HomeMy WebLinkAboutPERMIT RENEWAL REQUEST{
FED/18/ 020/TUE 04:45 P-M FAX No, P. 001
PLANNING AND DEVELOPMENT ,SERVICES DEPAItTAWNT
BUILDING AND CODE REGULATIONS DIVISION
2300 VIRGR AVE
FORT PIERCE, FL 34982
(772) 462-1553 Fax (772) 462-157$ RECEIVE D
SCANNED
BY I'ET RENEWAL REQUES FEB 9 Q
St. LudeC ntv ST. Lucie County, Permittin
9
;fificafion
MBER: SLO I$UB 0156 • ADDRESS: -( DIES OICI Omit" wY
1"31m /ul lS , am requesting that the above permit berenewed. I
at I must sc edule and pass all required inspections for the permit to be frnaled, Further, I
at this is a IME RE GAL and the permit shall e-xpiure should I not receive a
ction g any s mont od during the renewal period.
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I.� 0 TOR SIGNATURE DATE
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STATE OF FLORIDA
COUNTY OF MO,V ,n
ACKNOWLEDGED BEXORE W THIS 4 IF) DAY G.aYL1 20 ZD
BY � � � 1 [�x}(�..(1.1(1 J1J►,II)(WWI w140 I5 PERSONALLY KNOWN TO ME OR
HAS PROVIDED .AS IDENTIFICATION.
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\Ubkft-�a; �� BRANDI MURCHISON
MY CdMM15510N # GG051438
SEAT �?+�cck�, EXPIRES January 08, 2021
FOR OFFICE USE ONLY: � �^
Nupabeir 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)
ReAsed 7/21/2014