HomeMy WebLinkAboutPermit Renewals Jul 02 20, 11:52a Treasure Coast Roofing 7723438358 p.1
PLANNING AND DEVELOPMENT SERVICES DEPARTMENT
® BUILDING AND CODE REGULATIONS DIVISION
2300 VIRGINIA A-VT
FORT PIERCE,FL 34982
(772)462-1553 Fax(772)4624578
PERMIT RENEVwr AL REQUEST
PERMIT NUMBER:_50�/_ W/0), ADDRESS: `7 5. rg _.Q y-a L 1 g Wa7
1' I I�nQ� _,am requesting that the above permit be rene,,ved. I 7
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 f%eecl 41WQ
owNER/ I — 7'B411�1�ITI�All SIGNATURE DATE
Print Name
STATE OF FI.ORIDA f
COUNTY OF l
ACKNOWLEDGED BEFOR��E��ME TTHIS x D,AY OF / 20
BY ��/G1�! !"rG1�Ofl�t� jVHO IS PE ICN OWN TO ME OR
HAS PROVIDED AS IDENTIFICATION.
STATE ZC)FLORIDA,County of Z'C.'e
SIGMA THE OF NOT SEAL
FOR OFFICE USE ONLY: �"-
Number of Open inspections:
Total Inspections:
(Divide open by total to get%of open inspections) RECEIVED
Percentage:
Original permit fee: x%open = $ Renewal fee JUL 0 6 2020
Example: L15 divided by 23=.65(%)] $175(permit fee)x.65=$113.75(renewal fee)
Rcvised 7/2112 0 1 4 L ST. Lucie County, Permitting
Victor G Alterizio
Notary Public,State of Florida
My Commission Expires 11/05/2022
Commission No.GG 274292