HomeMy WebLinkAboutPERMIT RENEWAL REQUESTJ,
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PLANNING AND DEVELOPMENT SERVICES DEPARTMENT
7
BUILDING AND CODE REGULATIONS DIVISION
2300 VIRGINIA AVE
j FORT PIERCE, FL34982 RECEIVED
(772)462-1553 Fax (772)462-1578
SCANNED MAR 0 2 2020
BY
St. Lucie COunty PERMIT RENEWAL REQUESI Sr. Lucie County, Permitting
PERMIT NUMBER: 1810-0131 ADDRESS: 8731-8765 US Highway 1, Port St. Lucie
1 Stephen E. Saylor , 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 Permit expired while awaiting engineer's letter needed to close permit.
C LvV34&"'/0ft0—R-C4A:7CTO SIGNA�TURE
Stephen E. Saylor
Print Name
STATE OF FI:eRiBrr 1`l�
COUNTY OF R CP
o7�G /�o�rJ
DATE'
ACKNOWLEDGED BEFORE ME THIS 9t^ DAY OF rp�fUar^�t , 20 `R(3
BY Seal t„ F Sallow- WHO IS PERSONALLY KNOWN TO ME C OR
HAS PROVIDED
AS IDENTIFICATION.
MN {�
STATE OF FLORIDA County of "tCP
ANGELA R CERBANA
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SIGNA • OF NOTARY - - - SEAL ~` 61ytk1nnlsdon E>pUes 1l31I2022
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 by 23=.65(0/o)] $175(permit fee) x .65=S113.75 (renewal fee)
Revised 7212014