HomeMy WebLinkAboutF2024-0387 - Permit ApplicationPpk}
Application
port Beach Fire Permit
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00 6a�new ctrde,S k ea000, NewPoY} Beach, CW g2(a(.O
Number and Street suite/unit zip
Associated Building Permit #
2
Owner / Tenant
%Yo'nite Propertie J f�Uere ptopc'r�j btovp
Name
Scope of work/
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mist. description
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New X TI Addition Alteration Demolition
Construction
ial X Fire Sprinkler
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Number of Stories per
33 Number of FS Heads (4 buildln
El13 13R 13D
+units) n Fire Alarm
n Number of FADevices ❑ Number of Dwelling
Units
nResidential (1-2 units) F71 Fire Underground
M Number of Risers
-Check one Fire Misc.
*Write in accurate count
*describe above
4 Applicant Information Name John Jonun+ovs (Fll Pro Rtc P(okchcn�
Address: )jy fzoymox'Road sine AA Ou=a de Cw 0,1O5b
Phone#: (45t> 2c,b 3RI2 Email: 'WnnCm GllProRcemc.cosm
Check if same as Contractor
Designer Information Name:
Address:
Phone#: Email:
QCheck if same as Contractor
Contractor Information Name:
Address:
Phone#: Email:
License#: Class:
Office Use Perm t FZO�t{^ Plan Check Pe 202 Permit/Plan
Number. D'3 $ Number j'J Check Fee $