HomeMy WebLinkAboutPermit Renewals PLANNING AND DEVELOPMENT SERVICES DEPARTMENT
' - BUILDING AND CODE REGULATIONS'DIVISION
• ;2300 VIRGMUAVE j
FORT PIERCE,FL,34982
;(772)46271553 Fax(772)462-1578
RECEIVE®
PERMIT RENEWAL.REQIIES
JUL 2 4 ;Jt:J '
` ST. Lucie County, Permitting '
PERMIT NUMBER: 1703-0650. ADDRESS:501 West Coker Riad
L La-. I I e Stubbs .. ,.am requesting that the above permit be renewed. I
understand that I must"schedule and pass all required inspections.for the permit to be linaled. Further;I
understand that this is a ONE TEHE_RENEWAL and the permit shall-expire-should I not receive a
passing inspection during any six month pOdd during the renewal'period.
Justification Scheduling
k
7-
O%VNBR/BLDR OR CONTRACTOR SIGNATURE DATE
Lawrence-Stubbs
Print Name
STATE OF FL RIDA
COUNTY OF�A-1�Le,__
ACKNOWLEDGED'BEFORE ME THIS 2" DAY OF 1, 20
13y, }�jP�(� 1Y1)S WHO IS PERSONALLY KNOWN TOME ✓ OR
HAS PROVIDED cc AS IDENTIFICATION:
STATE OF FLORIDA,.Countytof d1-LAA. 4:1`Q
1.AURAR:CtfBBSOCZ
�" cotnmisaian 8 GG p'12076
I NATURE OF NOTARY S 6xoms octobes21,
lla
FOR'OFFICE USE ONLY-
Nurnber of,Open Inspections:
Total Inspections:
(Divide open by total to get%o pf open inspections)
Percentage"
Original permit fee: x%open.= S Renewal fee
Example: [15 dividedby 23=.65(%)]-.$17S(permit fee)x.65=S113.75(renewal fee)
Revised 7/2112014