HomeMy WebLinkAboutPERMIT RENEWAL REQUEST.r
PLANNING AND DEVELOPMENT SERVICES DEPARTMENT
PERMIT NUMBER: 1905-0589
BUILDING AND CODE REGULATIONS DIVISION
2300 VIRGEUA AVE
FORT PIERCE, FL 34982
(772) 462-1553 Fax (772) 462-1578 RECEIVED
DEC 2 3 2019
PERAHT RENEWAL REQUEST
Permitting Department
St. Lucie Coonh'
SGANNED
ADDRESS: 7222 Marsh Terr. .t 1 ,lrBY nHnty
I Steve Frontera . 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.
Tne}ifiratinn were altino on tile that was on back order
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12/20/19
OWNS L R CONT GTOR SIGNATURE
DATE
Steve Fro era
Print Name
STATE OF FLORIDA
COUNTY OF MARTIN
ACKNOWLEDGED BEFORE ME THIS 20th DAY OF December
2019
Steve Frontera
x
BY WHO IS PERSONALLY KNOWN TO ME
. OR
HAS PROVIDED
AS IDENTIFICATION.
STA OF FLORIDA, 5ounty of Martin
P_SV Pet4
Notary Public State of Florida
cafinela Franlantoni
SI TURE OF NOTARY
SEAL
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orw
My Commission FF 975783
Expires 05/2!l2020
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 721/2014