HomeMy WebLinkAboutPermit Renewals From 3218061779_1.321.8^6.1779 Fri Oct 5 12:36:23 2018 MDT Page 5 of 13
RECEIVED
0 C T 09 ?01'13
ST. Lucie County t ftrmitting
10-05-'18 14:30 FROM-G&G Roofing 3213014471 T-705 P0005/0010 F-206
PLANNING AND DEVELOPMENT SERVICES DEPARTMENT
" r BUILDING AND CODE REGULATIONS DIVISION
2300 VIRGINIA AVE
- - FORT PIERCE,FI.34982
(772)462•Iss3 Vax(772)462-1578
PERMIT RENEWAL REQUEST
f .—PERMIT-NUMBER:SL_C.1.7.03-0245 ADD RFS
S14100 N Al Project Bldg
I Raymond N.Smith If 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.•....
_..__.___._.._.-.uaderstand-tht►�this-s•R- -- - - .. .permit-tihail.expire•�g>I�Jn��r,S�eiY�tl,___.wu_,�_:
..passing-inspection during any six month period during the renewal period.
Justification Delay on materials,and bad weather
10/05/18
OWNER/BLDR OR CONTRACTOR SIGNATURE DATE
Raymond N.Smith II(Contractor) _
Print Name
STATE OF FLORIDA
COUNTY OF
ACKNOWLEDGED BEFORE ME THIS_16 DAY OF ����� 20
BY (�I<.1__� ni^'Cbl WHO IS PERSONALLY KNOWN TO ME OR
HAS PROVIDED AS IDENTIFICATION.
STATR OFF I A,County of �� "gip••., GISELAIELLY
.'�t: iwiaryPubllc-SlateotFloNda
Commission r GGfb)l61
SIGNATOREOF TAR SEA ±;q hlYc EvplrasApr3,x62t
° amdEd�hraghNaLonalNataryfuN
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 tee
Example: [15 divided by 23=.65(%)] $175(permit fee)x.65-$113.75(renewal fee)
Revised 7/2V2014
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