HomeMy WebLinkAboutPERMIT RENEWAL REQUESTFrom:
10/08/2 01 9 15:56 M791 P.002/002
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PLANNING ANI) DEVELOPMENT SERVICES DEPARTMENT
BUILDING AND CODE REGULATIONS DIVISION
2300 VIRGINIA AVE
FORT PIERCE, FL 34982
(772)462-1553 Fax (772)462-1578
SCANNED
BY
St. Lucie County
PERMITNUMBER: SLC-1901-0546
PERMIT RENEWAL REQUEST
ADDRESS: 6375 S US 1
STANLEY MACKLIN , 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 BACKORDERED PARTS
OWNER/BLDR OR -CONTRACTOR SIGNATURE
STANLEY MACKLIN
Print Name
STATE OF FLORIDA
COONTY OF PALM BEACH
ACKNOWLEDGED BEFORE ME THIS 8
BY STANLEY MACKLIN
HAS PROVIDED
STATE OF
MICHELLE SCHEIN
FOR OFFICE USE ONLY:
DAY OFOCTOBER
10/8119
DATE
2019
WHO IS PERSONALLY KNOWN TO ME X .OR
PALM BEACH
Number of Open Inspections:
Total Inspections: _
(Divide open by total to get %of open inspections)
Percentage:
Original permit fee: x %open = $ Renewal fee
AS IDENTIFICA770N.
�,n}C,}iliLL$ SCHBIN
�5Y �_pliA515nIUN G0600
FAI <e PIR-,, Lme 08, 2010
Example: [15 divided by 23=.65(%)) $175(permit fee) x .65=Sl13.75 (renewal fee)
Revised 1/21/2014