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HomeMy WebLinkAboutPermit Renewals 11/14/2019 16:32 FAX 2001/002 PLANNING AND DEVELOPMENT SERVICES DEPARTMENT COUNTY BUILDING AND CODE REGULATIONS DIVISION 2300 VIRGINIA AVE FORT PIERCE,FL 34982 (772)462-1553 Fax(772)462-1578 PERMIT RENEWAL REQUEST PERMITNUMBER: 1812-0065 ADDRESS: 253 NE Prima Vista Blvd-Port St Lucie, FL 34983 I, Mario L. Hernandez ,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 Transfer of ownership occurred-new owners here. Plumbing inspection was not scheduled on-line for same date as when water heater tank final inspection was completed. 11/14/19 TRACTOR SIGNATURE DATE Mario L.Hernandez Print Name STATE OF FLORIDA COUNTY OF Si.Lucie ACKNOWLEDGED BEFORE ME TIIIS 14 DAY OF November 12019 BY Robert W. Ludlum, Jr. WHO IS PERSONALLY KNOWN TO ME OR HAS PROVIDED eph IIAARIO L HERNANDEZ STATE OFFLO A,Countyof St. Lucie -MY COMMISSION N 0©065489 EXPIRES January 26,2421 IGNATUREOF OTARY SEAL 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 7/21/2414