HomeMy WebLinkAboutPermit RenewalPLANNING AND DEVELOPMENT SERVICES DEPARTMENT
BUILDING AND CODE REGULATIONSDIVISION
2300 VIRGINIA AVE
FORT PIERCE, FL 34982 -
(772) 462-1553 Fac:(772) 462-1578 ... gedg 'deb'
PERMIT RENEWAL REQUI ST JUN 1 7 2020
ST. Lucie County, Permitting
PERMIT NUMBER: SLC 1811-0546 ADDRESS: 7005 Maidstone Dr
I Michael Coleman , 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 not receive a
passing inspection during any six month period during the renewal period.
Justification
OWNERBLDR OR CONTRACTOR SIGNATURE
Print Name
DATE
STATE OF FLOR
COUNTY
ACKNOWLEDGED BEFORE METHIS AAYOFp-^ ,20��
BY j�V�IC)�ri`tEZ--C[E'',%°f`Ii�"" WHO iISPERSONALLY KNOWN TOME OR
AS IDENTIFICATION.
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Number of Open Inspections:
Total Inspections:
(Divide open by total to get % of open inspections)
Percentage:
Original permit fee: x °lo open = S Renewal fee
Example: [15 divided by 23=.65(%)l S175(permit fee) x .65=S 113.75 (renewal fee)
Revised 7,M/2014
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