HomeMy WebLinkAboutPermit Renewals Mar 2417,04:46p Aultbros 7722830321 p.1
PLANNING AND DEVELOPNIENT SERVICES DEPART_vIENT
L _:'J '_'is
BUILDING AND CODE REGULATIONS DIVISION
• - 2300 VIRGINIA AVE n
FORT PIERCE,FL 34982 ! �{w, a� , as
(772)462-1553 Fax(772)462-1578
MAR 2 8 2101
PERMIT RENEWAL REQUEST PER5.11T ING
St. Lucie CoLnty, FL
PERMIT NUMBER r6O6.-a-378• ADDRESS: 10680 S. Ocean Dr. 4307
I, Michael Dale Ault ,am requesting that the above permit be renewed. I
understand that I must schedule and pass all required inspections for the permit to be finaled. Further,I
understand that this is a ONE TINIE RENEWAL and the permit shall expire should I not receive a
passing inspection during any six month period during the renewal period
Justification Owner/General Contractor funds denied (rough electric.' final electric)
PFnding litigation, 6vication/for6closure.
ffm-k� 3 L-Y
OWNER/BLDR OR CONTRACTOR SIGNATURE DATE'
Michael Dale Ault - Ault Bros, Inc.
Print Name
STATE OF FLORTDA
COUNTY OF
ACKNOWLEDGED BEFORE ME THIS Zit W DAY OF_ �c�rs� ,2201'3
BY L_ 36.Ct bdAr Qll,�' WHO IS PERSONALLY KNOWN TOME V ,OR
HAS PROVIDED AS IDENTIFICATION.
STATEW ELORIDA,County of f ]ex-rgr%
MICHELLE.MMIE MARTIN
Notary Public.State of Florida
SI NA OF NOTAR SEAL = Commission FF 902990
M Comm.Explres Jul 23.2019
B�dW thia*ftmW Notary Assn.
FOR OFFICE USE ONLY: .�
Number of Open Inspections:
Total Inspections:
(Divide open by total to get%of open inspections)
Percentage:
Original permit fee: i%open = S Renewal fee
Example: [15 divided by 23=.65(4,o)] $175(permit fee)x.65=$113.75 (renewal fee)
Revised 7PL1=14