HomeMy WebLinkAboutPermit Renewals PLANNING AND DEVELOPMENT SERVICES DEPARTMENT
BUILDING AND CODE REGULATIONS DIVISION
2300 VIRGINIA AVE
FORT PIERCE,FL 34982
(772)462-1553 Fax(772)462-1578
PERMIT RENEWAL REQUEST
PERMIT NUMBER: 1812-0472 ADDRESS: 3191 JET CENTER TERRACE,FT PIERCE FL 34982
I, ARHENS 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.
ka, C .
Q 4a� act
OWNER/BLDR OR CONTRACTOR SIGNATURE DATE
Print Name
STATE OF FLORIDA
COUNTY OF'�;W\r�
ACKNOWLEDGED BEFORE ME THIS DAY OF
BZ''r�' %c�eLYc\ C prht'e t1� WHO IS PERSONALLY KNOWN TO ME ✓ OR
HAS PROVIDED AS IDENTIFICATION.
STATE OF FLORIDA,County of-�I=Wj &z�-c otaRyAss MICHELE BALL-VAUGHN
NOTARY PUBLIC
-STATE OF FLORIDA
SIGNXTCRIT OF NOTARY SEAL ^� ?Comm#GG132424
Expires 9/21/2021
FOR OFFICE USE ONLY: �- --
Number of Open Inspections:
Total Inspections:
(Divide open by total to get%of open inspections) JUN 9,
1
Percentage:
Original permit fee: x%open = $ Renewal fee
J r a •
Example: [15 divided by 23=.65(%)] $175(permit fee)x.65=$113.75(renewal fee) !
Revised 7/21/2014