HomeMy WebLinkAboutPERMIT RENEWAL REQUESTaA.
PLANNING AND DEVELOPMENT SERVICES DEPARTMENU
BUILDING AND CODE REGULATIONS DIVISION
2300 VIRGINIA AVE
FORT PIERCE, FL 34982
(772) 462-1553 Fax (772) 462-1578
PERNHT RENEWAL REQUEST
PE ADDRESS:
l-OG s e Y� Cat C
I, VI go a E� a am requesting that the above permit be renewed. I
understand th mat I ust schedule and pass all required inspections for the permit to be finaled. Further
understand that this is a ONE TIME RENEWAL and the permit shall expire should I not receive a
passing inspection dWipg any six month period during the renewal period.
Justification
Id-
O RBWI�E LDR OR C NTRACa TOR SIGNATURE DATE
97Z e, U� e, �US7`/ SCANNED
BY
PnntName St. Lucie Count,
STATE OF FLORIDA
COUNTY OF S1'LU.C,IL
ACKNOWLEDGED(����BEFORE ME P-IIIIS ��C� DAY OF
BY \ �` 1� �u`{1�..�p'� / WHO IS PERSONALLY KNOWN TO ME OR
HAS PROVIDED l_ L.i AS IDENTIFICATION.
STATE OF FLORIDA, County
Commission N GG
My Commi..it , i
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
Example: [15 divided by 23=.65(%)] $175(permit fee) x .65=$113.75 (renewal fee)
Revised 7/212014
Planning & Development Services
Building & Code Regulation Division
2300 Virginia Avenue
Fort Pierce, FL. 34982
Phone: (772) 462-2172 Fax : (772) 462-6443
February 21, 2020
RE: Building Permit Number: 1904-0213
Job location : 109 SE Placita CT
Port Saint Lucie, FL 34983
To Whom It May Concern:
I am requesting an extension for the permit referenced above. Please inform
me of any renewal fee due.
Thank you,
Ruth C Roudebush