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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 APR 10 2019 PERMIT RENEWAL REQUEST ST. Lucie County, Permitting PERMIT NUMBER: JtO) r 00 11 ADDRESS: J ( 02 411 T # P(Pvt`e- k 3v�s-V I, ',�eW XU 4 ,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 0j,1ApA Were i,l Iml 1,ea l A� GJO�LA, h6dov. O DR ORC N CTOR SIGNATURE DATE Print Name STATE OF FLORIDA COUNTY OF 5 ACKNOWLEDGED BEFORE ME THIS a DAY OF a 1 120 BY WHO IS PERSONALLY KNOWN TO ME OR HAS PROVIDEDL' L- AS IDENTIFICATION. STATE OF FLORIDA Cou of DEANNA MARIE GIVENS a MY COMMISSION#OG 4UR3 SIGNATURE OF NOT EXl'§Rpk,bocomber 10,2020 , �'•'•:FOF F •'• Bonded Thru Notary Publle Underwriters 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