HomeMy WebLinkAboutPermit Renewals Nov 051$,02:43p Advantage Air 7724654945 p.2
PLANNING AND DEVELOPMENT SERVICES DEPARTMENT
.JA J;tj J:--=:*-4L— BUILDING AND CODE REGULATIONS DIVISION
Me.La 1 2300 VIRGINIA AVE
FORT PIERCE,FL 34982
(772)462-1553 Fax(772)462-1578 RECEIVED
PERMIT RENEWAL REQUEST NOV 0 5 2018
ST. Lucie County, Permitting
-
PERMIT NUMBER: ADDRESScgqo(j_7�&r.-,Yj hr-
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I . 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
O*NTER/BLDR Or CONTRACTOR SIGNATURE DATE
Print Name
STATE OF FLOR
COUNTY OF 9E�-.�
ACKNOWLEDGED BEFORE ME THIS 20
DAY OF 00
BY('54�- 777F t-yr6t'n WF10 IS PERSONALLY KNOWN TO N4E OR
HAS PROVIDED AS IDENTIFICATION.
STA OF L A,County of '
s. &A Ir-Le, I? - JENNIFER E.CAGAS
-
AftWary PuNc,State of SEAL 'j
ComFlorida
SI A
Commission GG263239
Commissim Expites ORGO/2022
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 = S_1._,I_Renewal fee
Example: [15 divided by 23=.65(%}] $175(permit fee)x.65=$113.75(renewal fee)
Revised 7121J2014