HomeMy WebLinkAboutPermit Renewal Request r
PLANNING AND DEVELOPMENT SERVICES DEPARTMENT
" BUILDING AND CODE REGULATIONS DIVISION
2300 VIRGINIA AVE
-- - -- — FORT PIERCE,FL 34982 RECEIVED
(772)462-1553 Fax(772)462-1578
APR 2 8 1011
PERMIT RENEWAL REQUEST Parm►ttang Department
St. Lucie County
PERMIT NUMBER: 2011-0032(927) ADDRESS: 9008 SHORT CHIP CIRCLE y -ByoWh1
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 HOME OWNER WAS NOT READY FOR CONSTRUCTION"TO BEGIN
WE ARE SCHEDULED TO START PROJECT IN ONE MONTH, REQUESTING 60 DAY EXTENSION.
4/28/2021
OWNE R OR CONTRA NATURE DATE
JAMES T LEONARD
Print Name
STATE OF FLORIDA
COUNTY OF ST LUCIE
ACKNOWLEDGED BEFORE ME THIS 28 DAY OF APRIL 2021
BY JAMES T LEONARD WHO IS PERSONALLY KNOWN TO ME X ,OR
HAS PROVIDED AS IDENTIFICATION.
STATE OF FLORIDA,County Qf ST LUCIE 'v
varoaB•. ANGELABORS001-BIRMINGHOA ;)
&VIA °; ��= Notary Public-State of Florida S
Commission x GG 249625
SIGNOURE OF NOTARY SEAL ar °i` My Comm.Expires Aug 16.2022
Bonded through National Notary Ms n:'t
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(1/o)] $175(permit fee)x.65=$113.75(renewal fee)
Revised 7/21/2014