HomeMy WebLinkAboutPERMIT RENEWAL REQUESTFAX, 77228711?,°-
COMO OIL COMPANY
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05/3a/2015 13:50
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PLANNING AND DEVELOPMTV," 9' si
SundingandCode Regoindons Di;i=ion
2300 VIRGINIA AVE.
FORT PIERM FL 34M
(772) 4dZ-1553 Fax (771) 462-1578
PERMIT RNNEWAL REQI i L'U
PERNIiT N[IMBER „1v 99 , l -077 ADDRESS:
VICES DEPARTMENT
SCANNED
BY
St. Lucie County
I
I, o e+o O L L ` �f2a a �' am, rejuastin� I.haa It ;: above permit be renewed,
under that I must schedule and pass all required mspecuoOws I',-,r the per(nit to be tinaled. FurthcI
understand that this is a 0lWA NV WNEWAL and the pennit empire should I >sot receive a
passing h)spection during any six month period during the renewa' rleriod.
Justification
�� O�RCONTRACTOR TU1tE 1 iAn.!
Print Natae
STATE OF FLORMA
COUNTY ACKNjOVjLMGED13B(�FFYy0A2wTMS0/5,64DAYOF/ "I
WHO $BRSONALLY K�. . 7 :) MI3 -- - �' OR
HAS PROVIDED „__ 15ID1X171FICATION.
FOR OFFICE USE ONLY: )
Number of Open Inspections:
Total Inspec-dons:
(Divide %= by total to get °h of opea iospeadcus)
Originalp:_ - ewalfee
Originalpermitfee: x%open m $.�.�a
Exaoap1a: [15 divided by 23=-65(%)] $175(pesmit fee) X .65-51(3.75 (renin-ml fee)