HomeMy WebLinkAboutPermit RenewalPLANNING AND
COUNTY" �
F L 0 R 1 0 A
PERMIT NUMBER: 1901-9138
BUILDING AND CODE REGI
2300 VIRGINI
FORT PIERCE,.
(772) 462-1553 Fax
PERMIT RENEW.
ADDRESS: 221 EM
I, Blake Cowdell am requesting that tf
understand that I must schedule and pass all required inspections for
understand that this is a ONE TIME RENEWAL and the permit sh
passing inspection during any six month period during the renewal F
Justification Still waiting on homeowner to be ready to final connect so w
OWNERIBLDR, OR CONTRACTOR SI{iNATURE
Blake Cowdell
Print Name
S'T'ATE OF FLORTUA
COUNTY OF
ACKNO EDGED SEFORF MB TRIS DAY OF
BY WH PERSONALLY
HAS PROVIDED
TATE OF FLORIDA, County
1,4
5I ATURE OF NOTARY
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(%)] $I 75(permit fec) x .65=$ l 13.75 (renewal
Revised 7/2112014
SERVICES DEPARTMENT
LATIONS DIVISION
AVE
,34982
72)462-1578
REQUEST
AVE
e above permit be renewed. 1
the pert -lit to be finaled. Further, I
ill expire should I not receive a
can close permit out
TE
ME ,OR
IDENTIFICATION.
❑MIEa4EGONCAIVE5
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2hP1RES: dune 27, 2022
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