HomeMy WebLinkAboutPermit Renew06/2912020 16:16 ffAX) P.0021002
PLANNING AND DEVELOPMENT SERVICES DEPARTMENT
PERMIT NUMBER! 1411-0132
BUILDING AND CODE REGULATIONS DIVISION
2300 VIRGINIA AVE
FORT PIERCE, FL 34982
(772)462-1553 Fox (772)462.1578 RECEIVED
PERMIT RENEWAL REQUES JUN 2 9 2020
ST. Lucie county, Permitting
ADDREss: 2205 Gentile Rd
I Angela Pero am r. questing that the above permit be renewed. I
understand that I must schedule and pass all required inspections for the permit to be finaied. Further° I
understand that this is a QNE TIME RMWAL and the permit shall expire should I not receive a
passing inspection during any six month period during the renewal period.
Justification
6/25/2020
DATE
Angela Pero
Print Name
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ACKNy. O�WLLEnOED BEFOO'R�E ME oQ THIS S DAY OF � 20 2aC_
BY F-il ioeLo BYO WHO IS PERSONALLY KNOWN TO MEOR
HAS PROVIDED AS IDENTIFICATION.
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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 pemt(t fee: x %open = $ Renewal fee
Example: [15 divided by 23-.65(%)] S175(permit fee) x .65-SI13.75 (renewal fee)
Revved 7n1A014