HomeMy WebLinkAboutPERMIT RENEWAL REQUESTFrom:
MAR 2 7 2019 I PERMIT RENEWAL REQUEST
ST. Lucie County, Permitting
03/27/2019 11:08 #747 P.001/002
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PLANNING AND DEVELOPMENT SERVICES DEPARTMENT
BUILDING AND CODE REGULATIONS DIVISION
2300 VIRGINIA AVE
FORT PIERCE, FL 34982
(772) J62-1553 Fax (772I 462-1578
SCANNED
St. Lucie
County
PERMITNUMBER: SLC 1711-0505 ADDRESS: 5690 ENVIRONMENT DR. FORT PIERCE
I YANET RODRIGUEZ , 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 ONETIME RENEWAL and the pennit shall expire should I not receive a
passing inspection during any six month period during the renewal period.
Justification DELAY ON DELI -VERY NECESSARY EQUIPMENT
OWNERIZUW OR CONTRACTOR SIGNATURE
STANLEY K MACLIN
Print Name
STATE OF FLORIDA
COUNTYOF AT I UrIF
ACKNOWLEDGED BEFORE ME I HIS 23 DAY OF
3/27/2019
DATE
MARCH .20 19
BY a1jj1/4L{ ( J (lrlt Yl WHO IS PERSONALLY KNOWN TO ME . OR
HAS PROVIDED DRIVER LICENSE AS IDENTIFICATION.
ATE ORIDE' univ of ST. LUCIE •^• ,y MONIQUENICOUNOBLE
WCOMW$SION8OO141287
SIG ATUREOFNOTARY SEAL , .� EXPIRES:Januery5,20Yt
. !t ' BadediNvNofatYP�eUadetmllete
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 = S Renewal fee
Example: [I5 divided by 23=.65(%)] $175(permit fee) x .65=$113.75 (renewal fee)
Revised 7/2 MO [4