HomeMy WebLinkAboutPERMIT RENEWAL REQUEST8/22/2018 9:37:44 AM PAGE 2/003 Fax Server
PLANNING AND DEVELOPMENT SERVICES DEPARTMENT
BUILDING AND CODE REGULATIONS DIVISION
2300 VIRGINIA AVE
r FORTPIF.RCF,,F1,34982 RECEIVED
(772) 462-ISU Fax (772) 462 1578
6GANNED PERMIT RENEWAL QUFJUG 2 2 2018
BY 15T, 6N@Ig Ggem , Pt3fR
'3t. Lucie Countv
PERMIT NUMBER: SLC 1706•6250 ADDRESS: 6080 Peterson Road
1, Stanley Mach , am rquesting that the above permit he renewed. I
understand that I must schedule and pass all required inspections for the permit to be fnaled. 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.
Justification MasTec Network Solutions Is currently awaiting tl&vcry of luck ordered equipment to complete
the proposed work
t- TN 8/14/18
OWNER Q$CONTRACTORSIGNATURE DATF.
Stanley Madin
Print Name
STATE OFF IDA
COUNTY OF�I7} �p�11,
ACKNOWLEDGED B\\EFOR``E ME THIS N DAY OF
BY ,,,[j>) E!I�Fll WHO IS PERSONALLY KNOWN TOME_, OR
HAS PROVIDED__— JJJ �EKK 7 l {�)9,)�e AS IDENTl1ICATION,
'�dr NtlYy RtllE aMa of FldfAe
erne Itetdtllaen
FOR OFFICE USE ONLY:
Number of Open inspections:
Total Inspections:
(Divide open by total to get %ofopen inspections)
Percentage:
Original permit fee: x%open = $ Renewal fee
Example [U divided by 23=.65(0/a)] S175(peifiit fee) x ,04113.75 (renewal fee)
Revised Xl(W1J-
From:
PETERSON (FP50)
02/19/2020 11:41 #849 P.002/002
PLANNING AND DEVELOPMENT SERVICES DEPARTMENT
PERMITNUMBER: SLC1706-0250
BUILDING AND CODE REGULATIONS DIVISION
2300 VIRGINIA AVE
FORT PIERCE, FL 34982
(772)462-15i3 Fax, (772)462-1578
PERMIT RENEWAL REQUEST
ADDRESS: 6080 Peterson Road
1, Stanley Maclin , am requesting that the above permit be renewed. 1
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.
Justification MasTec is requesting a renewal due to an unforeseen delay in equipment to complete the
proposed work
C14 /" L. 2/19/20
OWNERIBL RCONTRACTORSIGNATURE DATE
Stanley Maclin
Print Name
r Py ubi:-$fElC Ot rYOflCunmissipn
c GG 321920mm.
Em-
Expires Apr 21. 2023STATE
rough vationr' aattry assr..
OF FLO I�A
COUNTYYanEl'R00aIGUEZ
COUNTY OF�QQ
ACKNOWLEDGED BEFORE ME THIS
DAYOF ,20 ZO
r/--t BY ��n I4, Acit<.tt..
WHO IS PERSONALLY KNOWN TO ME _x • OR
HAS PROVIDED
AS IDENTIFICATION.
STATE OF" RIDA, County of A At aect- FYI .
�l
SIGNATURE FNO PRY SEAL
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: [I5 divided by 23=.65(%)] $175(petmit fee) x .65=$113.75 (renewal fee)
Revised 7/212014