HomeMy WebLinkAboutPermit Renewals PLANNING AND DEVELOPMENT SERVICES DEPARTMENT
BUILDING AND CODE REGULATIONS DIVISION
_ 2WO VIRGMA AVE
— FORT PIERCE,FL 34982
- .(772)462-1553 Fox(772)462_1578 RECEIVED
PERMIT RENEWAL REQUE T MAY 2 8 2020
ST. Lucie County,Permitting
PERMIT NUMBER: (�' �0 � ADDRESS: L11-1?df R,'vim- �2_ '3 KeI7
I, ov 6!, OAR 2 5/ 0/6 -._,I 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 monthperiod during the renewal period.
Justification
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RIBLDR QR CONTRACTOR SIGNATURE
Print Name
STATE OF FLORIDA
COUNTY OF
ACKNO EDGED BEFORE ME THIS DAY OF 20do
BY Q WHO IS PERSOfN�ALLY KNOWN TO ME OR
HAS PROVIDED L (� `' AS IDENTIFICATION.
S OF FLORIDA,County of
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FOR'OFFICE USE ONLY:
Number of Open Inspections:
Total Inspections:
(Divide open by total to get%of open inspections)
Percentage:_,
Original getout fee: x%open = $ Renewal fee
Example: [15 divided by 23=.65(%)] $175(permit fee)x.65=$113.75(renewal fee)
Wiscd W212014
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