HomeMy WebLinkAboutPermit Renewals PLANNING AND DEVELOPMENT SERVICES DEPARTMENT
- BUILDING AND CODE REGULATIONS DIVISION
:COUNTY
2300 VIRGINIA AVE
FORT PIERCE,FL 34982
(772)462-1553 Fax(772)462-1578 _E t
PERMIT RENEWAL REQUEST DEC 19 1017
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St. Lucie County, FL
PERMITNUMBER: SLC 1704-0505 ADDRESS: 3336 CARACAL DR
I, 6' 'authl CU 1 ,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 htr� Wt aL�, fu Cl')06W tL LAO 4he 4tme,
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OWNER/$LD14OR CONTRACTOR SIGNATURE DATE
ALLEN STEINMAN
Print Name
STATE OF FLO DA
COUNTY OF
ACKNOWLEDGED BEFORE ME THIS L_DAY OF I.QI'II l�j" 2017
BY AJIM iJ1 n- WHO IS PERSONALLY KNOWN TO ME ,OR
HAS PROVIDED AS IDENTIFICATION.
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Ml'COMMISSION#FF952984
IGNATU F NO ARY SEAL ' - EXPIRES Jant►ary 2',,2020
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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
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