HomeMy WebLinkAboutPermit renewal May 07 20,02:17p WBC 1234567890 p.1
i
I
PLANKING AND DEVELOPMENT SERVICES DEPARTMENT
' 1' BUILDING AND CODE REGULATIONS DIVISION
- 2300 VIRGINIA AVE
FORT PIERCE,FL 34982
. (772)462-1553 Fax(772)462-ISA
PERMIT RENEWAL REQUEST
PERMIT NUMBER: 1910-0651 ADDRESS:47 Mediterranean Blvd East
1 Matthew Lyle Wynne ,amrequesting that the above permit be renewed. I
understand that I must schedule and pass all required inspections for the pemvt to be finaied. 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 demolition permit has expired
516120
OWNER/ D Sl URE DATE
Matthew Lyle Wynne
Print Name
STATE OF FLORIDA
COUNTY OF st Lucia
ACKNOWLEDGED BEFORE IVIE THIS 6th DAY OF May .2020
BY Matthew Lyle Wynne WHO IS PERSONALLY KNOWN TO ME X OR
HAS PROVIDED AS IDENTIFICATION.
STATE OF FLORIDA.County of St. Lucie
SUSAN LAFLEUR
IMY COMMISSION tt Go 356204
SIGNATURE OF NOTARY / wa; r°Yi3:February23,2023
t4FOF �P: $p erTIgnNftyPubllebnderwrhrs
FOR OFFICE USE ONLY:
Number of Open laspections:
Total Inspections:
(Divide open by total to get%of open inspections)
Percentage:
Original permit fee. _x%open = $ Renewal fee
I
Example: [15 divided by 23=.65(%) $175(permit fee)x.65=$113.75(renewal fee)
Revised 7/21/2014
,