HomeMy WebLinkAboutMisc Letters 7.._._.._ ... _..___,_m-. PLANNING AND DEVELOPMENT SERVICES DEPARTMENT
•
w d � BUILDING AND CODE REGULATIONS DIVISION
2300 VIRGINIA AVE
FORT PIERCE,FL 34982
(772)462-1553 Fax(772)462-1578
PERMIT RENEWAL REQUEST
PERMIT NUMBER: ADDRESS: 3605 SLOAN RD
I, JOHN HYER ,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 t d th at this is a ONE TIME RENEWAL and theex ermit shall ire should I not receive a
P P
passing inspection during any six month period during the renewal period.
tiff ti
Jus ca on
OWNERBLDR OR CONTRAC O SIG 'ATutDATE
H
JOHN
Print Name
STATE OF FLORID
COUNTY OF L
ACKNOWLEDGED BEFORE ME THIS��AY OF MOV ,2019
BY (1 { P WHO IS PERSONALLY KNOWN TO ME OR
HAS PROVIDED O &j Iv AS IDENTIFICATION.
STATE OFF Rl ounty S
`aoS Ass PETER NUNEZ
SIGNATURE OF NOT Y 9 NOTARY PUBLIC
-+STATE.OF FLORIDA
" z" ,�Comm#FF189093
Expires 1/12/2019
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