HomeMy WebLinkAboutBuilding Permit Application Oct 2219,06:15p Genesis Plumbing 7723352680 p.1
PLANNING AND DEVELOPMENT SERVICES DEPARTMENT
s
BUILDING AND CODE REGULATIONS DIVISION
2300 VIRGINIA AVE E C E IU
FORT PIERCE,FL 34982
ED
(772)462-1553 Fax(772)462-1578
OCT 2 2 2019
PERMIT RENE*VAL REQUES tST. Lucie County, Permitting �
PERMIT NUMBER: 1904-0659 ADDRESS: 9223 Wentworth Ln, PSL FL 34986
L Joseph Tully '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 customer is a snow-bird, won't be back till Jan to get the inspection done
10118/2019
efOWRER/BLIDIR OR CO_ TR NATURE DATE
Jospeh F Tully
Print Name
STATE OF FLORIDA
COUNTY OF St Lucie
ACKNOWLEDGED BEFORE ME THIS 18th DAY OF October 2019
BY Jospeh F Tully WHO IS PERSONALLY KNOWN TO ME X ,OR
HAS PROVIDED AS IDENTIFICATION.
I.I.,-STATE OF FLORIDA,COUMN,of St Lucie
,c sa�ldx3 uo?sslwwoz)RW 4'
SI OFNOT Y ACOS lL6 9'J#uocsslwwD3
Z3dol IN
vaVedv8 '%a�„�no••`
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 fec
Example: [15 divided by 23=.65(9/u)] S175(permit fee)x.65=$113.75 (renewal fee)
Revised 7i11P-014