HomeMy WebLinkAboutPERMIT RENEWAL REQUESTi
PLANNING AND DEVELOPMENT SERVICES DEPARTMENT
BUILDING AND CODE REGULATIONS DIVISION
• 2300 VIRGINIA AVE
FORT PIERCE, FL 34982
(772) 462-1553 Fax (772) 462-1578
RECEIVED
SCANNED PERMIT RENEWAL REQUEST
By DEC 31 2018
St. Lucie County ST. Lucie County, Permitting
PERMIT NUMBER: 1806-0644 ADDRESS: 5000 DUNN RD
1 GAMA PORTALES . am requesting that the above permit be renewed. I
understand that I must schedule and pass all required inspections for the permit to be fmaled. 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 PERMIT EXPIRING 01/02/19
GAMA PORTALES
Print Name
STATE OF FLORIDA
COUNTY OF anuCiE
ACKNOWLEDGED BEFORE ME THIS 2ND DAY OF JANUARY
By GAMA PORTALES
HAS PROVIDED
FOR OFFICE USE ONLY:
JAN. 2. 2019
DATE
2019
WHO IS PERSONALLY KNOWN TO ME XX , OR
Number of Open Inspections:
Total Inspections:
(Divide open by total to get % of open inspections)
Percentage:
Original permit fee: x % open = $ Renewal fee
AS IDENTIFICATION.
C4S%"•• KIMBERLEY L WILKINS
SCOMMISSION#FF063105
EXPIRES: November 28, 2021
'• P,I',r,,. Bondea Tbru Notary Puhllo Undervrtitera
Example: [15 divided by 23=.65(0/o)] $175(permit fee) x .65=$113.75 (renewal fee)
Revised 7/21/2014