HomeMy WebLinkAboutPERMIT RENEWAL REQUESTFool
PLANNING AND DEVELOPMENT SERVICES DEPARTMENT
S BUILDING AND CODE REGULATIONS DIVISION
•
2300 VIRGINIA AVE
FORT PIERCE, FL 34982
(772) 462-1553 Fax (772) 462-1578
SCANNED PERMIT RENEWAL REQUEST
BY
St. Lucie County
PERMIT NUMBER: SLC 1804-0328 ADDRESS: 14101 Angle Road
1, Stanley Maclin , 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 MasTec Network would like to request an extension for the above referenced
permit due to a delayin receiving back ordered equipment to complete the proposed work
11/7/19
OWNER/BLDR ORCONTRACTOR SIGNATURE DATE
Stanley Maclin
Print Name
STATE OF FLORIDA
COUNTY OF Palm Beach
ACKNOWLEDGED BEFORE ME. THIS DAYOF 00Je-nLR ,20�
BY �iA o Q PA.WHO IS PERSONALLY KNOWN TO ME X 'OR
HAS PROVIDED - AS IDENTIFICATION.
STATE OF FLORIDA, time of fa 1 s w YANET RODRiGUEF
Notary Public -State of Florida
Commission # GG 325980
SIGNATURE OF NOtAR SEAL:;. n� My Comm. Expires Apr 21, 2023
Bonded through National Notary Assn.
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 = $ Renewal fee
Example: [15 divided by23=.65(a/o)] $175(permit fee) x .65=$113.75 (renewal fee)
Revised 7/21/2014
PLANNING AND DEVELOPMENT SERVICES DEPARTMENT
BUILDING AND CODE REGULATIONS DIVISION
2300 VIRGINIA AVE
FORT PIERCE, FL 34982
(772) 462-1553 Fax (772) 462-1578 REC
PERMITNUMBER: SLC-1804-0328
PERMIT RENEWAL
ADDRESS: 14101 ANGLE RD
APR 2 5 2019
3'f.6dsi_-ra.ntY_Permitting
I STANLEY MACLIN 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 DELAY IN THE DELIVERY OF THE EQUIPMENT FROM THE MANUFACTURE
Ltr /r7-//
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STATE OF FLORIDA
COUNTY OF ""— - ' 'PR a �
ACKNOWLEDGED BEFORE IME'THIS I . t DAY OF .20 [ /
By v1 6d)n� .NIaCQ,�YI WHO IS PERSONALLY KNOWN. TO ME ,OR
HAS PROVIDED
OF DA, County
AS IDENTIFICATION.
LYIYIARIE FERRER
COMMISSION H G6093577
EXPIRES April 12, 2021
FOR OFFICE USE
Number of Open InspectiJ`is:
Total Inspections:
(Divide open by total to.get % of open inspections)
Percentage:
Original permit fee: x %open = $ Renewal fee
Example: [15 divided by 23=.65(0/o)) $175(permit fee) x .65=$113.75 (renewal fee)
Revised7/21/2014