HomeMy WebLinkAboutMisc Letters RECEIVrED APR 2 n 7.017
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
PERMIT NUMBER: 1604-0336 ADDRESS: 4100 N Al A#212
I, Michael Heissenberg ,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 Condo had concrete work being done that took longer than expected putting a delay on the inspection.
Can you please add extra 3 months to r ewal. Homeowner is out of town,thank you.
5�42 e /7
OWNER/BLDR OR ONTRACTO (!NOURE DATE
Print Name
STATE OF FLORIDA
COUNTY OF
ACKNOWLEDGED BEFORE ME THIS DAY OF �1 I 20
BY A WHO IS PERSONALLY KNOWN TO ME OR
HAS PROVIDED AS IDENTIFICATION.
TE 0 FLORI A,County of Lt�C l �6NRy'1;'' HEATHER VIZZO
NOTARY PUBLIC
l" +
�K1 o STATE OF FLORIDA
SIGNATURE OF NOTARY SEALx � Comm#FF176266
s
is 1�� Expires 11/13/2018
---------------------------------------------------------------------
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=.65(%)] $175(permit fee)x.65=$113.75 (renewal fee)
Revised 7/21/2014