HomeMy WebLinkAboutPERMIT RENEWAL REQUESTFrom:
10/11/2019 13:38 ft797 P.001/002
LANNING AND DEVELOPMENT SERVICES DEPARTMENT
BUILDING AND CODE REGULATIONS DIVISION
2300 VIRGINIA AVE
FORT PIERCE, FL 34"2
(772) 462-1553 Fox (772) 462-1578
SCANNED
BY PERMIT RENEWAL REQUEST
St. Luci,e County
PERMITNUMBER: SLC 1901-0065 ADDRESS: 8600 S OCEAN DR PROJECT
STANLEY MACKLIN , am requesting that the above pennit 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 BACKORDERED PARTS
A-- 10/11/19
OWNrERIBLDR OR CONTRACTOR SIGNATURE— DATE
STANLEY MACKLIN
PrintName SCANNED
BY
St. LUC!e County
STATE OF FLORIDA
COUNTY OF PALM B�Ch
ACKNOWLEDGED BEFORE ME THIS 11 DAY Or6CTOBER _'2019
BY STANLEY MACKLIN WHO IS PERSONALLY KNOWN TO ME X
�OR
HAS PROVIDED AS IDENTIFICATION.
STATE OF FLORIDA. C,4my of PALM BEACH
IGNATURE OF NOTARY
MICHELLE SCHEIN
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
LcoSCHEIN
N
4 .0'� 020
a
pIRF�S:ju.09,2020
IV,,
Example: [ 15 divided by 23=.65(0/.)l S175(permit fee) x .65=$113.75 (renewal fee)
Revind 712112014