HomeMy WebLinkAboutPERMIT RENEWAL REQUESTPLANNING AND DEVELOPMENT SERVICES DEPARTMENT
BUILDING AND CODE REGULATIONS DIVISION
PERMIT NUMBER: SLC-1904-0363
2300 VIRGINIA AVE
FORT PIERCE, FL 34982
(772)462-1553 Fax (772) 462-1578
SCANNED
PERMIT RENEWAL REQUEST BY
St. Lucie County
ADDRESS: 8359 Calumet Court
I Jason Prince , 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
pa.sing inspection during any six month period during the renewal period.
Justification Fence still not ready to be installed
SIGNATURE
Jason Prince
Print Name
STATE OF FLORIDA
COUNTY OF PALM BEACH
ACKNOWLEDGED BEFORE ME THIS DAY OF
DATE
20 19
BY SO.�JJ"Yl 'I'Y i Y�CP� WHO IS PERSONALLY KNOWN TO M , OR
HAS PROVIDED
STA F A, County of >j alm 1�1 a°ACr l
SMNX`TU"PT/1T
FOR OFFICE USE ONLY:
Number of Open Inspections:
Total Inspections:
(Divide open by total to get % of open inspections)
Percentage:
Original permit fee: x °/o open = $ Renewal fee
AS IDENTIFICATION
rr�
•�
CHERYL L AllIZZI
Commi55lon'60250143
'4Orn�P
ErpifAAugust 30,2022
SEAL
borW d Wu 9ud9dN&My WV W*
Example: [15 divided by 23=.65(°/u)] $175(permit fee) x .65=$113.75 (renewal fee)
Revised 7/21/2014
NOV 19 2019
Permitting Department
St. Lucie County, FL