HomeMy WebLinkAboutPERMIT RENEWAL REQUESTPLANNING AND DEVELOPMENT SERVICES DEPARTMENT
BUILDING AND CODE REGULATIONS DIVISION
2300 VIRGINIA AVE
FORT PIERCE, FL 34982
SCANNED (772) 462-1553 Fax (772) 462-1578
BY
St Lucie County PERMIT RENEWAL REQUEST
PERMIT NUMBER:
understand that I must schedule and pass
understand that this is a ONE TIME RE
passing inspections during any six month
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R
Print Name
STATE OF FLOW*
COUNTY OF
GED BEFORE ME THIS
BY
HAS PROVIDED
ADDRESS:
FL
am requesting that the above permit be renewed. I
required inspections for the permit to be finaled. Further, I
WAL and the permit shall expire should I not receive a
od during the renewal period.
1112uI1-(�
DATE
DAY OF �QQC tC 20JR_
WHO IS PERSONALLY KNOWN TO ME �� OR
AS IDENTIFICATION.
STAT F FLORIDA, Cour y of NEE
State of FloridaArteagaSI ATUREOFNOT Y SEAL /2020 ssion GG 057227
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