HomeMy WebLinkAboutMisc Letters -7727818505 GM Construction 02:17:31 p,m, 01-11-2019 1/3
_�. ._..__ PLANNING AND DEVELOPMENT SERVICES DEPARTMENT
BUILDING AND CODE REGULATIONS DIVISION
2300 VIRGINIA AVE
. ._ FORT PIERCE,FL 34982
(772)462-1553 Fax(772)462-1578
PERMT RENEWAL REQUEST
PERMIT NUMBER: 1806-0666 ADDRESS: 8600 S. Ocean Dr. PH3, Jensen Beach,
1, Gregory Morabito '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 I not receive a
passing inspection during any six month period during the renewal period.
Justification &'r yv, e-V- rl`-e& 630f-lL On S610�-
OWNER/BL R OR CO TRACTOR SIGNATURE DATE
Gregory Morabito
Print Name
STATE OF FLORIDA
COUNTYOF 1�IG��th
ACKNOWLEDGED BEFORE ME THUS i I DAY OF Ice v1jCJ 220 d-
BY IMz t2 b'-l WHO IS PERSONALLY KNO N TO ME Y OR
HAS PROVIDED AS IDENTIFICATION.
STATE OF FLORIDA,County of q G.✓1t v1
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99072
SIGNATURE OF NARY SEAL 0� � EXPIRES Apr96,2020
'J boMd� BondedTrouSudgttNowySmims
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 7/212014