HomeMy WebLinkAboutPermit Renewals PLANNING AND DEVELOPMENT SERVICES DEPARTMENT
BUILDING AND:CODE REGULATIONS DIVISION
COUNTY
2300 VIRGINIA AVE
FORT PIER(,
FL 3 982
.(772)462-1553 Fax(772)462-1578 RECEIVED
PERMIT RENEWAL REQUES OCT Q 4 2019
ST. Lucie County, Permitting
PERU NL\fBER: (�`^ ' ADDRESS: ��. 7N�AiJs>�
'S
I. P ,am requesting that the.above permit be renev�•ed. I
understand#hat 1 mus hedule and pass all required inspections fof 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 1}tonth period uring the re ewal peripd. _
Justification nt /
A/M
OW\- E.R BLDR OR CONTRACTOR SIGNATURE. D. TE
�Uls �V14JOAfE S
Print Name
SI'ATF.OF FLORIDA<� CV GI C:
COUNTY OF
ACKNO WLEDGED BEFORI 'SIE /'I IIS _DAY OF �/y! 2i1 ( 9
BY VU(S 1 AJ 1)NES -W]17IS PERNl1NA1.LY KNt)WN,TO Xir-7 'C OR
HAN PROVIDED ! 71S IDENTIMIC'ATION,
ST tF FLORIDA.Cognly of (�� C C e Notary Public State o1 Florida
Desiree Flexen
• My commission.GG 240888
SI ;(F\ 1_AR1' SEAL- of Expires 07/2?/2022
i
FOR OFFICE USE ONLY:
Number pf Open Inspections:
Total Inspections:
(Divide open by total to get%Q of open inspections)
Percentage: 00
Original permit-fee:_ x%open = S _Renewal fee
Example: (15 divided b)23=.651!'9)] S175(permit feel x .65=s11 3.75 lrenewal fee)
.Ke%ised 7i,'.l2014