HomeMy WebLinkAboutPERMIT RENEWAL REQUESTPLANNING AND DEVELOPMENT SERVICES DEPARTMENT
BUILDING AND CODE REGULATIONS DIVISION
2300 VIRGINIA, AVE
FORT PIERCE, FL 34982
(772) 462.1553 Fax (772) 462-1578 RECEIVED
PERMIT RENEWAL REQUEST MAY 0 0 2019
ST. Lucia county, Permitting
PERMIT NILWBER: S GC 18 08 - 04 01 ADDRESS: , 81 B 5 Co,r 1jon 9,� • -jy q 8 -j-
I, 5e41n(a Lr-6 -N 11ka ' j� -e ELadvLe< am re juestilig that the above permit be renewed. I
t ,' dearstand that I must schedule and pass all required inspections for the permit to be finaled. ku-ther, I
derstand that this is a ONE TIME RENEWAL and the permit shall expire should I not receive a
p11 ssing inspection du&g any six month period during the renewal. period.
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SIGNATURE
"St, Lude County
DATL
.TE OF FLORIDA
1NTY OF 11 Ltu; 0 e0 U
:NOWLEDGED BEFORE W THIS ,Qj{ 1 DAY OF MT 2p �
WHO IS PERSONALLY KNOWN TOME ✓ OR
PROVIDED
County of
OFFICE USE ONLY:
ker of Open. Inspectioos:
Inspections:
le open by total to get Yo of open inspections)
permit fee: x % open = $ Renewal fee
AS IDENTIFICATION.
APRIL LYNNE MONROE
i
Notary Public -State of Florida
zQF t� Commission # GG 262286
g My Comm. EBpires Sep 29, 2022
de: [15 divided by 23=.65(Yo)] $175(permit fee) x .65R$113.75 (renewal fee)
7/21/2014
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