HomeMy WebLinkAboutPermit Renewal (2)PLANNING AND DEVELOPMENT SERVICES DEPARTMENT
16A14 1 . " k BUILDING AND CODE REGULATIONS DIVISION
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� 1350 VIRGINIAAVr
FORT PIERCE, FL 34982
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PERMIT RENEWAL REVUEST
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DGnn's Zacuk am requesting that the at)ove permit be renewed. I
understand that I must schedule anu pass all required inst,ecti;na fur the pLrmit to be nnaled. Further, I
unuerstand that this is a ONE TIME RENEWAL a„d the pzrmit shall expire 5huuld I not receive a
passing inspection during any six month period during the renewal periud.
Ju5tificauun
Permit E.&pired
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toN I KAC 1 OK JIGNA I LlKr DATE
Dennis Zacek
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AC:KN0WLL17GtU tStFUKt ML' IHIS DAY OI` �UvLe1 120 -0
BY �115� Vn�.t/'CWHO IS PERSONmLLY KNOWN TO mLi � , Ur'
HAS PROVIDED Drivers Mcense H5 lUElV 1 mr-A 1lulV
31 1; jr r KIU , s MELISSA CHATEAUNEUF
.Sta[w of Florida - Pe611e
Commission # GG 340178
SIG t%TURE Or rZ i ru% I SEAL Wil Commission Expires Flay 3V, LvL3
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Re;:acd 7 21.`2014