HomeMy WebLinkAboutPERMIT RENEWAL REQUESTCo
PLANNING AND DEVELOPMENT SERVICES DEPARTMENT
BUILDING AND CODE REGULATIONS DIVISION
2300 VIRGINIA AVE
FORT PIERCE, FL 34982
RECEIVED (772) 462-1553 Fax (772) 462-1578
APR 15 2019
ST. Lucie County, Permitting
PERMIT NUMBER: 1809-0300
PERMIT RENEWAL REQUEST
ADDRESS: 12158 Riverbend Road, Port St. Lucie
Robert S. Crane , am requesting that the above permit be renewed. I
lderstand that I must schedule and pass all required inspections for the permit to be finaled. Further, I
lderstand that this is a ONE TIME RENEWAL and the permit shall expire should I not receive a
ssing inspection during any six month period during the renewal period.
stification t.0 R/,,CLK- CCS kA.I.
SIGNATURE
S. Crane
Name
April 15, 2019
DATE
TE OF FLORIDA
JNTY OF M P. r } i n
:NOWLEDGED BEFORE ME THIS 5 �k DAY OF (j , 20 9
gc 6ert S C (q A t WHO IS PERSONALLY KNOWN TO ME , OR
i PROVIDED EL bL AS IDENTIFICATION.
OF FL A, Countyof / " 10. ('i I n
d
NOTARY
OFFICE USE ONLY:
lumber of Open Inspections:
otal Inspections:
divide open by total to get % of open inspections)
iginal permit fee: x % open = $ Renewal fee
Ryan Ord
NOt3gl PUbI1Q
IW 60 of Florida
SEAL YytbMdSSbnE><p1res01j2412021
[15 divided by 23=.65(1/o)] $175(permit fee) x _65=$113.75 (renewal fee)
7/21/2014