HomeMy WebLinkAboutPermit Renewals PLANNING AND DEVELOPMENT SERVICES DEPARTMENT
BUILDING AND CODE REGULATIONS DIVISION
C.1:40 N+'� 2300 VIRGINIA AVE
FORT PIERCE,FL 34982
(772)462-1553 Fax(772)462-1578
RECEIVED
PERMIT RENEWAL REQUEST NOV 0 7 2018 '
permitting Department
St,Lucie County
PERMIT NUMBER: b Ca.` C.)1 0 1 ADDRESS: q j a. Uyl,by, ejtl� �SL �L
I Peter A Cafaro III ,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 j on Ro wt OF-td .
_1su..) hew .
OWNER/BL 241 ir
'� OR CON RACTOR iATURE D TE
PeterA .f.:ro III i
Print Name
STATE OF FLORIDA
COUNTY OF ORANGE
ACKNOWLEDGED BEFORE ME THIS DAY OF ("I ,20iE
BY PETER A CAFARO IIIWHO IS PERSONALLY KNOWN TO ME X ,OR
HAS PROVIDED AS IDENTIFICATION.
dIP
ST. E 0 LORIDA,County of ORA' E -. . •
�I I '4. NotaryKariMRicPublic caboStateni of Florida
S GNAT - OF 74 OTARY SEA.. y; � My Commission FF 981647
Expires 05/28/2020
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
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