HomeMy WebLinkAboutPermit RenewalPLANNING AND DEVELOPMENT SERVICES DEPARTMENT
7Im "-"-
COUNTY'`
F L 0 R I D A
PERMIT NUMBER: 1909-0083
BUILDING AND CODE REGULATIONS DIVISION
2300 VIRGINIA AVE
FORT PIERCE, FL 34982
(772)462-1553 Fax (772)462-1578
PERMIT RENEWAL REQUEST
ADDRESS: 7380 S Ocean Drive Unit 521
I Karl Kandel , am requesting that the above permit be renewed. 1.
understand that I must schedule and pass all required inspections for the permit to be finated. 'Further, I
understand that this is a ONE TIME RENEWAL and the perin it shall expire should 1 not receive a
passing inspection during any six month period during the renewal period.
Justification homeowner out of town, did not have access to install
xAj)(&VW --
OWNER/BLDR OR CONTRACTOR SIGNATURE
Karl Kandel
Print Name
5/1/2020
DATE
STATE OF I'LORf rrAA _
COUNTY OF L.i�
ACKNOWLEDGED BEFORE ME TT DAY OF
BY V WHO IS PERSONALL KNOWN TO ME V OR
HAS PROVIDED
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
AS IDENTIFICATION.
Eial'ubIIC S4t�tra of Flrerldaa StaplesSEALnmission GG 2351 v2s 01714812022
Example: [15 divided by 23=.65(%)] $175(permit fee) x.65=$113.75 (renewal fee)
Revised 7/21/2014