HomeMy WebLinkAboutPERMIT RENEWAL03/03/2009
15:32 7724'^ 178 ST LUCIE CO
t ' SCANNED
BY
St. Lucie County
PAGE 03 .
RECEIVE®
MAR 17 1009
PE841ITTING
St. Lucile County, FL
Public Works Department
Code Compliance Division
2300 Virginia Avenue
Ft. Pierce, FL 34982-5652
PERMIT RENEWAL REQUEST
ADDRESS:.310 0 A P1 ( R i+ 110 q PERMIT NO.: `ol 11- . 0B 0 2
I, _L.cr2. l � c o AeI 0 AM REQUESTING THAT THE ABOVE
PERMIT IS RENEWED FOR EIGHTEEN MONTHS. I UNDERSTAND THAT I MUST
SCHEDULE AND PASS • ALL REQUIRED INSPECTIONS FOR THE PERMIT TO BE
FIIQA M. FURTHER, I UNDERSTAND THAT THIS .IS A ONB TIME RENEWAL AND
THE PERMIT SHALL E (PIRE SHOULD I NOT RECEM A PASSING INSPECTION
DURING AI`iY SIX MONTH PERIOD DURING THE RENEWAL PERIOD.
OwvenBuiidcrorContractorSigaaaue Date' ,
STATE OFFLORID
COUNTY OF
Sworn to and substsbed betare the this 1(jay of (Y)n rf 200b q
by J JM�r,& Who orally owo`orwbohasproduced
as idoof;$cadon. Lori Diodato
i!t� r0 . r�. �sOpMMis510N#DD859311
Notary Public, State of Fl ; ! `e pcPIRES: FE6.119 2013
•?er Pam+' Y�yiyIWi0NN0TARY.am
SlBaeaunofNatazy: _ CJIn_. ,.L_��,nt�_. —��•
Commisaim No.• (Seal)
FDR oFFICld USS oNLY:
RENEWAL FEE:
D�T71N3PBCTIONS 1 X ,PERMIT FEE (S ' 1 = S
TOTAL INSPECTIONS ( )