HomeMy WebLinkAboutPermit Renewals (2) OCT-25-2018 THU 02:80 PM -7t?,TRAL SCHEDULING FAX No. 32 ,86138 P. 002
PLANNING AND DEVELOPMENT SERVICES DEPARTMENT
BUILDING AND COBE REGULATIONS DIVISION
2300 VIRGINIA AVE
FORT PIERCE,FL 34982 RECEIVED
(772)462-1553 Fax(772)462-11578
ON 2 5 2018
PER3UT RENEWAI.REQTJ�ST Permitting
ST. Lucie County, 9
PERMIT NUMBER ADDRESS.&M ftnabOfekffl- 4"0
1,_ 6A 'Amv�i ,am requesting that the above permit be renewed. I
understand that I mii8t schedule and pass all requh-ed inspections for the permit to be finaled. Further,I
anderstand that this is a ONE'AIME RENEWAL and the permit shall expire should I not receive a
passing insp Ion 11 'ng any six month period during the renewal pe><iod.
7u ficatiolu An �Ou
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OWN LDR OR CONTRACTOR SIGNATURE DATE
R6bcl-
maycellic,
Print Name
STATE OF PLOMDZJ
COUNTY OF e
A OWL pop-D aEFORE ME THIS DAY OF ,20
EXYI.\t V1A WHO IS PERSONALLY KNOWN TO ME ,OR
i
HAS PROVIDED / AS IDENTIFICATION.
ST(V OF FLORIDA,County of p • Catherine Knngelr
V,^ F$ commisslon#FF172372
SIGNATURE OF NOTARY -• = r Fj(pires:ECT ZB,2028
,� boNPsn rlteu
,fit � ISTFLUMDAMOTARy,ILC
FOR OFP ZCR VSE ONLY:
Number of Open Inspections: r�O � �r
TatalIxtspechous: ��/`-P �•
(Divide open by total to get%of open inspections)
Percentage;
Original penuit fee: X%open = $ Renewal fee
Example., [15 divided by 23^.65(%)j $175(permt fee)x,65=$113-75(renewal fee)
R visod 1/2112014