HomeMy WebLinkAboutPermit Renewals 12/03/2019 TUE 3: 33 FAX 0001/002
PLANNING AND DEVELOPMENT SERVICES DEPARTMENT
BUILDING AND CODE REGULATIONS DIVISION
2300'VIRGINIA AVE
qlIIIIIIIIIII [ORT PIERCE,FL 34982
(772)462-1553 Fax(772)462.1578
RECEIVED
PERMIT RENEWAL REQUEST
DEC 0 5 2019
ST. Lucie County., Permitting
PERMIT NUMBER: U ADDRESS;
A. A ,arp requesting that the above permit be renewed, I
un rstand that I must sched 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 T not receive a
passing inspection during any six month perio Buri g the renewal period.
Justification
t �
OWNER/BLDR2RCONT CTORSI A URF: DUT—Er—
Pritf Name
STATE:OF FI,Q_ A
COUNTY OF
ACKNO�WLLDGED BEFORE MI:TRIS tL
r DAY OF clXi'A�JYN`Q�
BY p�KN►+ -AN .Ccie WI-10 IS PERSONALLY KNOWN TO ME ,OR
HAS PROVIDED AS IDENTIFICA110N.
S'fA1li OF I LORTI)A,County of , � �e-� `��1`411� ,OYCEMPWOCpgL,p
I,ty dpMMi$g{gII#tip 284226
SI TU r;oi�NO'fa stsaL r � A04�
(9oeQed?MI flMlaWdetwdbero
FOR OFFICE USE ONLY
Number of Open Inspections:
Total Inspections:
(Divide open by total to bet%of open inspections)
Percentage:
Original permit fee: X%open = 2�TRenewal fee
Example: [15 divided by 23=.65(%)] $175(permit fee)x.65=S113.75(renewal fee)
Rev isul 7/2 112 0 1 4