HomeMy WebLinkAboutONEAL RENEWAL REQUESTPLANNING AND DEVELOPMENT SERVICES DEPARTMENT
BUILDING AND CODE REGULATIONS DIVISION
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2300 VIRGINIA AVE
FORT PIERCE, FL 34982
(772) 462-1553 Fax (772) 462-1578
PERMIT NUMBER: 2011-0145
PERMIT RENEWAL REQUEST
ADDRESS: 38 SOVEREIGN WAY
I JOY S YANCY , 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 - l l.F rft0 N l il' -r h -A.I W4 }M rYU. 1S . '-6W1jQUAP
8/24/21
OWN RidR CO FACTOR SIGNATURE DATE
JO S YANCY
Print Name
STATE OF FLORIDA
COUNTY OF ST. LUCIE
ACKNOWLEDGED BEFORE ME THIS 24
BY JOY S YANCY
HAS PROVIDED
DAY OF AUGUST
2021
WHO IS PERSONALLY KNOWN TO ME , OR
AS IDENTIFICATION.
STA E OF FLORIDA, Countt3� ,of ST L U C I E
i l Notary Public state of Florida
Ginger P Hester
SIGNATUI OF NOTARY Ex Commission GG 330259
SEAL �SOtaa,p Expires OSl25l?.023
GINGERP HESTER tl�-----------------------------------------------------------------------------------------------------------------------------------------
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(%)] $175(permit fee) x .65=$113.75 (renewal fee)
Revised 7/21/2014
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