HomeMy WebLinkAboutPermit Renewals 05/04/2018 FRI 3: 04 FAX 2002/002
_.................... PLANNING AND DEVELOPMENT SERVICES DEPARTMENT
•
e BUILDING AND CODE REGULATIONS DIVISION
2300 VIRGINIA AVE
-—' ]FORT PIERCE,FL 34982
(772)462-1553 Fax(772)462-1579 RECEIVED
PERMIT RENEWAL REQUEST MAY 0 4 2018
ST. Lucie County, Permitting
PERMIT NUMBER: ' , �'`JIC)ADDRESS: N. 0�1
I
1, �. ,am requesting that the above permit be renewed. I
understand that I must schedul d pass all required Inspections for the permit to be finaled, Further, Y
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 �0 NST jos
0wNER�B(LD_ Q$CONTRAC ORCSMONAT E DTE
Print Name -„r
STATE OF FLORIDA
COUNTY OF tN :NAn �VW JJ
ACKNOWLEDGED BEFORE ME THIS ��DAY OF 20 l�
BY WHO IS PERSONALLY KNOWN TO ME ,OR
HAS PROVIDED AS IDEN77FICATION_
e �
STATE OF FLORIDA,County of P\
x 2 JOYCE MICHAUD
;R; t, MY COMMISSION#00 982983
SIGNA RE FNQTARY SEAL FXPIRES:ApdI25,2022
i `'r 9M"Yin Novy puWk UMeiwbors
- ...,....-...,......-
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 - S Renewal fee
Example; [15 divided by 23.65(%)] $175(permit fee)x.65-$113.75(renewal fee)
Revised 7/21/2014