HomeMy WebLinkAboutPermit Renewals To: Page 2 of 3 2019-12-16 17:06:35(GMT) 19545079741 From:All Year Cooling.
PLANNING AND DEVELOPMENT SERVICES DEPARTMENT
]BUILDING:AND CODE REGULATIONS DIVISION
2300 VIRGINIA—AVE
SORT PIERCE,FL.34982
(772)462-1553 Fax(772)4624578
PERMIT RENEWAL REQUEST
PEkMITXUMBER: 1902-0439 ADDRESS: 8933 SANDSHOT COURT
I
GRETA.SMITH: ,am.requesting that t11s 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 monthperiod during.the renewal period.
Justification NEED TO GET PERMIT PROPERLY CLOSED OUT THRU INSPECTION
DECEMBER 16, 2019
OWNER/BLDR OR CON'TRACT'OR SIGNATURE DATE.
GRETA SMITH
Print Name
STATE OF FLORIDA
COUNTY'OF BRO-RU
ACKNOWLEDGED BEFORE ME THIS 1 .._DAY OF DECEMBER 2019
BY GRETA SMITH• WHO IS PERSONALLY KNOWN TO ME OR
HAS PROVIDED AS IDENTIFICATION.
STATE )FLORIDA,Couniy of BROWARD
IJJ1- ".� YP%, µROBERT AVIES BUCKLEY
SIG AMR-E OP NOTARY t ?r° `:Notary Public-State of Flo( SEAL
Commissio.n#GG 04.0158
,y
M
Y Com mission Expires
October
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(0/6)] $175(permit fee)x.65=S113.75(renewal fee)
Revised 7/2M2014