HomeMy WebLinkAboutPermit Renewals PLANNING AND DEVELOPMENT SERVICES DEPARTMENT
- - BUILDING AND CODE REGULATIONS DIVISION
ilCOUNTY
2300 VIRGINIA AVE
FORT PIERCE,FL 34982
(772)462-1553 Fax(772)462-1578 RECEIVED
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PERMIT RENEWAL REQUES MAR 2 2sg
ST. Lucie County, Permi7
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PERMIT NUMBER: SLC 1702-0203 ADDRESS: 85 South Las Olas Drive, Jensen Beach Florida 34957
I, Steven Drake Marston Jr. ,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 Due to Irma and money issues need to extend the permit for another 6 months
past this date of today.
March 22, 2018
OWNER/BLDR OR CONTRACTOR SIGNATURE DATE
Steven Drake Marston Jr.
Print Name
STATE OF FLORIDA
COUNTY OF S?T. L4c
ACKNOWLEDGED BEFORE ME THIS �'� DAY OF 4 C ,20
BY WHO IS PERSONALLY KNOWN TO ME ,OR
HAS PROVIDED 'L L AS IDENTIFICATION.
ASTATE OF FLORIDA,County of S ` `v C kANNAMARIE GIVENS
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MY COMMISSION#GG 022023
:o EXPIRES:December 16,2020
ATURE OF NOT Bonded Thru Hg�tublic Uarierwriters
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(0/o)] $175(permit fee)x.65=$113.75(renewal fee)
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