HomeMy WebLinkAboutPermit Renewals PLANNING AND DEVELOPMENT SERVICES DEPARTMENT
BUILDING AND CODE REGULATIONS DIVISION
2300 VIRGINIA AVE
FORT"PIERCE,FL,34982 _—
(773)462-1553 Fax(772)462-1578 RECEIVED
PERMIT RENEWAL REQUEST MAY 3 12018
ST. Lucie County, Permitting
P8RMIT NUMBER:_U(33-0225_ ADDRESS' V ( f-6 V-1
I.
��, rn,J t?rl'I\i �C SQ �Pk1: am requesting that the above permitbe renewed. I
understand that Y mus schedu and pass required inspections for the permit to be final ed. Further, l
understand that this is a ONE TIME RENEWAL and the permit shall expire should I not receive a
passing inspection during any six month ;)eHod during the renewal period.
J tification
OW RBI; R NTRA OR DAJrE
Print amc OMT1NE WALTON
- �4' ,MYCOMMISSION S O(3 0111b4
'Sam EXPIRES:May 14,2021
STATE OF FLO A " "^ ~�4 wa 8&4w 7M audo Natary Swos
COUNTY OF
ACKNOWLEDGED BEFORE MF THIS OF-nna`V 20-1%-
BY' r `L /� l
-�y" /4 &A5-o'o WHOIS PERSONALLY KNOWN TOME � OR
HAS PROVIDED // a AS IDENTIFICATION.
STATE,OF FLORIDA..County or S� —L�c,Z
Y NkL q R13T1NE WALTON
" 'MY COMMISSION 1+Ci3 t)r1161
SIGNATfJ1ZE OF NOTARY V t:XPIRES:May%2021
1;11�°�BMW TWU 9udij NOtWy 9xvIOoa
FOR.OFFICE USE ONLY: -
Number of Open Inspections:
Tectal Inspectionsf
(Divide open by total to get%of open inspeetjdns)
Percentage:
Original permit fee: x 1/16 open = $ Renewal fee
Example: [15 divided by 23=.65(°!0)] $I75(perinit fes)x.65=$1 13.75(renewal fee)
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