HomeMy WebLinkAbout1512-0213 renewalPLANNING AND DEVELOPMENT SERVICES DEPARTMENT
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PERMIT NUMBER: 1512-�2 3
BUILDING AND CODE REGULATIONS DIVISION
2300 VIRGINIA AVE
FORT PIERCE, FL 34982
(772) 462-1553 Fax (772) 4624578
PERMIT RENEWAL REQUEST
ADDRESS: 3223 S Lakeview Cir 20-6 Ft Pierce FL 34949
I Mark Matakaetis , 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 Thought it was closed out but it was the rough inspection that was approved.
Mark Matakaetis
Print Name
STATE OF FLORIDA
COUNTY OF male° war
ACKNOWLEDGED BEFORE ME THIS 2nd DAY OF June
BY Mark Matakaetis
HAS PROVIDED
STATE OF FLORIDA, County of
FOR OFFICE USE ONLY:
2020
WHO IS PERSONALLY KNOWN TO ME X , OR
Indian River
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.
IM COMMISSION
#HH3174E
SEAL MY COMMISSION MFOUD4
EXPIRFS: May 25, 2024
Example: [15 divided by 23=.65(%)] $175(permit fee) x .65=$113.75 (renewal fee)
Revised 7/21/2014