HomeMy WebLinkAboutPermit Renewals PLANNING AND DEVELOPMENT SERVICES DEPARTMENT
BUILDING AND CODE REGULATIONS DIVISION
r 2300 VIRGINIA AVE -- --
FORT PIERCE,FL 34982 R 15-CEIVE®
(772)462-1553 Fax(772)462-1578
MAY 2 1 2020
PERMIT RENEWAL REQUE TT. Lucie County, Permitting
PERMIT NUMBER: SLC-1910-0098 ADDRESS: 6789 S. Indian River Drive, Fort Pierce, FL 34982
I Travis Haag ,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 Due to the Covid-19 Pandemic and external factors I was not able to
Complete this during the alloted time. I will begin working on this as soon as it is extended.Covered Walkway
�, ✓, 05/18/2020
OWNER/BLDR OR CONTRACT-OR SIGNATURE DATE
Travis Haag
Print Name
STATE OF FLORIDA-''-.
COUNTY OF • 1rJ.���
ACKNOWLEDGED BEFORE ME THISate—DAY OF yr cx�l ,20a.
BY '� T N-4 `� q 4 WHO IS PERSONALLY KNOWN TO ME ,OR
HAS PROVIDED L- AS IDENTIFICATION.
STATE OF FLORIDA,County of DEANNA MARIE GIVENS
MY COMMISSION#GG 022023
EXPIRES:DmMbV 16,2020
�•''••••oQ
eNryote Public UndeWtgm
SIGNATURE OF NO ARY ••.,p;;;.••' oida9L�11'
FOR OFFICE USE ONLY:
Number of Open Inspections:
Total Inspections:
(Divide open by totaltoget%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
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