HomeMy WebLinkAboutMisc Letters Jun. 21. 2018 3:06PM No. 0244 P. 2
_ PLANNWG AND DEVELOPMENT SERVICES DEPARTMENT
=" " BUR DING AND CODE REGULATIONS DIVISION
2300 VIRGMA AVE
FORT PIERCE,FL 34982
(772)462-1553 Fax(772)462-1578
PIEPZM RENEWAL REQUEST
PERMIT NUMBER: 1707-0426 ADDRESS:5628 Spanish River Rd.
I, Donald Wayne 4Bryon ,am requesting that the above permit be renewed. I
understand that I must schedule and pass all required' ections for the permit to be finalei- Further,I
understand that this is a O TIM.RENEWAL and ft permit shall expire should I not receive a
passing inspection during any six month period during the renewal period.
Justification Home owner was out of the country.She is coming back for a few days
to schedule i specdon . . Thank you!
6127118
bWNEftLDR DR CONTRACTOR SIGNATURE DATE
Donald Wayne Myon
Print Name
STATE OF FLORIDA
COUNTY OF stluto
ACKNOWLEDGED BEFORE ME IMS 27th DAY OF June -- --,2418
BY Donald Wgayne ' .,, on vago Is P>:xsoz�ALLY z�rowrr TOME. X OR
D AS IDELVTTETCATION.
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MIMVA ID
MISSIC #FF 211587
A `"' IitES:July18,2019
HcnEad7lwNat�YUndatwrllare
FOR OMCE USE ONLY:
Number of Open Inspections:
Total Inspections:
(Divide open by total to get%Df open inspections)
. Percentage:
original permit fee: x%open- $ Rcnewal fec
Example: g.5 divided by23=45C/*)] s1754periuit fee)X.65---$113 75(r=n 1 fee)
Revi 4d MIM14