HomeMy WebLinkAboutPermit Renewals PLANNING AND DEVELOPMENT SERVICES DEPARTMENT
BUILDING AND CODE REGULATIONS DIVISION
2300 VIRGINIA AVE
FORT PIERCE,FL 34982
(772)462-1553 Pax(772)40,1578 RECEIVED
PERMIT RENEWAL REQUEST NOV=30- 2018
I Co
�T.Lucie County, Permitting
PERMIT NUMBER-Ae- /�.D� -W7 AiDREss, 9W, &i4- "`f Nbv-.
AMmapn Air 6wd;46" ,requesting that the above,permit be renewed. I
understand that I must schedule and pas s-Z requixed M' STections.fiCT the permit to be finaled. Further,I
understand that this is a ONE TIME RENEWAL e permit shall expixe should I not receive a
passing inspection during any six month pexiod during the renewal period.
Justification 'Ir-'l ftlAa- rv--C'- i 0-M
0el%�0110AV-0-R CONTRACTOR SIGNAWRE DkTF-1
h t V, lits
Priut
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aine I
STATE OF Fj-OffA
COUNTY OF 4
ACKNOWLEDGED BEFORE ME THIS DAY OF vem bel '20
)GY -Zfla�, Aj kf. M"r'WHO IS PERSONALLY KNOWN TO W��Z,OR
I1AS PROVIDED AS IDENTIFICATION.
CRAIG A.GROSSMAN
2
M
STATE OF FLORIDA,CDUnty Of %1 61 1,0, W COWMAISSION FF"M2
i )m (1, :M
"PIRM May 10,202D
$Q6 Ot55 F
SIONATLJRE OF NOTARY S)3AL
FOR OMCE USI;ONLY:
Number of Open Inspections:
Total Inspections:
(Divide open by total to get%of open inspections)
Percentage: 1-is
Original permit fee; $ Renewal fee
Example: [15 divided by 23=.65(1/6)] $175(permit fcc)x.65=$113.75(renewal fee)
Revised 7/21/2014