HomeMy WebLinkAboutPERMIT RENEWAL REQUESTTo: Page 2 of 3 2019-12-16 17:09:19 (GMT) 19545079741 From: All Year Cooling.
PLANNING AND DEVELOPMENT SERVICES DEPARTMENT
PERMIT NUMBER: 1812-0218
BUILDING AND CODE REGULATIONS DIVISION
Z300 VIRGINIA AVE
FORT PIERCE, FL 34982
(772)462-1553 Fax (772) 462-1578 RECEIVED
PERMIT RENEWAL REQUEE DEC 16 2019
ST. Lucie County, Permitting
ADDRESS: 10102 S OCEAN DRIVE #703A
1, GRETA SMITH , 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 NEED TO GET PERMIT PROPERLY CLOSED OUT THRU INSPECTION
0,9t— n. &&-
OWNERIBLDP 02 CONTRACTOR SIGNATURE
GRETA SMITH
Print Name
STATE OF FLORIDA
COUNTYDF BROWARD
DECEMBER 16, 2019
DATE
SCANNED
BY
St. Lucie County
ACKNOWLEDGED BEFORE ME THIS 16 DAY or DECEMBER 2019
BY GRETA SMITH WHO IS PERSONALLY KNOWN TO ME. OR
HAS PROVIDED ASIDENTIFICATION.
STATE AFLORIDA, Count of 8ROWARD
�yvb
"��p 43+.x LEY`
SI .._.. ..GNATURE.OFNOTAR
Y�.. .. - commission ,g,�j� I/✓/ , ROBER7 JAMt
,Notary Public -State �t Flouea
SEAL _
Commissio t3
''•;qo„a"A My Commissim L aj
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 = $—IrRenewal fee
Example: [I5 divided by 23=.65(%)] $175(permit fee) x .65—SI13.75 (renewal fee)
Revised 7/212014