HomeMy WebLinkAboutPermit RenewalPLANNING AND DEVELOPMENT SERVICES DEPARTMENT
'" ' _ BUILDING AND CODE REGULATIONS DIVISION
'2300 VIRGINIAAVE -
--- ---- --------- --- FORTRIERCE;FL34982 , RECEIVED
(772).462-1553 Fax (772) 462-1578
JUN 19 2020
PERMIT RENEWAL REQUES
ST. Lucie County, Permitting
-
PERMIT NUNIBER: MO-7 - 00'17 ADDRESS: � A J 1 1V • YI I Q�V11 ✓Ail 6J
I, 0yYj ES (srI'm es , 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 TIM RENEWAL and the permit shall expire should I not receive a
passing inspectio during any six month pgriod during the renewal period.
Justification �e��►1�X%�� �N
Da o
QANER/BI-DR OR CONTRACTOR SIGNATURE DAIrE
J � ,s is times .
Print Name'
STATE OF FLORIDA
COUNTY OF 6% L L4N ez
ACKNOWLEDGED BEFORE NIE� THIS � � DAY OF J i A P/ . 20� �
BY �Q!'Y1Lrs ! U'Y//N&i � WHO ERSONALLYKNOWNTON .OR
•t6IuD91
STATE FLO A. County of �-51 L u Pe ioz T
G T[JR OF NOTARY'
(Y
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
AS IDENTIFICATION.
SUSANMGNTENEGRO
=M—
Example: [15 divided by 23=.65(%)] $175(permit fee) x .65=$113.75 (renewal fee)
Revised 7/21l2014
1`ll`1 ,boa-oal3-aao-� tyvgc caws