HomeMy WebLinkAboutPERMIT RENEWAL REQUEST/01
PLANNING AND DEVELOPMENT SERVICES DEPARTMENT
e BUILDING AND CODE REGULATIONS DIVISION
2300 VIRGINIA AVE
- FORT PIERCE, FL 34982
(772)462-1553 Fax (772) 462-1578 RECEIVED
SCANNED PERMIT RENEWAL REQUE5 T JAN 2 4 2020
BY
St. Lucie County ST. Lucie County, Permitting
PERMIT NUMBER: 1905-0427
ADDRESS: 10978 S Ocean Dr, Jensen Beach, FL
I Daryl Shearer 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 Project was delayed after issue of original permit due to building occupency.
1 /14/2020
DATE
Larry R. Wrye
Print Name
STATE OF FLORIDA
COUNTY OF St Lude
ACKNOWLEDGED BEFORE ME THIS 14 DAY OF January
2020
BY CG.r(- d k YI.%Q.. WHO IS PERSONALLY KNOWN TO ME X OR
HAS PROVIDED AS IDENTIFICATION.
STF FLORIDA, C��ezq of Palm Beach
I ATURE OF NOTARY F NOTARARRY
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 = $ r�. ,Renewal fee
1>��., ALEXANDRA RICH
ARDSON
-�,cc////i��A`�t.- Notary Public -State of Florida
°3Ffi�➢Id,' Commission II GG 281577
SEAL ,4a,`o` MY Commission Expires
December 04. 2022
Example: [15 divided by 23=.65(e/u)] $175(permiffee) x .65=$113.75 (renewal fee)
Revised 7/21/2014