HomeMy WebLinkAboutPermit Renewal Request PLANNING AND DEVELOPMENT SERVICES DEPARTMENT
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I BUILDING AND CODE REGULATIONS DIVISION
2300 VIRGIlVIA AVE
- - -- - FORT PIERCE,FL 34982
(772)462-1553 Fax(772)462-1578
RECEIVED
PERMIT RENEWAL REQUEST APR 2 8 2021
P,irmltti-ng DDapartment
St. Lucie County
PERMIT NUMBER: 2010-0156(693) ADDRESS: 8532 COBBLESTONE DRIVE(MOHAMMED)
I, A&G CONCRETE POOLS,INC ,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 SCHEDULING FIRST INSPECTION TODAY.
4/28/2021
OWNE _CONTRACTO GNATURE DATE
AMES T LEONARD
Print Name
STATE OF FLORIDA
COUNTY OF STLUCIE
ACKNOWLEDGED BEFORE ME THIS 28 DAY OF APRIL 20 21
BY JAMES T LEONARD WHO IS PERSONALLY KNOWN TO ME X OR
HAS PROVIDED AS IDENTIFICATION.
ST OF FLORIDA,County of ST LUCIE
IA*I,i&A Ina. I ,�pvv�p:, ANGELABORSODI-BIRMINGHAM
I-5- • ��': ,Notary Public-State of Florida
u a; : Commission 4 GG 244525
S GNA RE OF NOTARY SEAL`j� of e.�` My Comm.Expires Aug t 5.2022
({ Bonded through National Notary Assr.,
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 fee
Example: [15 divided by 23=.65(0/o)] $175(permit fee)x.65=$113.75(renewal fee)
Revised 7/21/2014