HomeMy WebLinkAboutPermit Renewals 10/25/2018 13:43 FAX Q001/002
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: 1804-0086 ADDRESS: 9405 Briarcliff Trce-PSL, FL 34986
Robert W. Ludlum - .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 T not receive a
passing inspection during any six month period during the renewal period.
Justification Home owner has been non-responsive to repeated contact attempts by phone, email
and post mail; documentation available upon request.
10/25/18
4"
*TOR SIGNATURE DATE�(
Robert W.Ludlum RECEI:VEED
Print Name
OCT 2 5 2018
STATE OF FLORIDA L: ng
nt
COUNTY OF Saint Luals ST. Lucie(:(3mjjty,re m
permitting
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ie
ACKNOWLEDGED BEFORE ME THIS 25 DAY OF October 20
BY Robert W. Ludium WHO IS PERSONALLY KNOWN TO ME )OR
HAS PROVIDED ASHERNANDEZ
MA to
My COMMISSION 0 GG066499
OF f Saint Lucie EX01RES Jammy 26,2021
-9IGN-A—tURE flF NOTARY SEAL
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(pertnit fee)x.65=$113,75(renewal fee)
Revised 7121/2014