HomeMy WebLinkAboutTurney Permit Renewal RequestPLANNING AND DEVELOPMENT SERVICES DEPARTMENT
BUILDING AND CODE REGULATIONS DIVISION
2388 V1RGr%1A AVE
FORT PIERCE, FL 34982
(772) 462-1553 Fn V72) 462.1578
PERMIT RENEWAL REQUEST
PERMITNulmER: SLC 2103-0356 ADDRESS: 9125 Pumpkin Ridge Rd Port St Lu
I, Shary Carothers , 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 Muth
and the permit shall expire should I not receive a
passing inspection during any six month period during the renewal period.
Justification We have not been successful to schedule this project to be complt
DATE
Shary Carothers _
Print Name
COLNTY OF St
ACKNowLFDeED aEFoRE ivm. Tms 20 DAY of September , 20 21
aYSharyCarothers WHO IS PMONALLY KNOWN TO W X OR
HAS PROVmED
AS IDENTIFICATION.
S TE OF FLORIDA, County of St Lucie
aml
rTUREOr7A" S5AI.
FOR OFFICE USE ONLY:
Number of Open Inspections:
Totallaspections:
(Divide open by total to get %ofopen inspections)
Percentage:
original permit fee: x %open = $ Renewal fee
Example: [15 divided by 23=.65(0/u)] $175(permit fee) x .65=$113.75 (renewal fee)
Reviwd 7/21/2014
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JAMIELZAVALA
Commission # GG 295926
Expires February 6.2023
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