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PI.A►tG AN;D� `aExOPMEN 'SERVICES bEPAR' T $t7lI,bI1� - C�D1E REG[TI�ATIQTS DiIS�CI :_. � . ' 230QVIRGI1!tIA AVE FORTI'I1E;RCE 'I134982 CM 46z=A IFA(7/2)462✓ 0 , PEItMI')C RENEWAL,REQU)i T; YERIt!!IT�+tUMBER ._ Q � ` -__- , vDREs 187Q5 TRANQU tLtT1l BASE LAME SHERRIED WATSOrtV am requesteng that the abgvetpezmit'b _renewer. I LL ueYderstand that I must schedule and past all reju�r*idn�nspecteons t'o the pern�e 'to be finatedi: Further, understand that ttus is a 4NE TIIVIE RENEWAL and the permit shalt expue sh©uld I not receive a passing mspedtion dui rmg`any sex month pedid-d dunng th ene val"pertocl, juste c C©U[D 19; C ct wlthTsctTa ulitf fDWNERBLDR OR+G(3 TORI s A� " DATE _ SHERRIED.WATSON Pnnk�Name - STA�EOl:<FI;QRIDt? " CQ PC,ORAN6E .:— ;ACKNOWLDGEI�BEFORE ME THIS _ DAY OF, AYc--------- 18 z SHERRP's BY r SHO j$'PMQNALL K-0 'TO iV E_ _._ ORS � :T�AS':PROV;IDEI3� _.,:_ _ AS'IC?�NTIFICATIONi � QRANGE; - S'TATH'.OF FLORIDA,County of .,.,. _; �� iSILtAO�ASCO 'INIf �A. � • �OMMIS5�1GG 313827 S GLT . OE NOTARY - _,.. __..._.. ... SEAL, Bonded � .7h�uNolpryPuhQq ` 'Number-of Open;(nspecftons�;, _ , ~'i'oea�Tnspechons ,(Divide open E total"to getqpm inspec i, `` �,�BrCeIlI1gS _ fhyginal permittee, x°�osopen $ _ Renewal.fee` example [15 divided by 23. :65(%)j $175 ;eemit'fee x 65=�1 l3 75 reneurat=fee Revised 7fZ}90x44