HomeMy WebLinkAboutPERMIT RENEWAL REQUESTft
PLANNING AND DEVELOPMENT SERVICES DEPARTMENT
BUILDING AND CODE REGULATIONS DIVISION
2300 VIRGINIA AVE
FORT PIERCE, FL 34982
Qrd'J9'�P.-F)) (772) 462-1553 Fax (772) 462-1578
BY
St Lucie County'
PERMIT NUMBER: 1801-0542
PERMIT RENEWAL REQUEST
ADDRESS:
675 SE HIDDEN RIVER DR, PORT ST LUCIE
I, KYLE WHITE ; 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 Project had various obstacles and was not able to get all required inspections
before permit expiC*oate. i
—�� 1 /3/2018
OR CO TRACTOR SIGNATURE DATE
KYLE WHITE
Print Name
STATE OF FLORIDA
COUNTY OF 5T LUCIE
ACKNOWLEDGED BEFORE ME THIS 3RD DAY OF ! JANUARY
BY KYLE WHITE
HAS PROVIDED
2019
WHO IS PERSONALLY KNOWN TO ME X OR
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AS IDE ;�ff !qFe
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STATE OFF ORIDA, ounty of ST. LUCIE s �c,,e�,bar 1st A�
SIGN OF NO Y SEAL S� #FF 936050 ; o�
!��nded%O. Q�
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 FRECEIVED
JAN 0 9 2019
Permitting Department
St. Lucie County, FL