HomeMy WebLinkAboutPERMIT RENEWAL REQUEST08/03/2018 13:44 TAX) P.0011002
1, PLANNING AND DEVELOPMENT SERVICES DEPA$TMEN
BUILDING AND CODE REGULATIONS DIVISION
2300 W iGINIA AVE
FORT PIERCE' FL 349s2
(772)462-1553 Fax(772)462-I578 RECEIVED
SCANNED AUG 33 2018
BY PERMIT RENEWAL REQUEST
ST. Lucie County, Permitting
St. Lucie County
PERMIT NUMBER: N I C) 6Z4 ADDRESS:�DiS2Sl�C2CdJ1 V�a�LeYIJ#�/ lei
I, Je, 5 4m, Q SGi e?-: am requesting,that the above permit be renewed. I
understand that I must s hedule 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 inspectign during any six month period during the renewal period. -
ACKNOWLEDGED BEFORE ME THIS DAY OF .. "l1 , tog
BY �PP_� V V.ctggodd �,� WHO IS PERSONALLY KNOWNTOME XOR
.. • t • nr . TT�j�i�/i '�fi � ' , r u �
OF
4
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 = $1QO ' - Renewal fee
Nmiy Pw State of Flefitla
01na
f Y, Gina M..Pittman
Comm'slon GG 089398
Expima 07/15r=1
Example: [15 divided by 23-.65(5/,)] $175(permit fee) x .65=$113.75 (renewal fec)
Revised 7/21/2014 .