HomeMy WebLinkAboutMisc Letters PLANNING AND DEVELOPMENT SERVICES DEPARTMENT
BUILDING,AND CORE REGULA.TXONS RASION
2300 V1RG1 191 AVE
FORT k EERCI;,FL 34982
(772)462-1553 Fax(772)462-1578
PPRMXT RENEWAL REQUEST
p.FW,ffT NUI,Mpjz- 1708-0044 ADDRESS: 4844 Watersong Way
I, Theodore Morgan ,am requesting that the above permit be renewed. I
understand that I must schedule and pass all required inspections for thep ermit 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 has not been available to have inspection done prior to now
AI
/0�__
_ 5/18/2018
OWNE"LDR OR CONTRACTOR SIONAMM DATE
Theodore Morgan
Print Name
5
STATE OF FLORIDA
COUNTY OF St Lucca
ACKNOWLEDGED BEFORE ME THIS 18th DAY OF May .2018
BY Theodore Morgan WHO IS PERSONALLY KNOWN TO AM, X OR
HAS PROVIDED AS IDENTMCATION.
STATE OF FLORIDA,Coun ,.�:t� �v P.p SOPHIA LMS
F� � NotaryPubIIC�StdteafFlarida
f Commission 4 GG 184337
S1GNA Z UIQ OF NOT SgA�, '9 of F� �y Comm.Explres APr 24,2022
Banded through National Notary Assn,
FOR OFFICE USE ONLY;
Number of Open Inspections:
Total Inspections;
Ovide open by total to get%of open inspections)
Percentage.-
Original
ercentage:Original permit fee' x%open = $ Renewal fee
Example: [15 divided by 23-.65(°/o)] $175(permit fee)x.65=$l 13.75(renewal fee) ' E
%,a t[RECEV D
Itsvised 7/21/2014
MAY 2. 1 2018
Permitting Department
St. Lucie County, FL