HomeMy WebLinkAboutPermit Renewals PLANNING AND DEVELOPMENT SERVICES DEPARTMENT
BUILDING AND CODE REGULATIONS DIVISION
2300 VIRGINIA AVE
FORT PIERCE,FL 34982 RECEIVED
(772)462-1553 Fax(772)462=1578
PERMIT RENEWAL REQUEST MAR 2 5 2019
ST. Lucie County, Permitting
PEIT NUMBER:S� �✓ 6 JADDRESS: v
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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. p {
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Print Name
STATE OF FLOJ- A
COUNTY OF
ACY-ALQWLE EFORE ME THIS�—DAY OF 2019
BY ,I(�1 �p � WHO IS PERSONALLY KNOWN TO ME OR
HASPROVIDED AS IDENTIFICATION.
STATE 0 FLO�LID'A,Cou o
KAREN S. NIELSEN
State of Florida-Notary Public
SIGNATURE FN T YJA
oEpmmission #GG 207484
oPc jT71y Commission 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