HomeMy WebLinkAboutPermit Renewals PLANNING AND DEVELOPMENT SERVICES DEPARTMENT
BUILDING AND CODE REGULATIONS DIVISION
2300 VIRGINIA AVE
FORT PIERCE,FL 34982
(772)462-1553 Fax(772)462-1578 RECEIVED
PERMIT RENEWAL REQUE T FEB 99 2019
ST. Lucie County, Permitting
PERMIT NUMBER: �' J��� `���3 ADDRESS:
I,Din m e ly'euj ,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
OWNER/BLDR OR CONTRACTOR SIGNATURE DATE
r4
Print Name
STATE OF FLO 1 r
COUNTY OF
ACKNOWLEDGED BEFORE ME THIS DAY OF 20-0—
.y z-'eni�p— I'Ajao WHO IS PERSONALLY KNOWN TO ME ✓ OR
HAS PROVIDED AS IDENTIFICATION.
STATE FLO `A,Coun A0,A LAA 0, • ���,
S GNATURE FNO ARY `sd"P'e`.,,, KAREN S. NIELSEN
,a _State of Florida-Notary P��bhi1'
•= Comrnission #GG 207484
=" P� My Cornrnission Expires
June 12: 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 = $�- Renewal fee
Example: [15 divided by 23=.65(%)] $175(permit fee)x.65=$113.75(renewal fee)
Revised 7/21/2014
RECEIVED }
RIVER PARK-UNIT.6= BLK 56 LOT.6 (OR.3237-1457):
Parcel ID: -197 1 9 2019
Zoning: RS-4 sr. Lucie County, Permitting
Martha Alejos
270 SWAiroso BLVD
Port St Lucie, FL 34983
HLE COP'kv
C1706-0203
Jun 9, 2017-
Wood-Fence
65?
a' o
URAA f
29 � o
12
lYl I
V TV) ll
(f
BAS
(841 )
CLPA' 20
. (130) CPAA
. 10 (220)
OPAA� 11
ti