Installation as Indlcatev"nIfy that no work orinstallatbn has commenced
prlorto the Issuance of said permit. In the consideration of granting this requested permirl do herby agree that Itwe will, In all respects, perform theworkand
Installation in accordance with the approved plans, the applicable, Florida Fire Prevention Code, Saint Lucie County Fire District Resolution, Florida Building Code, and
the NF.P.ACodes. A plan revision after the Issuance of the permit Is subject to approval by the Saint Lucie County Fire District. NI 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 SquareFeet1 �$'+_6CC Il Value of Project I II
signatureI w✓l,I rrN "sv �j •(/'i I Date,
THE FLORIDA FIRE PREVENTION CODE, 2012 EDITION IS CURRENTLY ENFORCED.
SAINT LUCIE COUNTY FIRE DISTRICT
FIRE SAFETY PERMIT APPLICATION
5160. N.W. Milner Drive
Port SaintLucie, FL 34983
Telephone: 772-621-3322
Fax: 772-621.3604
Web Address: www.sfcfd.com
Make fees payable to: Saint Lucie County Fire District
-7
Type of Request;
� Permit Renewal Fire Sprinkler Fire AlarmJEJ Fixed Fire Protection Tents
Fuel Storage/Disposal . 0 LP Storage/Disposal Q Fireworks Display [] Fireworks Sale Other
Ownerly�-�—fi
Address ��•��../�CyG
City i / v ilf-ce.
stata
Telephone
Contractor r\
Qualifier
Address
„y
city
Lake�.+�•
Zip.
33.03
Telephone
G '
: 0C)1.�
Fax:
State License
Jr. 15
eomplionco Englnew
Contractor Affidavit: Application is hereby made to obtain a permit to do thework and Installation as lndlcate certify that no work erinstallation has commenced
prlorto the Issuance of said permit. In the consideration of granting this requested pennita do herby agree that I/we will, In all respects, perform tkaworkand
Installation In accordance with the approved plans, the applicable, Florida Fire Prevention CodesSaint Lucie County Fire District Resolution, Flodda Building Code, and
the N.F.P.A Codes. A plan revision afterthe Issuance of the permit Is subject toapproval by the saint Lucie County Fire District. All work and Installation as Indicated Is
subject to Bald Inspection, compliance. modification, and approval by the Saint Lucie County Fire District,
value per square Foot I _ Il SquareFeet1 3[A00 Ilvaluoof Project I II
rn �I Date:I 61- 1 IA II
FIRE PREVENTION CODE, 2012EDITION IS CURRENTLY ENFORCED.