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DEPARTMENT
PLANNING AND DEVELOPMENT SERVICES
BUILDING AND CODE REGULATIONS DIVISION
COUNTY 0 . _ 2300 VIRGINIA AVE
FORT PIERCE,FL 34982
(772)462-1553 Fax(772)462-1578
RECEIVED
MAR 2 9 2022 PERMIT RENEWAL REQUEST
St.Lucie county
Permitting
PERMIT NUMBER: 1909-0386 ADDRESS:4410 N HWY Al A
ARMANDO REYES TOLEDO
I, ,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
Q44— I
03/23/2022
OWNER/BLDR OR CONTIZACTOR SIGNATURE DATE
Armando Reyes Zedo
Print Name
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STATE OF FLORIDA COUNTY OF `y/JT 4Arle?
ACKNOWLEDGED BEFORE ME THIS DAY OF hlal-7- 7 ,20 I 1
BYAW�� es D1� WHO IS PERSONALLY KNOWN TO ME OR
HAS PROVIDED AS IDENTIFICATION.
STATE OF FLORI A,County of �Or �Y!/�/�/ G!/C% = +t RUIN L.LOPEZ
MY COMMISSION tt GG 294971
0 AM EXPIRES:January 24,2023
SIGNATU ARY SEAL •,!FoF oer BorAWTlw No"PW6oUndw4tem
i
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(perinit fee)x.65=$113.75(renewal fee)
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Revised 7/21/2014
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