HomeMy WebLinkAboutPermit Renewals Mar 05 201B 15:53:17, Via Fax -> VOnage Page 002 Of 003
PLA.IVNING AND DEVELOPMENT S,ERVACES DEPARTMENT y.
kr BUILDING AND CODE REGULATIONS DIVISION
2300 VIRGINIA.AVE
FORT PiERCF,Ft.34982
(772)467-1553 Fax(772)461,1578 .:•.
RECEIVED
PEANUT RENEWAL REQ1JES'I"
MAR 0 5 2018
y'
ST. Lucie County, Permitting - ••-
PKRMt'1"NLlMI3lili.: 1` M ADDRESS: a >;.
t, a.,m T�,sceduleant requesting that the shove permit be reiwwed. I
w erstatnd that 1 dpass all required inspections for the permit to he finaled. Further, 1
understand that this is a ONETIME RENEWAL and te perni,it shaill expire should I not receive a
passing inspection during Any six month period during the renewal period.
Justification w.. YY1C�� rwL C�-� �G�J1�._"" t 1� 1
......._.......................
fS
----........._._.............................................................— -- .____ . .........___ ___.__........_........
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'13T.f�R 43.R CONTRACTOR SIGNATURE
Print Nam(:
STATE.OF Fl. !)
COUNTY C
pc,K>vow1..F[�c.l I I3EFOIr1 IIE .TH15 DAY O .±.i J-! k ..�. -�...... 'r�....j...._...... ,'
BY '—
,`f �1 �'aJ Jam..._. WHO 1511xSUNAtLYKNOWN
1'CtOtt:: r/ OR
HAS PROVIDED .. ... ,as J�T�711CA7 0N. k
_._..........- - - ---..................— ---- ��,
,§§\OINNA L
A�tr:�x Tl..t7TttDA Count ��r
o�'
t:�NA'1"lrh.lr ')F NCa't'ARSt ,_ _ _ T, . t;.�E�•.� :�r z
SABRINA L. BLACK
FOR OFF1CT USE WNLY: °°°°�/►lfF 1 N L����`,`
NuTnbar of Open Inspections: .—
Total Inspections.
(Divide open by total to`pct.°4,of open inspcctionO
Percentage:
Original portrait.fee: x%o to 4%.d Renewal fee;
Example, l_15 divided by 23•-.65(0f.)j S175(pernut fee)x.65 8111,75(renewal feel
K Vi,At 7;Z1 20I.