HomeMy WebLinkAboutPermit Renewals i
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PLANNING AND DEVELOPMENT�ISERVICE5 DEPARTMENT
BUILDING AND CODE REGULATIONS DIVISION
_ 2300 VIRGINIA AVE
FORT PIERCE,FL�!34982
RECEIVED (772)462-1553 Fax(772)462-1578
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ViAR 2 9 ZOZZ PERMIT RENEWAL REQUEST
St-Lucie County
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PERMIT NUMBER: 1907-0426 ADDRESS:`4422 N HVVY Al A
ARMANDO REYES TOLEDO
I, ,am requesting that the;j above permit be renewed. I
understand that I must schedule and pass all required inspections for the permit to The 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
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OWN LDR R CONTRACTOR SIGNATURE DATE
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Armando Reyes Toledo
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Print Name
STATE OF FLORIDA
COUNTY OF
ACKNOWLEDGED BEFORE ME THIS c?8 DAY OF ea/'CA i' ,20c;L=;1-
By .-Ina WHO IS PERSONALLY KNOWN TO,ME���OR
HAS PROVIDED AS IDENTIFICATION.
MOM
STATE OF FLORID gunty of � � G�G� i . RU'fNL.LOPEZ
=' �I My COMMISSION#GG29071
EXPIRE
Now
S:JanuarY24,2023
SIGNATU ARY SEAL ',; odF;oQ•`;Bald UruNobery h dawrieti
---------------------------------------------------------------—--------- - - =------ ----------- ----------------------
FOR OFFICE USE ONLY:
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Number of Open Inspections:
Total Inspections:
(Divide open by total to get%of open inspections) �� p
Percentage:
Original permit fee: x%open = $ Renewa fee
Example: [15 divided by 23=.65(%)] $175(permit fee)x.65=$113.75( edwal fee)
Revised 7/21/2014
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