HomeMy WebLinkAboutPERMIT RENEWAL REQUESTFROM: TO:4621578 08/02/201915:46:15 #100 P.001 /002
PLANNING AND DEVELOPMENT SERVICES DEPARTMENT
o BUILDING AND CODE REGULATIONS DIVISION
- 2300 VIRGINIA AVE
`...... "" '"'"""-"-"" FORT PIERCE, FL 34982 RECEIVED
(772)462-1553 , Fax (772) 462-1578
AUG 0 5 19019
PERMIT RENEWAL REQUEST ST. Lucie County, Permitting
PERMIT NUMBER: 1812-0260 ADDRESS: 4305 S INDIAN RIVER DR, FT PIERCE
I JOY S YANCY 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 PROJECT IS COMPLETE, BUT WAITING ON REVISED DRAWINGS BEFORE WE CALL IN FOR
A FINAL INSPECTION, DUE TO MINOV, CHANGES DURING CONSTRUCTION.
"A 1 t) / \UAL X 8/2/2019
OWNS.=��JJ R4RCONT ACTORAIGNATURE DATE
SCANNED
JOY NCY BY
Print Name St. Lucie County
STATE OF FLORIDA
COUNTY OF arwcE
ACKNOWLEDGED BEFORE. ME THIS 2
BY JOYS YANCY
HAS PROVIDED
DAY OF AUGUST
2019
WHO IS PERSONALLY KNOWN TO ME X , OR
STATE OF FLORIDA, County of ST LUCIE
sz<L�n p i. P.
SIGNATUE@OF NOTARY ..
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 = S Renewal fee
AS IDENTIFICATION.'
GINGER P HESTER
MY COMMISSION # FF01nn
SEAL EXPIRES August 25. 2019
14971398-0'.9J IlaiOaNaarySarha.wa:
Example: [15 divided by 23=.65(%)l $175(permit fee) x .65=$113.75 (renewal fee)
Rmd 7/21/2014