HomeMy WebLinkAboutPERMIT RENEWAL REQUESTMay 24 2017 07:29AM J. Crompton Fl-tric, Inc 5615859088 page 2
PLANNING AND DEVELOPMENT SERVICES DEPARTMENT
BUILDING AND CODE REGULATIONS DIVISION
2300 VIRGINIA AVE
FORT PIERCE, FL 34982
(772)'462-ISS3 Fax (.772) 462-1578
PERMIT RENEWAL REQUEST SCANNED
BY
St. Lucie Count%
PERMITNUM13ER: 01 ADDRESS &fiQ2yjoCe a / "A / 1 j yf
I, 1tv. , am requesting that the above permit be renewed. I
understand that i must schedule and pass all required inspections for the permit to be fmaled. 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 neriod during the renewal period.
Justification . J c)/, 4-x e"I . l.. I-, - ^ - -C-I , . . 1. , _ _ . _ -/ i
A�i�
STATE OF IDA
COUNTY OF ,
ACKNOWLEDGED
BEFORE ME THIS ?S DAY OF
BY /� 20
I BI (,P ntl:�IT M WHO IS PERSONALLY KNOWN TO ME , OR
HAS PROVIDED
AS IDENTIFICATION.
TE OF FLORIDA, o% o
t
•� CLAUDETTE IF
RAMOS
. TURE O NOTe Y S 1 • � Commissbn tl FF 123M
Explraa May 14, 2i118
"+? � emYenrvTerab�nmemnlno
FOR OFFICE USE ONLY:
Number of Open Inspections: =1
Total Inspections:
(Divide open by total to et % ope Cpecuons)
Percentage: i YISL /
Original permit ee: ' � x % open = $ I n Renewal fee
Example: [15 divided by 23=.65(%)] $175(permit fee) x .65=$] 13.75 (renewal fee)
Reviscd 7/21/2014
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