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: 1812-0473 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.
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OWNERMLDR OR CONTRACTOR SIGNATURE DATE
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Print Name
STATE OF FLORIDA
COUNTY OF'Z4,ak,?,,gg, ll
ACKNOWLEDGED BEFORE ME THIS DAY OF J�r� ,201
BY�`�.�eaya C Arirl,r-E+tZ WHO IS PERSONALLY KNOWN TO ME ✓ OR
HAS PROVIDED AS IDENTIFICATION.
STATE OF FLORIDA,County of__��16�1 aw_A .
Q RyAMICHELE ss�� NOTARY PUBLIC AUGHN
SIGNATURE OF NOTARY SES STATE OF FLORIDA
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Expires 9/21/2021
FOR OFFICE USE ONLY: ----------------------------------------------------------_---_-_---+—--=�- -------=!
Number of Open Inspections:
Total Inspections: u �
(Divide open by total to get /o of open inspections) +U i� 2 L
�
Percentage:
Original permit fee: x%open = $ Renewal fee
Example: [15 divided by 23=.65(%)] $175(permit fee)x.65=$113.75(renewal fee) j
Revised 7/21/2014
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