HomeMy WebLinkAboutPermit Renewals PLANNING AND DEVIELOPNIENT SERVICES DEPART T
BUILDING AND CODEREGULATIONS DIVISION
2300VIRGXNUAVE
FORT PIERCE,FL 34982
(772)462-1553 Vax(772)40,1578 REUIVED
i
PERMIT RENEWAL REQUEST SEP 11 3 2019
ST. Lucie Coin ty, Permitting
NEER ADDRESS:
PERMIT NUMB � 1902-0276 9821 Perfect Dr 182
am repesting that the above permit be renewed,
'r1hust schedule and pass all re i0118 for the permit to be finaledc F
undeistand that required inspect should I i er,
understand that this ig a ONE TIME RENEWAL and the permit shall expire iotr eiv, a
passing inspection during any six mouth period during the renewal period.
Justification
OWNER/13j0fCqA CONTRACTOR SIGNATURE DATE
Print Name
STATE OF FLO I
COUNTY OF
ACKNOWLEDGED BEFORE ME TUIS DAY OF —.20
a— WHO IS PERSONALLY KNOWN TO ME OR
HAS PROVIDED AS IDENTIFICATION,
Exim T/1-
STATE OF FLOXII)k County of XkAN 9X DIANAWO
"X
Notary Public-Stat of Florida
CQMMiG5iQn#GG351634
Comm.Expires' 14,2023
SEAL '�t�7t�Bonded Mythrough.NatiDnaI otary Assn.
FOX OFFICE USE ONLY:
Number of Open inspections-
Total Inspections:
(Divido open by total to get%of open inspections)
Percentage;
Original permit fee- X%open = S Rencwal fee
Example: [15 divided by 23=.65('1/o)1 $175(pmmit fee)x.63--$113,75(renewal fco)
Revised 7/21t2014