HomeMy WebLinkAboutPermit Renewals PLANNING AND DEVELOPMENT SERVICES DEPAI?;TD�dENT i
BUIIIDING AND CODE REGULATIONS:DIYISIOl�I.. {
2300. GI1�TfAAV
VIRE RECEIVES :
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FORT PIERCE;FL 34982
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553 Faa(772)'462-L578 f
• (772);:462-1 '
APR 0
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,. PERWT=RENEWAL REQiJEST sT lJAQQ County, PerTltting
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s 1
SLC 1`$07-0377 0'`NW MARINER_CT l
PERMIT NUMBER:. _
ADDRESS
I,
"RONALD KIND-EL ,am requesting that the aliove pernut be renewed :T
understand that I must schedule and pass all requuedbinspectlon$for the pernut to be fi ed- Further,I '
understand that this,ls a'. NE TIME RENEWAL and thepermlt_shallexpire.should I"not ecelve a },
=" passu g uispe_chon dunng:any six month period during the renewalpenod_
Justification
ERRQR.IN SCHEDULING:INSPECTION
3129
OWNER/BLDR OR=CON'fRAACTORPSIGNATUREa' DATE
_ " RQNALD KINDEL ,'. - :.-. . ' - • ' ' _ - ..
Print Name
STATE OF FLORIDA .` • : .
COUNTY
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ACKNOWLEDGED BEFORE_'M E THIS;
BY R fMGs� �Ir�d'e(•. .-WHOJS PERSONALLY KNOWN TO IVIE -0 R
AS IDENTIFICATION.,
HAS PROVIDED :
STATE OFFLORIDA,-Co►m DINAHGCUSHMAN
of Floe
:. mmisswn�GG076851aa --�
6cpuesF628 2021
_ Notary
Co
SIGMA OF NOTARY
AL-
SEAL My Comm
�FOPF� 3end=dd oughNaUdnalNotaryAssn.
I'OR,OFFICE USE ONLY:
Number of Open Inspections:
Total'Inspec ions ,
i (Divide,open by total to get%of op_en impectionS)
Percentage
Original.permit fee::- k open-_ �.$` Renewal fee:
Example:• [15 divided by 23=65(0/o)] $175(peimit fee)x.657—$1 i 3.75(renewatfee)' -
f Revised 721/2014