HomeMy WebLinkAboutPERMIT RENEWAL REQUESTFrom: Mike Heissenberg Fax: 17728710990 Fax: (772) 462-1578 -Page: 2 of 2 0310612020 3:03 PM
LANNING
AND DEVELOPMNT SERVICES D
EPARTMENT
13UILDXNG AND CODE REGULATIONS
DIVISION
2300 VIRGINIA A' %. . '
FORT PIERCE, F1 RECEIV
34 ED
(77p 462A553 Fax (7�) ?48021.-157
SCA
MARA 9
NNELY
BY
2020
St. Lu Oie County . E.RMT RENEWAL WE JiMLucie - Coun
ty, Permittin
9
P
ERUTNUMBER;
Pi
am requesting that the above permit be renewed, I
uners dthatImust reqUIred inspections forthe permit to
rs nd that is is be fffialed� Further I
u
P S' WAL and the Permit shall expire should, I not receive a,.
P ion dur rig any six month riod during the renew , period.
justif ication
10
Vwlx�wxf�VxLMWNTRACTO 17(�
fJA 14
PriatNarne
STATE OF FLORI
couNtY.01'_
ACKNOWLEDGED BEFORE IqE,THIS DAY OF 0 rZ6
MUM, ��_ _ _ffl 0 (Ck
-.2
-BY WHO IS PERSONALLY 4'OWN To
.4E
�HA$ PROVIDED 'OR
_.AS.IDENMIFICATION.
STATE OF
F�If�DA, qqunry of
m C
B
VI;NOT� �Y__ _�� * *
U
T 0"'
N ARY
TE OF FLORIDA
C
XplreS 2
*E J1712024
"OR OFFICE; IJSE ONLY,
NUmber otOPen Inspections.
Total inVeCtions.,
.(Divide open by ti�fal to get o/. Of open
Pe tage' irl�ptctio4�) ......... ............ ..... ....
o al
r7i
gin per=
open S
�Rqrjew ........... .
al fp
E)�11111PIe: [15 divided by,23��65(%*)] $175(p=it fee) x
i:renewal fee)
.............. .................. ...... ........ ...... .......... .......
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