HomeMy WebLinkAboutPermit Renewals PLANNING AND DEVELOPMENT SERVICES DEPARTMENT
• BUILDING AND CODE REGULATIONS DIVISION
2300 VIRGENIA AVE
FORT PIERCE,FL 34982
(772)462-1553 Fax(772)462-1578
RECEIVED
PERMIT RENEWAL REQUES
MAR 21 2019
L
Lucie County, Permitting
PERMIT NUMBER: SCL-1809-0029 ADDRESS: 8316 Belry PI
I, Arthur W Franics ,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 The inspections were not completed and we need this permit active so a final•inspection can be scheduled and completed.
OWNER/BLDR OR NT OR SIGNATURE DATE
Arthur W Francis
Print Name
STATE OF FI RlDq UG,e
COUNTY OF {
ACKNOWLEDGED BEFORE ME THIS I DAY OF March 2019
BY Arthur W Francis WHO IS PERSONALLY KNOWN TO ME X OR
HAS PROVIDED AS IDENTIFICATION.
STA OF County of St Lucie Ashley Raines
NOTARY PU6LI�.
—STATE OF FLOP
SIGNA SEAL r-'w� ' Comm*GG2:S(p y lb
u�4VE'�9�0 Expires 7/5/20
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FOR OFFICE USE ONLY:
Number of Open Inspections:
Total Inspections:
(Divide open by total to get%of open inspections)
Percentage: 6
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