HomeMy WebLinkAboutPERMIT RENEWAL REQUEST0 .- 0
PLANNING AND DEVELOPMENT SERVICES DEPARTMENT
BUILDING AND CODE REGULATIONS DIVISION
2300 VIRGINIA AVE
FORT PIERCE, FL 34982
(772) 462-1553 Fax (772) 462-1578
%ANNO RECEIVED
PERMIT RENEWAL REQUEST
1AId 1.51019
Permitting Department
St. Lucie County
PERMIT NUMBER: 1806-0445 ADDRESS: 9328 Scarborough Ct
I, Blake Cowdell , 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 Needs inspections
O BLDR OR CONTRACTOR SIGNATURE
Blake Cowdell
Print Name
01/11/19
DATE
STATE OF FLORIDA
COUNTY OF St. Lucie
AC OWLEDGED BEFO ME THIS DAY OFant 20—a
BY 1 WHO IS PERSONALLY KNOWN TO, OR
HAS PROVIDED AS IDENTIFICATION.
ST
2e
- ALYSSA BLACKSHEAR
zak� sr° State of Florida -Notary Public
ATURE OF NOT Y y C fission # GG 237887
e: commission Expires
July 12, 2022
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