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Home My WebLink AboutPERMIT RENEWAL REQUESTFrom: Mike Heisenberg Fax: 27728710996 T. Fax: (772) 462-1578 Page: 2 of 2 11108/2019 3:22 PM PLANNING AND DEVELOPMENT SERVICES DEPARTMENT BUILDING AND. CODE REGULATIONS plvisiOlt. 2300 VIRGINIA AVE - 7ECty PORT'PIERCE,FL34982 (772)442,1553 ._ Fax.(772)462-157$ ` PERMIT RENEWALREQUEST STrrnitbg'er .- .. R)rRMiTNliMBER: )© .,ADDRESS: `Y• l7Yi� �! f 1 ti �trC 1. i (in(>,,�/ am requesting that the above permit renewed. 1 understand that I musffschedule and p all required inspections' for the permit to be f(naled. Further, l understand that this is. a ONETIME RENEWAL and the ermit shall expire. should I not receive. a passing 3nspectlon .during any six month period during the enewal period Justification )Y? l(g OWNER/BLDRQR CONTRACTOR..SIGNATUAEE DATE, Pnn -Name sGANNED S.f: CucB .. } STATE OF FV DA y COUNTY OF un`!3A ' ACKNOWLEDCxED BEF - N1 THIS DAY OF BY Kk WHO IS PERSONALLY KNOWN TO \4E> OR _ :HAS PROVIDED As IDENTIFICATION .: .. ... ,.STATE OF FLORIDA, Count; .of 31 - Shanon O'She�RO SIGNNOTARY ULa C STATEOFFLORIDA 9 c0mm#GG258038 --. -' - XLYA V1I' ICE USE ONLY: RECEIVCD Number of Open Inspections: . . Total Inspections: .(Divide.openby"total to get% of open inspections) NOV 08.2019 Percentage: ty _ Original permit fee: x%o en = S 1rl ST• Lucie County, Perrnitting. ..._.......... P Renewal fee Example: [I5 divided by 23=.Gi(?lo)] $-175(pefmit fee) x .65=$1.13,75 (renewal fee) Rev ua,7izlrzol4._._... .... ......... . ...... ....... ..... .__._. _.._.... ..... ... ........ .:__...... ..... ..........._......... ......... ....._......... _. _. ....... __......_.........._..__......................__...,.........._............. ..._..._.......... ... .... __........