HomeMy WebLinkAboutUntitledPLANNING AND DEVELOPMENT SERVICES DEPARTMENT
`� - BUILDING AND CODE REGULATIONS DIVISION
•
2300 VIRGINIA AVE
FORT PIERCE, FL 34982 RECEIVED
(772)462-1553 Fax(772)462-1578
FEB 15 1018
PERMIT NUMBER:
PERMIT RENEWAL REQUEST
Permitting Department
St. Lucie County
ADDRESS: —) lO O 5k D D It 5 rOa`C `bv
1. Peter A Cafaro III , am requesting that the above permit be renewed. 1
understand that I must schedule and pass all required inspections for the permit to be finalcd. 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 / { V-&� sS 1 N S r'WA-A—#" A.t
�1 Z• 5-13
OR CONTRkCVR SICINATURE DATE
Peter afaro III
Print Nakhe
STATE OF FLORIDA
COUNTY OF oRAwA
ACKNOWLEDGED BEFORE ME THIS 04-*'— DAY OF �. 20 1 g
BY PETER A CAFARO III
WHO 1S PERSONALLY KNOWN TO ME OR
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
AS IDENTIFICATION.
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Example: [ 15 divided by 23=.65(%)] S 175(permit fee) x .65=S 113.75 (renewal fee)
Revised 7/21/2014