HomeMy WebLinkAboutPermit Renewals PLANNING AND DEVELOPMENT SERVICES DEPARTMENT
- BUILDING AND CODE REGULATIONS DIVISION
2300 VIRGINIA AVE
FORT PIERCE,FL 34982
(772)462-1553 Fax(772)462-1578
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RECEIVED AL RE UEST PERMIT RENEW
Q
°L 9 2022
St.Lucie County
PffAffRuMBER: 1907-0424 ADDRESS: 4416 N HWY Al A
I, ARMANDO REYES TOLEDO ,am requesting that the labove 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
03/23/2022
OWNER/BLDR OR CON�kACTOR SIGNATURE DATE
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Armando Reyes Toledo
Print Name
STATE OF FLO DA f
COUNTY OF /
ACKNOWLEDGED BEFORE ME THIS_DAY OF MQ,—C 120 .�
BY,F�✓7y1�/7/��) J _ �d��q°C� WHO IS PERSONALLY KNOWN TOME OR
•HAS PROVIDED PROVIDED AS IDENTIFICATION.
STATE OF FL �,A,County ofd''T ` �' /L!�%� �6 RURIL.LOPEZ
MY cOMMISSION#GG 294971
EXPIRES:January 24.2023
SIGNA NOTARY SEAL =••FOF�;°°;.•' gondedThruNotaryPub6cUndermileml
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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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