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HomeMy WebLinkAboutPermit Renewals PLANNING AND DEVELOPMENT SERVICES DEPARTMENT •>! UILDING AND CODE REGULATIONS DIVISION 2300 VIRGINIA AVE - ; FORT PIERCE,FL 34982 - - - E® •� (772)462-1553 Fax(772)462-1578 OCT 2 6 2017 PERMIT RENEWAL REQUEST Permitting Department St. Lucie County, FL �f n �j a PERMIT NUMBER: "'" O S37 ADDRESS: II D© V ' " /T I 1, %ter�J` NAM i I-ef ,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 TIME RENEWAL and the permit shall expire should I not receive a passing inspection during any six month period during the renewal period. Justification CuS+„1or o off'off' 7-pr;Jn-�o� 6 taw �erthd�s c�, (/1� (7 OWNtIffLDR OR O T CTOR SIIG-NATURE DATE mP� c-Print NaR-0 e STATE OF FL COUNTY OFOAy •` -, ACKNOWLEDGED BEFORE ME THIS °LSO DAY OF �C� 20 V, BY V�bae f \G� coq 1 ri (` WHO IS PERSONALLY KNOWN TO ME OR HAS PROVIDED AS IDENTIFICATION. TATE OF FLORIDA,County of L �L _ 'cAv-PL DEANNAMARIEGfVENS 4 MY COMMISSION#GG 071D?3 SIGNATURE OF NO Y `'�' _ 20L0 £ FXPLDecembsr 16, Bonded Thru Notary Public UndetNrter � FOR OFFICE USE ONLY: Number of Open Inspections: Total Inspections: (Divide open by total to get%of open inspections) Percentage: Original permit fee: x%open = $ Renewal fee Example: [15 divided by.23=.65(%)] $175(permit fee)x.65=$113.75(renewal fee) Revised 7/21/2014