HomeMy WebLinkAboutPermit Renewals PLANNING AND DEVELOPMENT SERVICES DEPARTMENT
BUILDING AND CODE REGULATIONS DIVISION
2300 VIRGINIA AVE
FORT PIERCE,FL 34982
now (772)462-1553 Fax(772)462.1578 RECEIVED
PERMIT RENEWAL REQUI IST MAY 31 2018
ST. Lucie Country, ptyrmlttin
PERMIT NUMBER: i- Z 1 ADDRESS: 1—'s eck-AQdor t"-)o,\!
6 rS ,am requesting that the above permit be renewed. I
understated hat I must schedule and p ss all required inspections for the permit to be finaled. Further, l
understand that this is a ONE TIME RENEWAL and the permit shall expire should 1 not receive a
passing inspection during any six month period during the renewal period.
lification
"6XtA
Ow L R NT O DATE
Print 1ratne ry daR►MNEWALTON
My COMMISS16N 0 GO 071154
EXPIRES:May 14,2021
STATE OF PLO IDA
p'�or rt��Bonded 7fuv BuQgel Notyy SeMp'g
QOUNTY 01--
ACKNOWLISDGEDBEFORE ME THIS 2>1S*DAY OP !-L20 d
BY .,e/r.-t �u� �i�l. �l WNQ IS PETISONALLY KNOWN TO ME OR
HAS PROVIDED i AS IDENTIFICATION.
STATE OF FLORIDA,County of � ���,L
SNE wALTON
�„�"—"` G`� ��� h1YfAMMiS9i0NY(;Q071t64
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SIGNATURE OF NOTARY w EfpIRE$:May 14,2021
Fti19P Wt&d Thv Bu NOtyy bf"
FOR OFFICE USE ONLY: .__.
Number.ofOpen Inspections:
Total Inspections:
(Divide open by total w get%of open inspells)
Percentage: cip
Original permit foe: x%open = S} Renewal fee
Example. [15 divided by23=,65(%)]. S175(p7init fec)x.65—$113.75(renewal fee)
Beviscd.7/21/2014
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