HomeMy WebLinkAboutPERMIT RENEWAL REQUEST09/1012015 17:23 (FAX), P.0011002
- ; L„ PLANNING AND DEVELOPMENT SERVICES DEPARTMENT
BUILDING AND. CODE REGULATIONS DIVISION
' 2300 VIRGINIA AYE
®
FORTMRM FL 34992
EC fVNED (772) 462=1553 Fax (772) 462-157g SCANNED
SY
St. Lucie County St. RENEwAr, REQOEsa St. LucgY mot,,
pERMIT NUMBER: 1510-0507 ADDRESS: 6500 Glades Cut Off Road Ft. Plerea. FL 34981
I Douglas Sutter am requesting that the above permitberenewed. I
undetstand 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 notireceive a
passing inspection during any six momp period during the renewal period.
Justification Renew in order to Closeout
09/09/16
OWNElUBLD CONTRACTOR. SIGNATURE DATE
Douglas Sutter
STATE OF FLO -
COUNTYOF _. IDS
ACKNOWLEDGED BEFORE ME THIS 9th .DAY OF September 2016
By Douglas Slitter WHO ISP$RSONALLYKNOWNTOME X OR
HAS PROVIDED _ --!n , A- AS IDENTIFICATION.
J1Q Notary Pubtk Stateof loft
Shala Ham on
My Cammled°a FFB9a0$4
• wrv� FXPIM-0911012020
FOR OFFICE USE ONLY:
_.—r------- __
- Total rnspoquons. — - — -
(Divide open by:total to gel o of open inspections).
Percentage:
Original permit fao: x °/a open = $. Rcoowal £cc
.Example: [15 divided by 23=.65(0%)1 $1750c:mit £cc)x .65-SI 13.75 (renewal fee)
Revised 712=14.- e t
R E C y4.
SEP 0 0 2916
PERMITTING
St. Lucie County, FL