HomeMy WebLinkAboutMisc Letters (2) PLANNING AND DEVELOPMENT SERVICES DEPARTMENT
BUILDING AND CODE REGULATIONS DIVISION
2300 VIRGINIA AVE
FORT PIERCE,FL 34982
(772)462-1553 Fax(772)462-1578
PERMIT RENEWAL REQUEST
9 Palo Alto Lane, Port St. Lucie, FL 34952
PERMIT NUMBER: 1509-0204 DRESS:
I, Matthew Wynne t-am requesting that the above permit be renewed. I
understand that I must schedule and pass al required inspections for the permit to be finaled. Further, I
understand that this is a ONE TIME RE WAL and the permit shall expire should I not receive a
passing inspection during any six month eriod during the renewal period.
Justification
3/15/16
OWNERMLDR OR C R SIGNATURE DATE
Matthew Wynne
Print Name
STATE OF FLORIDA
COUNTY OF St.Lucie
ACKNOWLEDGED BEFORE ME THIS 15th DAY OF Mach 2016
BY Matthew WynneWHO ISPERSONALLY KNOWN TO ME OR
HAS PROVIDED AS IDENTIFICATION.
STATE O RIDA,County of t . Lucie
SUSAN MAGEE
MY COMMISSION 8 FF 187647
TURF OF NOTARY S ,a EXPIRES:February 23,2019
%'f,',o� ,•' Banded Thru Notary Public Underwriters
FOR OFFICE USE ONLY:
Number of Open Inspections: DECEIVED
Total Inspections:
(Divide open by total to get%of open inspections) MAR 1..8 .2016
Percentage:
Original permit fee: x%open = $ Renewal fee
Example: [15 divided by 23=.65(%)] $175(permit fee)x.65=$113.75(renewal fee)
Revised 7/21/2014
i .
r f _
.wi
1 h�wti t �
wi.�
AA Ab
z
t �2 S
�+ ya
w +
s�
s'„A� 1 •�' 'r �
* _ t •+.x, '''' �, •• r ,�-.:�� ,'.j .- ,. ,Si;� :7'r `� pR' !• " "irk; '• •
' � f � ��.} � y •titer:. �� '�'�' ...- e � � '�.
r=
r
t
I r�.