HomeMy WebLinkAboutPERMIT RENEWAL REQUESTFrom:
05/09/2019 12:31 #755 P.004/005
SCANNED
BY
St. Lucie County
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
PERMIT NUMBER: SLC 1810-0174
PERMIT RENEWAL REQUEST
ADDRESS: 16800 OKEECHOBEE RD
MAY 10 2019
i
ucle County, Permitting
l 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 I WOULD LIKE TO REQUEST AN EXTENSION FOR THE PERMTI DUE TO A DELAY IN
RECEVING BACK ORDERED EQUIPMENT TO COMPLETE THE PROPOSED WORK.
(' y�1 05/7119
OWNER/B R OR CONTRAC R SIGNATURE DATE
STANLEY MACLIN
Print Name
STATE OF FLORIDA
COUNTY OF Pam aencH
ACKNOWLEDGED BEFORE ME THIS 7 DAY OF MAY
BY STANLEY MACLIN
HAS PROVIDED
2019
WHO IS PERSONALLY KNOWN TO ME X . OR
STATE OF FLORIDA, County of PALM BEACH
SIGNATURE OF NOTARY
MICHELLE SCHEIN
FOR OFFICE USE ONLY:
AS IDENTIFICATION.
L
-Wffi�LE SCHEIN
hit"(�ZttssMMISSION#,OG600
�xPIRES J. 08, 2020
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(%)] $175(permit fee) x .65=$113.75 (renewal fee)
Reviud 7/21/2014