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HomeMy WebLinkAboutPERMIT RENEWAL REQUESTPLANNING AND DEVELOPMENT SERVICES DEPARTMENT BUILDING AND CODE REGULATIONS DIVISION 2300 VIRGINIA AVE n (� FORT PIERCE, FL 34982 SCANNED (772)462-1553 Fax (772)462-1578 By ®: W(Gi0' Q'Ov u v PERMIT RENEWAL REQUEST T NUMBER: ©� C)) 'DWADDRESS: i , am requesting that the above permit be renewed. I end that I must sc a le nd pass all required inspections for the permit to be finaled. ' Further, I end that this is a ONE TIME RENEWAL and the permit shall expire should I not receive a inspection during any six month period during the renewal period. LDR OR CONT SIG_ NATO RE % . l �/ /a. tDA,sE TE OF FLORIDA rNTY OF ,h :NOWLEDGED BEFORE ME THIS - DAY OF/ ►' rl/ 20 09vv WHOS PERSONAL Y KNOWN TO ME OR PROVIDED .11I . /7f / rL AS IDENTIFICATION. n FLORIDA, CoujLty of DR OFFICE USE ONLY: V SEAL umber of Open Inspections: Aal Inspections: )ivide open by total to get % of open inspections) ,rcentage: riginal permit fee: x % open = $ Renewal fee Kample: [15 divided by 23=.65(%)] $175(permit fee) x .65=$113.75 (renewal wised 7/21/2014 � s 1 NOV 14 2019 Permitting Department St. Lucie County, FL