HomeMy WebLinkAboutPermit Renewal PLANNING AND DEVELOPMENT SERVICES DEPARTMENT
•
BUILDING AND CODE REGULATIONS DIVISION
- 2300 VIRGINIA AVE
FORT PIERCE,FL 34982
(772)462-1553 Fax(772)462-1578
PERMIT RENEWAL REQUEST
PERMIT NUMBER: 1601-0413 ADDRESS: 4605 Mantaza Ave. Fort Pierce
I, Jason Neumann ,am 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 month period during the renewal period.
JUStI atlon Final was not completed for property,we have an engineer letter and need to properly close permit.
6/10/2020
E L R OR CONT CTOR SIGNATURE DATE
Jason
Neumann
Print Name
STATE OF FLORIDA
COUNTY OF St.Lucie
ACKNOWLEDGED BEFORE ME THIS 10th DAY OF June ,2020
BY Jason Neumann WHO IS PERSONALLY KNOWN TO ME X ,OR
HAS PROVIDED AS IDENTIFICATION.
ST OFFLORIDA,County of St. Lucie Allison Todd
IFFY Ass
1 g, NOTARY PUBLIC
S STATE OF FLORIDA
S16NMURIE OF NOTARY SEAL y =Comm#GG083826
'#NCE)s Expires 3/15/2021
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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 permit fee: x%open = $ Renewal fee
Example: [15 divided by 23=.65(%)] $175(permit fee)x.65=$113.75(renewal fee)
Revised 7/21/2014
Power of Attorney
Date: 06-11-2020
I hereby name and appoint salvador virgen
of Neumann Construction & Roofing LLC to be my lawful attorney
In fact to act for me and apply to the st lucy county
Building Department for a ROOFING permit for
work to be performed at a location described as:
Section 31 Township 34 Range 40 Lot 8-9 Block H
Subdivision HARMONY HEIGHTS
ARLINGTON P FOXX(EST)
(Owner of Property and Address)
And to sign my name and do all things necessary to this appointment.
Jason Warren Neumann-CCC1326166
Type or t Name of Register or Certified Contractor and Contractor's License Number
ignature of egist r or Certified Contractor
The foregoin instrument was acknowledged before me this—l- day of of 20J_O_
By L v 0m j\1nn
Who is personally know to me/who produced
As identification and who did not take oath.
�6SNRy4& Allison Todd
Q g NOTARY PUBLIC
State of Florida a o STATE OF FLORIDP
' 2 Comm#GG083826
County •`�l'NCE 1gP� Expires 3/15/2021
�- Seal
Notary Pu lic,Florida