HomeMy WebLinkAboutPERMIT RENEWAL REQUESTPLANNING AND DEVELOPMENT SERVICES DEPARTMENT
BUILDING AND CODE REGULATIONS DI
2300 VIRGINIA AVE RECEIVED
FORT PIERCE, FL 34982
(772) 462-1553 Fax (772) 462-1578 D E C U 6 2018
PERMIT RENEWAL REQUEST IST. Lucie County, Permitting
SCC- 7/2 pal 7
PERMIT NUMBER: ADDRESS: 8208 Lakeland Blvd. Ft Pierce, FL 34951
I Raquel Swanner , 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 Final inspection to be passed.
CONTRACTOR SIGNATURE
N
STATE OF FLORID
COUNTY OF 5 !
DAT
ACKNOWLEDGED BEFORE ME THIS DAY OFUCCeMj 41— 20LZ�--
BY 11�� SINI(� �`'�`� e(�- S PERSONALLY KNO 0 ME OR
HAS PROVIDED AS IDENTIFICATION.
Richie Roberts
STATE LORID Co o CC>el NOTARY PUBLIC
STATE OF FLORIDA
Conte FF
SIGNA O NOTAR Expires 6/4/2020
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 = $ �6.Renewal fee
Example: [15 divided by 23=.65(0/o)] $175(permit fee) x .65=$113.75 (renewal fee)
Revised 7/21/20 ] 4
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