HomeMy WebLinkAboutPermit Renewals Apr.06.2018 09:57 AM PAGE. 1/ 2
PLANNING AND DEVELOPMENT SERVICES DEPARTMENT
•
BUILDING AND CODE REGULATIONS DIVISION
, 2300 vlRctivlA AVE
FORT PIERCF„FL 34982
(772)462-1553 l+ax(772)462-1578
APR 0 5 2018
PERMIT RENEWAL REQUEST
PERMIT NUMBER; 1505-0018 ADDRESS: 6008 spruce drive fort pierce fl
1 Mike Besok atn 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, 1
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 To have fence inspection. Never had final inspection
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OWNER/BLD R CONTRACTOR SIGNATURE DATA T
Mike Besok
Print Name
STATE OF FLORIDA
COUNTY OF-Moll n
ACKNOWLEDGED REFORFVW TIilS U DAY OF Q 20
BY H 11�e Sm WHO IS PERSONALLY KNOWN TO ME OR
HAS PROVIDED 0Y I Vet s-e ,._,_ AS 1DIiPJ'I'T171CATU)N,
A'1'1:OF FLORIDA,County of mW Iye
_ rP ` CANDICE BROWN
SIGNATURE Ot NOTARY Sl AI MY COMMISSION N FF109632
��o..a� EXPIRES:July 31,2018
FOR OFFICE USE ONLY:
Number of Open Inspections:
Total Inspcctions:
(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)
Krvised 7/21i2014