HomeMy WebLinkAboutMisc Letters To: St Lucie County Affidavit Building Affidavi Page 1 of 1 2020-11-19 14:53:13(GMT) 17729070420 From: Rod Waller
.PLANNING AND DEVELOPMENT SERVICES DEPARTMENT
BUILDING AND CODE REGULATIONS DIVISION
2301)V IRGINIA AVE
FORT PIERCE,FL 34982
(772)462-1553 Fax(772)=462-1i78
PERMIT RENEWAL REQUEST
PERMIT NUMBER: 1907-0205 ADDRESS: 7704 Citrus Park Blvd Fort Pierce
I Roderick Waller ,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 Due to covid and getting blower door test was delayed.
� 0"^ 11/19/20
OWNER,''BLDj OR CONTRACTOR SIGNAT'URL-' DACE
Roderick Waller
Print dame -- ---
STATE OF FLORIDA
COt1N`IY OF -St ucc
ACI,C\OWI.,EiDGED BEFORE.,NNE:TIIIS 19th DAY OF November 20 20
BY Roderick Waller WHO IS PERSONALLY KNOWN TO ME OR
HAS PROVIDED AS IDENTIFICATION.
STATE OF FLORIDA,County of St Lucie Avftb Notary Pum snm of Florid
�- � Eric Haffd
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SIGNATURE OF 1vTOTARY SE,
FOR OFFICE USE ON1,V:
Number of Open Inspections: ._. _mm
Total Inspections:
(Divide open by total to get%of open inspections)
Percentage:
Original permit tee: x%open $ .—Renewal fee
Example: [15 divided by 23=.65(°ib)] $175(permit fee)x.65=$113.75(renewal fee)
Revised 7/21/2014