HomeMy WebLinkAboutPermit RenewalPLANNING AND DEVELOPMENT SERVICES DEPARTMENT
s BUILDING AND CODE -REGULATIONS DIVISION
2300 VIRGINIA AVE
FORTPIERCE, FL 11111 RECCIVED�
(772)462-1553 Fax (772)462-1578
MAY 2 0 2020
PERMIT RENEWAL REQUEST ST. Lucie County, Permitting
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PERMIT NUMBER: 1509-0088 ADDRESS: 2302 Grand Oak Ave
I James Brann 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 To obtain final inspection.
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CONTRACTOR SIGNATURE DATE
Jamesn
Print Name
STATE OF FLORIDA
COUNTY OF st wce �,,,,rr n l
ACKNOWLEDGED BEFORE ME THIS JA'7vDAY OF.BY
James R. Brann WHO IS PERSONALLY I. OWN TO ME X , OR
HAS PROVIDED AS IDENTIFICATION.
ST E OF FLORIDA, County of St. Lucie
,. ,,,.'P'„ KPISTINE MICHELLE TAPUbiR
' ,= d` `'�,;. State of Flonda-Notary
' •- Commission # GG 155618
Commission Expires
ATURE OFNOTARY SE %;'moo MV October 29, 2021
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Number of Open inspections:
Total inspections:
(Divide open by total to get % of open inspections)
Percentage:
Original permit fee: x `/o open = $ Renewal fee
Example: [15 divided by23=.65(%)] $175(permit fee) x .65=$113.75 (renewal fee)
Revised 7/212014
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