HomeMy WebLinkAboutTurner-Permit Renewal RequestPLANNING AND DEVELOPMENT SERVICES DEPARTMENT
BUILDING AND CODE REGULATIONS DIVISION
2300 VIRGINIA AVE
FORT PIERCE, FL 34982
(772)462-1553 Fax (772)462-1578
PERMIT RENEWAL REQUEST
PERMIT NUMBER: 1710-0646 ADDRESS: 5203 Seagrape Dr.Fort Pierce, FL 34982
1 Larry Neese , 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 TIME RENEWAL and the permit shall expire should I not receive a
passing inspection during any six month period during the renewal period.
Justification
LDR
Print Name
STATE OF FLORIDA
COUNTY OF :S-t i t3 C., c
SIGNATURE
5-21-2020
DATE
ACKNOWLEDGED BEFORE ME THIS DAY OF I"*�C,- j 20 c.
BY ! Cs: r , in c e -Sc WHO I , PERSONALLY KNOWN TO ME OR
HAS PROVIDED
AS IDENTIFICATION.
STATE OF FLORIDA, County of L i , c c _ - - -
viv'" AtiCNAEL V KING
r- y -n. i¢ • Notary Public - State of Florida
i Commission p GG 205106
SIG TURF OF NQ. A Y SEAL my Comm. Expires Apr 9, 2022
/ Bonded through National Notary Assn.
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(%)] $175(permit fee) x .65=$113.75 (renewal fee)
Revised 7/21/2014