HomeMy WebLinkAbout10928440_RENEWAL_Wheeler9ZBWO-Wheeoolee -
PERMIT NUMBER:
LANNING AND DEVELOPMENT SERVICES DEPARTMENT
1910-0080
BUILDING AND CODE REGULATIONS DIVISION
2300 VIRGINIA AVE
FORT PIERCE, FL 34982
(772) 4624553 Fax (772) 4624578
PE1kivi I RENEWAL REQUEST
ADDRESS: 7006 Pacific Ave
I, Arthur W Francis , 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 TE RENEWAL and the permit shall expire should I not recei
IlVIve a
passing inspection during any six month period during the renewal period.
Justification We ran into issues with ordering and scheduling that prevented the work from being
completed before the permit expired
OWNER/BLDR OR CONTRACTOR SIGNATURE DA
Roberto Sanchez
Print Name
STATE OF FLORIDA
COUNTY OF �ij .�L�.�c
ACKNOWLEDGED BEFORE ME THIS ���"� DAY OF April
BY Roberto Sanchez S PERSONALLY KN
HAS PROVIDED
STATE OF FLORIDA, County of L�.�_
SIGNA�'TRE OFI�OTAR
20 20Make
AS IDENTIFICATION.
510T�,;=tY PUBLIC
STATc OF FLORIDA
Comm# GG1951577
expires 1/27/2024
Aaron HaiGch
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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 = a)
Renewal fee
Example: [15 divided by 23=.65(%)] $175(permit fee) x .65=$113.75 (renewal fee)
Revise
d 7/21/2014