HomeMy WebLinkAboutPERMIT RENEWAL REQUESTFrom 3218061779,1.321.806.1779 Fri Oct 5 12:36:23 2018 MDT Page 9 of 13
OCT 0 ELM
ST.
SGANNEL)
BY
Lucie C01jnt1
10-05-'18 14:31 FROM-G&G Roofing 3213014471 T-705 P0009/0010 F-206
f _ _ PLANNING AND DEVELOPMENT SERVICES DEPARTMENT
BUILDING AND CODE REGULATIONS DIVISION
2300 VIRGINIA AVE
FORT PIERCE, FL 3498E
(772)4621553 Fa%(772)462-1578
PERMIT RENEWAL REQUEST
pERmITN1 mrlj3_ ..SAC 1702-0490 ADDRESS:4100 N A1A Project Bldg
1 Raymond N. Smith II.amrequesting that the above permit berenewed. I
...�._—_understand.that I must schedule and pass all required inspections for the permit to be finaled. Further; I ...
Justification Delay on materials, and bad weather
10/05/18
Raymond N. Smith II (Contractor)
Print Name
STATEOFFLO DA
CAi7NCY OF
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O'�F�L
ACK��/N/��OWLEDGEDDEFORE�j TRIS� �E
DAY OF
.20
RY ecwM"
ND IS PERSONALLY KNOWN TO TIE
OR
HAS PROVIDED
AS mflYnFICATION.
STATE OFF RI A Cau ry f RkE
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M1261SIGNATURE
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FOR OFFICE USE ONLY:
Number of Open Inspections:
Total Inspections:
(Divide open by tool to get %ofopen inspections)
Percentage:
04ma1pennitfee: x%open= $ Renewal fee
Example: [15 divided by23-.65(1/.)) S175(potm[tfee) x.65=S113.75(renewal fee)
R�7ntnow
11-09-'17 11:48 FROM-G&G Roofing 3213014471 T-381 P0002/0003 F-643
PI ANNING AND DEVELOPMENT SERVICES DEPARTMENT
° BUII 1DING AND CODE REGCIL 0
_ 230a V1RGdN1A A M E
FORT PZRCE, I%' iii t�
(77Z) 46b1S53 Fax f172) 62-1578
Nov 0 9 2017
PERMIT RENEWAL Ferml�tting Department
St. Lucie County, FL
PERMITNUM13FR: 1702-0490 ADDRESS: 4100 N Al
I Raymond Smith , am requesting that the above permit be renewed. l
understand that l must schedule and pass all required inspections for the permit to be finaled. Further, I
understand that this is a ONE TOM RENEWAL and the permit shall expire should I not receive a
passing inspection during any six month period during the renewal period.
Justification Please need a renewal for this commercial job that has taken a We longer than expected.
6UANNtU
BY
STATE OF FLORIDA St. Lucie Countv
COUNTY OF Ore
ACKNOWLEDGED BEFORE METMS9 DAY OF November 201
By Raymond Smith WHO IS PERSONALLY KNOWN TOME
HAS PROVIDED
AS IDENTIFICATION.
E O RIDA, county of Brevard "MA "RAYS KHOURY
NOTARY PUBLIC
STAT _ FLORIDA
S A URE OF NO"fAR SEAL CVre PF714072
Expires 41
71201f1
FOR OFFICE USE ONLY:
Number of Open Inspections: O `ej as
Total Inspections:
(Divide open by total to get % of open inspections)
Percentage: )app on
Original permit fee: x % open = $ aRenewal fee
Example: [15 divided by 23=.65(9'o)] $175(permit fee) x .65=$113.75 (renewal fee)
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