HomeMy WebLinkAboutPermit Renewals PLANNING AND DEVELOPMENT SERVICES DEPARTMENT
j - BUILDING AND CODE REGULATIONS DIVISION
_ 2300 VIRGINIA AVE
FORT PIERCE,FL 34982
(772)462-1553 Fax(772)462-1578 R E C E I V E D
PERMIT RENEWAL REQUES ir APR 17 2018
ST. Lucie County, Permitting
PERMIT NUMBER: S-6-110(– 057� ADDRESS: 7 997 S, KIS 1 ) ?00 L - C
I, vy�u j'V*j A)<Rok-j� ,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 kQpAJR Eflpta'A I2C >_O' 1 t an
01 aA
O R/BLDR OR CONTRACTOR SIGNATURE DATE
Print Name
STATE OF FLO A
COUNTY OF
ACKNOWLEDGED BEFORE ME THIS _DAY OF L .20-6—
BY �pfe–I �.[ WHO IS PERSONALLY KNOWN TO ME ,OR
HAS PROVIDED FA AS IDENTIFICATION.
STATE OF FLO
AA
0--�
SI NA F T Y SEAL
FOR OFFICE USE ONLY:
Number of Open Inspections:
Total Inspections:
CKoraA mR E! N sS.
.
E
1 156iV3
7(Divide open b total to et%of open inspections)
Percentage: Pv Co7m!s �on Exp!rc;,
Renew June 12, 2018Original permit fee: x%open = $ 76,
�i
Example: [15 divided by 23=.65(%)] $175(permit fee)x.65=$113.75(renewal fee)
Revised 7/21/2014
Associated Air of Port St Lucie, Inc
1552 Se. Niemeyer Circle
Port St Lucie, FL 34952 lic. Cac057622
RECEIVED
APR 17 : _'`i i
Planning and development services
Building and code regulation division ST. Lucie County, Permits^g
2300 Virginia Ave
Fort Pierce, F134982
Building official or other,
Associated Air of Port St Lucie is formally requesting an extension for permit#1708-
0579
Because of hold ups and delays to the job we were not able to complete it before the
Allotted 6 months.
Thank you,
Mike Krencik
Associated Air of Port St Lucie
772-335-7089
Cac057622
26789