HomeMy WebLinkAboutPermit Renewals _ PLANNING AND DEVELOPMENT SERVICES DEPARTMENT
BUILDING AND CODE REGULATIONS DIVISION
s —
2300 VIRGINIA AVE
FORT PIERCE,FL 34982
(772)462-1553 Fax(772)462-1578
PERMIT RENEWAL REQUEST
PERMIT NUMBER: 1812-0487 ADDRESS: 3191 JET CENTER TERRACE, FT PIERCE FL 34982
I, AHRENS COMPANIES ,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 FAA Delay in Project.
LP 17-0
O&kLDR OR CONTRACTOR SIGNATURE DATE
Print Namei
I i
JUN2 ?SLG
STATE OF FLORIDA
COUNTY OF �C..l rneachi - -
ACKNOWLEDGED BEFORE ME THIS DAY OF �LA_r_%,Q_
BI' Ar_. � C. Y'C R1 ' WHO IS PERSONALLY KNOWN TO ME OR
HAS PROVIDED AS IDENTIFICATION.
s MICHELE BALL-VAUGHN
STATE OF FLORIDA,County of.+�0.\� �� o�'�t�yo�NOTARY PUBLIC
-STATE OF FLORIDA
Comm#GG132424
SIGNATURE OF NOTARY SEAL 'S�NQE 1� Expires 9/21/2021
--------------------------
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