HomeMy WebLinkAboutPermit RenewalMay 20 20, 10:18a Treasuie Coast Roofing
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PLANNING AND DEVELOPMENT SERVICES DEPARTMENT
J BUILDING AND CODE REGULATIONS DIVISION
2300 ViRGINIA AVE
O I
E
FORT PIERCE, FL 34992
(772) 462-1553 Fax (772) 462-1578 ---
RECEIVED
PERMITRFNEWALREQUIST MAY 2 0 H2O
C, Q ) ST. Lucie County, Permitting
PERMIT NUMBER: I D I/ - OS 9 S ADDRESS: V /6�
I, K - 'j /Lia�rilu� , am requesting that the above permit be renewed. 1
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 AluJ 4-� 2n4�gii, /a& e, dry !h
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OWNE 999Nl'*
ORSIGNATURE
DATE
a.o Ae
Print Name
STATE OF FLORIDA. J
COUNTY OF S/ Gr2'°-e
ACKNOW
L
E
DGED BEFORE ME TIES /I DAY OF
BY WHn iC PF CnNal r v nx*nnn.i r0 A°F
.OR
HAS PROVIDED
STATE OF FLORIDA, County of fix CbC1
IUNA I URE OF NO�TAR
FOR OFFICE USE ONLY:
Number of Open Inspections:
Total Inspections:
(Divide open by total to get % of open inspections)
Percentage:
Original permit fee: x °/o open = $ Renewal fee
AS IDENTIFICATION.
ouAt°ry. Nctary PuJiC State of Flaima
? Victor G.411erIZin
SEA '}" : 'g My Commission GG 274292
E°pires 71/O5 n0 0
Example: [15 divided by 23=.65(%)] $175(permit fee) x .65=SI L9.75 (renewal fee)
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