HomeMy WebLinkAboutPERMIT RENEWAL REQUEST07/11/2019 21:39 7724640547 JEFFS ENTERPRISES PAGE 01/02
lk PLANNING AND DEVELOPMENT SERVICES DEPARTMENT 19
1111111011 BUILDING AND CODE REGULATIONS DIVISION
2300 VMGIMA AVE _
FORTPIERCE,FLUM RECEIVB6
M2) 462-IM Fax (772) 462-1578
PERMIT RENEWALREQUEST JUL 12 2019
ST. Lucie County, Permitting
PERTNUMBER: 54 /9 0 1 ADDRESS: t/O 5�/r 2LMRA) �OA
r e am requesting that the above permit be renewed. I
understand that I st schedule and pass all required inspections for the permit to be finaled. Further, I
understand that this is a QNE 71 RENEWAL and the permit shall expire should I not receive a
passing inspection during any six month period during the renewal period.
Justification _._G[Aria
STATE OF FLORID
COUNTY OF
ACKNOtVLEAGEDBEFOP.METOS Z,
6'7,. /A-,a0/9
DATE
SCANNED
BY
St. Lucie County
BY C�LQ�L L r� � 1�.F WHO 1S PERSO?ULL.Y KNO WN TO mr v, OR
H / PROVIDEo AS IDENTIFICATION,
STATE OF FLORIDA, County or �L' e22 2
. MARIALOPFZ
SIGN OF NOs MYCOMMISSIONOG0165573
SEAL .. t[ EXPIRE5:08ceMbBr5,2021
%yeii.``` DOMWThalNMary Pare UedemBare
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-,65C/a)] $175(permit fee) x .65-$113.75 (renewal fee)
a,M'sw 7i21=14