HomeMy WebLinkAboutPERMIT RENEWAL REQUESTSCANNED
PLANIVIIN i 0OPMENT SERViCiESt DEPARTMMNT
$UIL,DING'AND CODE REGULATIONS DIVISION
2300 VIRGINIA A1T
PORT PMRCE, IFL 14982
(772) 462-1553 Fa% (711) 462.1573
RECEIVED
PERMIT RENEWAL -REQUES
DEC 05 2018
ST. Lucie County, Permitting
PERMIT NUMBER: SLC I So 3 - oG_C�b ADDRESS; J3 0 41 Ifs 2Q e L• 1 `�' �a `�'
I, __.,am requesting that the above pernkit be renewed. I
understand that I must schedule and pass all required inspections for the permit to be fmaled.. ' Further, I
understand that this is a ONE, TlI M RENEWAL and the permit shill expire should I not receive a
passing inspection during any six month period during the renewal period.
Justification (CH _'Tn & Ca" D rr1,. r 1160D M_
dC
0 .M CONTRACTOR SIGNATURE
D24al4v
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Print Name
4_K. Vy_ • ;i IT "a 1• r
2 Zs ---
ATE
COUNTY OFk_Ukjr.
ACKNOWLEDGED BEFORE ME THIS _ DAY OF ^ rn � : 20 9_
BY WHO IS PERSONALLY KNOWN TOME N OR
HAS PROVIDED AS MENTIFICATION.
STATE OF FLORMA, County of
spzl���BRITTANY REDDI•N
;' ate of Florida -Notary Puk
SIGNA F NOTARY = r- ommi8' i11 Gi9028
My Common Exp;r9e
Prn"� Feb"ary26,2022
t
FOR OMCE 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
Exapple; [15 divided by 23=.65(%)] S175(permit fee) x .65-$113,75 (renewal fee)
RAWnd 7f4IMM
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