HomeMy WebLinkAboutPermit Renewals ' 7
PLANNING AND DEVELOPMENT SERVICES DEPARTMENT
•
- - BUILDING AND CODE REGULATIONS DIVISION
2300 VIRGINIA AVE
-- - FORT PIERCE,FL 34982
(772)462-1553 Fax(772)462-1578
PERMIT RENEWAL REQUEST MAR 15 2ui8
ST. Lucie county, Permitting
PERMIT NUMBER: SLC 1707-0369 ADDRESS: 7215 MARSH TERRACE
I, MARK A VINES ,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 HOMEOWNER WAS OUT OF THE STATE. PERMIT EXPIRED AND
FINAL ECHANICAL MUST BE COMPLETED.
3/14/2018
OWNER/BLDR OR CONTRACTOR SIGNATURE DATE
MARK A VINES
Print Name
STATE OF FLORIDA
COUNTY OF PALM BEACH
ACKNOWLEDGED BEFORE ME THIS 14 DAY OF MARCH ,20 18
BY MARK A VINES WHO IS PERSONALLY KNOWN TO ME ,OR
HAS PROVIDED AS IDENTIFICATION.
STATE F FL(r';TD ' of P M BEACH
�I ��►�Ry. Notary Public State of Florida
!�
--K
John Edward Gifford
SI OF NOT\ RY \��MI Commission GG 147815
M1 '`Expues 12/17/2021
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