HomeMy WebLinkAboutPermit RenewalPLANNING AND DEVELOPMENT SERVICES DEPARTMENT
BUILDING AND CODE REGULATIONS DIVISION
23OO \TRGINIA AVE
FORT PIERCE, FL 34982
(772\ 462-1553 Fax(772) 462-1578
PERMIT RENEWAL REQUEST
ing that the above permit be renewed. Iam requestrng that the above permrt be renewed. I
uired inspections for the permit to be finaled. Further, Iun\feistand that I must schedule and pass all required inspections for the permit to be finaled. Furtl
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
OR CONTRACTOR SIGNATURE
Q\zn\zcra
DATE
AS IDENTIFICATION.}IAS PROVIDED
ATE OF FLORIDA, County of
FOR OFFICE USE ONLY:
Number of Open Inspections: _
Total Inspections:
(Divide open by total to get o/o of open inspections)
Percentage:
Original permit fee:x oZ open = $ Renewal fee
Example: [15 divided bv 23:.65(%)] $175(permit fee) x .65=$l13.75 (renewal fee)
Revised 7/2112014