HomeMy WebLinkAboutPermit Renewal May 26 20 12:27p Port St. Lucie PlumbingH 772 489-9126 p•1
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: 1504-00549ADDREss: 123 Aldea Ct Port St Lucie, FL 34952
I, Gary W Zanello ,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.
Justification
May 19, 2020
OW-NE DR OR e0NTR.ACTOR SIGNATURE DATE
Gary W Zanello
Print Name
STATE OF FLORIDA
COUNTY OF st t-ill
ACKNOWLEDGED BEFORE ME THIS 19 DAY OF May '2020
gy Gary W Zanello WHO IS PERSONALLY KNOWN TO ME X ,OR
HAS PROVIDED AS IDENTIFICATION.
STATE F FLORIDA,county or St Luciey Danielle Biglin
CommAGG360650
z« Expires:A*M 25,2023
SIGNATURE OF NOTARY �IdM Thro Aiitl�t Notary
,,,
a --------- -------------------------
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 7,217.014