HomeMy WebLinkAboutFIRE SAFETY PERMIT APPLICATIONSCBy
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SAINT LUCIE COUNTY FIRE DISTRICT
FIRE SAFETY PERMIT APPLICATION
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5160N.W.MilnerDrive
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Port Saint Lucie, FL 34983
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Telephone:772-621-3322
Fax: 772-621.3604
Web Address: www.slcfd.com
Make fees payable to: Saint Lucie County Fire District
Type nf Request:
Plan Review ❑Permit Renewal [] Flre Sprinkler Flre Alarm ❑
�� ❑ Fixed Fire Protettion TenVs
❑ Fuel —St orag—el D—Is posaI ❑ lP Storage/Disposal (] Fireworks Display ❑Fireworks Sale ❑Other
Project Name -fpLNIbTT6 \IILCAGb C•i-Ip�3otsL�tob6 !S
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Telephone
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Contractor
Qualifier 6-o C O L!3;>Alk�oWSV-
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City aaLT S7 . W L I D State ZIP (/ O O
Telephone '772-) 336- 7ZY6
Fax: C,IFs[, `e GRArJDSFi..COA'L
state License C( LI OS ) L'
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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 Vwe 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 aWlding Code, and
the NFPA Codes. A plan revision after the Issuance or 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 L Square Feet
Value of Project
Signature I {-lloate
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E FLORIDA FIRE PREVENTION CODE, 2012 EDITION IS CURRENTLY ENFORCED.
Scope of Work