HomeMy WebLinkAboutPERMIT RENEWAL REQUESTPLANNING AND.DEVELOPMENT SERVICES DEPARTMENT
BUILDING AND CODE REGULATIONS DIVISION
2300 VIRGINIA AVE
FORT PIERCE, FL 34982 S
(772) 462-1553 Fax (772) 462-1578 n ��
PERMIT RENEWAL REQUEST v` SCANNED
BY
St. Lucie County
PERMIT NUMBER: 1812-0264 ADDRESS: 18503 Mach One Dr.
I James Brann , 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 To complete installation and obtain final inspection.
OR
James R. Brann
Print Name
to •a(7-a01
DATE
STATE OF FL
COUNTY OF A- . L e.d.
ACKNOWLEDGED BEFORE ME TUBS 440'ADAY OF dt• L t , 20��
BY s nu.c R .. Ara r) {7 WHO IS PERSONALLY KNOWN TO ME.�, OR
HAS PROVIDED
STA'6E OF FLORIDA, County
/ !_mow -
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 = $ Renewal fee
AS IDENTIFICATION.
LN
RISTINE MICHELLE TAYLOR
ale of Florida -Notary PublicCommission H GG 155818SFar.My Commission 0 1res October 29,
Example: [15 divided by 23=.65(%)] $175(permit fee) x .65=$113.75 (renewal fee)
Revised 721/2014
Ellen Vaughn
From: Sales <sales@theporchfactory.com>
Sent: Thursday, June 20, 2019 2:14 PM
To: Ellen Vaughn
Subject: PecmiY,.Y
Fwd:'a L
Good Afternoon:
We would like to requ s t aI60day-ext_ _ ensiop for the following permit in order to complete installation and obtain final
inspection:
Permit#< 1812-0264
Site Address 8603 ach One Dr.
Thank you,
Kristine Taylor
Phone: 772-465-6772
Fax: 772-465-3252
Email: sales(&theporchfactory.com
We have moved. Our new address is:
705 N 39th St.
Fort Pierce, FL 34947
The Porch Factory^
Enclose ft, So You Can Use It