HomeMy WebLinkAboutPERMIT RENEWAL REQUESTPLANNING AND DEVELOPMENT SERVICES DEPARTMENT
BUILDING AND CODE REGULATIONS DIVISION
2300 VIRGINIA AVE
FORT PIERCE, FL 34982
(772) 462-1553 Fax (772) 462-1578 �\
SCANNED
BY
St. Lucie County
PERMIT NUMBER: SLC1710-0191
PERMIT RENEWAL REQUEST
(J\ RAY 0
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ADDRESS: 9675 Rangeline Road �Ilrt/o9
I Pride Electrical Services of FL Inc., 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
4/30/18
SIGNATURE DATE
Michael W. Pride
Print Name
STATE OF FLORIDA
COUNTY OF Fbriea
ACKNOWLEDGED BEFORE ME THIS 30th DAY OF April 2018
BY Michael W. Pride
HAS PROVIDED
SSTA-ZE OF FLORIDA, County of St. Lucie
FOR OFFICE USE ONLY:
WHO IS PERSONALLY KNOWN TO ME X OR
AS IDENTIFICATION.
DAVID RAYMOND PRUE
NOTARY PUBLI@EAL
STATE OF FLORIDA
Comm# FF192675
Number of Open Inspections:
Total Inspections:
(Divide open by total to get % of open inspections)
Percentage:
Original permit fee: x % open = $ Renewal fee
Example: F15 divided by 23=.65(°/a)] $175(permit fee) x .65=$113.75 (renewal fee)
Revised 7/21/2014