HomeMy WebLinkAboutPermit Renewals May 15 20,02;42p Lindsey's fax 7724602317
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PLANNING AND DEVELOPMENT SERVICES DEPARTMENT
BUILDING AND CODE REGULATIONS DIVISION
+ 2300 VIRGINIA AVE
FORT PIERCE.,FL 34982
(772)462-1553 Fax(772)462-1578
MAY 2 1 2020
PERMIT RENEWAL REQUES ST. Lucie County, Permitting
PERMIT NUMBER f l,' 1 l �' ADDRESS: i J VY' '� � i�C� YL (1:z �`(��� Ls
I, `� 1� G�' {�G r am requesting that the above permit be renewed. I
understand that I must! and pas all required inspections for the permit to be flmaled. Further,1
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 C C fZf. `� '� ��/t jis '� CZ f"(1/C U L(�-{ j3 't �� �C:�
Ci'1n ltt ' li'14 C. 64-'rk, 0 t'c'o"V1,T L-V a
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OWNER BLDR OR CO R!ACTOR SIGNATURE DNfE
Print Name
STATE OF FLO
COUNTY
�c�C t"�-
ACKNOWLIIDGED BEFORE ME THIS DAY OF MOW� �01.•.—
BY L to_ywi. 1 WHO IS PERSONALLYKNOWN TO ME ,OR
HAS PROVIDED 04...&L kJ�' AS IDENTIFICATION.
STATE OF FLORIDA,County of v —
�iAYp�s`.
VERONICA A:AprS,
>° Notary Public-Stateida
SIGNA OF NOTAR SEAL ., js`F Commission pMy Comm.ExpirZ2Bonded through Nationssn.
FOR OFFICE
USE ONLY:
Number of Open Inspections: S d m a Y rd 6}
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.654113.75 113.75(renewal fee)
Revised V21/2014