HomeMy WebLinkAboutPermit Renewals PLANNING AND DEVELOPMENT SERVICES DEPARTMENT
BUILDING AND CODE REGULATIONS DIVISION
2300 VIRGINIA AVE
FORT PIERCE,FL 34982
RECEIVED (772)462-1553 Fax(772)462-1578
( f' 3 m 2018 PERMIT RENEWAL REQUEST
ST, LudP-Gaunty, Permitting
PERMIT NUMBER: SLC 1111-0260 ADDRESS: 5201 Feather Creek Drive
I Raquel Swanner ,am,requesting that the above permit be renewed. I
understand that I must schedule and pass all required inspections for the permit 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 Delays in matieral avalibility
6lie , f
0 R OR O TRA SIGNAT71URE DATE
Print Name
STATE OF FLORIDA
COUNTY OF St Lucie
'144
ACKNOWLEDGED BEFORE ME THIS DAY DAY OF OGT- 20
BY a 6t4r 1,—Z( .Sw!a-'l WHO IS,PERSONALLY KNOWN TO ME OR
HAS PROVIDED AS IDENTIFICATION.
STATE OF FLORIDA,County of LIP"�^ A wtpPYPUB• TIMOTHY R.O'MP.LLEY �
c r MY COMMISSION#GG 117135
SIGNATURE OF NOTARY , � a =��
EXPIRES.August 7,2021
SEAL ?.� ra;
Bonded 7hru Notary Public Underwriters
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 = $ Renewal fee
Example: [15 divided by 23=.65(%)] $175(permit fee)x.65=$113.75(renewal fee)
Revised 7/21/2014