HomeMy WebLinkAboutPermit Renewals 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
DEC 10 2021
PERMIT RENEWAL REQUEST St:-Lucie County
Permitting
PERMIT NUMBER: 1905-0274 ADDRESS: 4500 N HWY A1A
I ARMANDO REYES TOLEDO ,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 Sub contractor stay behind
12/09/21
OWNER/BLDR OR CO TRACTOR SIGNATURE DATE
Armando Reyes Toledo
Print Name
STATE OF FLORIDA
COUNTY OF �clGle /
ACKNOWLEDGED BEFORE ME THIS q DAY OF �C��b��'' 20.9-
BY l-177a/7ek gVe,S 7o1ear° WHO IS PERSONALLY KNOWN TO ME ✓ ,OR
HAS PROVIDED AS IDENTIFICATION.
STATE OF FLORIDA, of ---57-
ia`•'"" �; RUSH L LOPEZ
SIGNATU TARY SEAL s .; 11YCOMMISSION#C�2W9y=
�s EJ1PIRES:Jan 2�
'•. t•": •' Raided Thu Naby bk UW nN6ft
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