HomeMy WebLinkAboutPermit Renewals zPLANNIIYG ANU DEUEI;UPMENT'SERIV-GES DtpAItTMENT
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;BUILDING AND,7ODE REGULATILM DIVISION'
2304 VIRGINIA OR 3 J
SORT PIERCE,F.F34982 '
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'PER:MTT RENEWAL REQUEST
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PERIVIITNCJMBR. 1901t�677- _ADDREss 7605 GREENBRIER GCRC,,PSL.
� RONALD E-MEEK ' amMrequesf ng that the,a ova,permit be renewed P
nniiierstand that,I zausscledule::and pass all,requueci_xnspectzans<or the permit to tiezfuialed Further;I:
undergttihd that this is a';ONE-T,EWE,RENEW,ia-n'd theapermit 9 aI1.expYre shaulU not:receive o,
passing inspection during.any six,moi th period.duruig the�_renewdT period;:
Tustifcahort,PERMIT.EXPIRED PR:I�bR TO`FINAL CNSPEGTION' ,;
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OWI'ERBI DR OR CONTRA T.OR SIGNtA TT-E DATB'
- R4N;ALD E A�IEEC<S _ '
rtnt Name
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'STATE OF F DRIDP
_COUrITY OF INDlAPi RNER
AcxNowl fincEn nE oxE;.Nr ,mg-1'1'th DAY of December
RONALD. E:MEEKS? xx,
HY` WHO IS PERSONAL Y KNOWN TQ ME OR.
l MAN
._ RIVER
STATE OFLOgID ounty_oC
SIGN' F Notary p", Sfate 6f Fbnde
t Otetta M Thio o
�i 'Mg Commission GC 093575,
�.: c„ ad"� ;ExpiLes 0814012021
FOR,OFFICE U$E ONGX Y
Nwri hg of Open Inspo ons
' Total'Iitspections� _ '
(Djytde open by total to get%a of:open tnspectans)'
Percentage _. _ _
Ongim4 permit fee x%:open $: ___ Renewal,fee
fixalripre
(T-51 divided by 23=65(°j)] $4'75(perrtut:o)x,.65 $113.:75.(renewal:fee).
Revised:701;1./2614
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