HomeMy WebLinkAboutPERMIT RENEWAL REQUESTt-
PLANNING AND DEVELOPMENT SERVICES DEPARTMENT
BUILDING AND CODE REGULATIONS DIVISION
2300 VIRGINIA AVE
FORT PIERCE, FL 34982
(772)462-1553 Fax (772) 462-1578 RECEIVED
SCANNED PERMIT RENEWAL REQUE T FEB 11 2019
BY
St. Lucie County ST. Lucie County, Permitting
PERMITNUMBER: SLC-1708-0434
ADDRESS: 887 NE Prima Vista Blvd., Port St. Lucie
I Randy Bowers 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.
Justification project has been delayed waiting for power and City of PSLUSD paperwork
01/29/2019
.ACTOR SIGNATURE DATE
Randy Bowers, President of R.K. Contractors, Inc.
Print Name
STATE OF FLORIDA
COUNTY OF St. Luda
ACKNOWLEDGED BEFORE ME THIS 29th DAY OF January
BY Randy Bowers
HAS PROVIDED n/a
2019
WHO IS PERSONALLY KNOWN TO ME X OR
AS IDENTIFICATION.
STATE OF FLORIDA, County of St, Lucie
ANNE-MARIE LUDLUM
SIGNATURE OF NOT SEAL MY COMMISSION A GG173122
',a, EXPIRES: January 27, 2022
FOR OFFICE USE ONLY:
Number of Open Inspections:
Total Inspections:
(Divide open by total to get % of open inspections)
Percentage: ,y
Original permit fee: x % open = $! `m, _Renewal fee
Example: [15 divided by 23=.65(%)] $175(permit fee) x .65=$113.75 (renewal fee)
Revised 7/21/2014