HomeMy WebLinkAboutPermit RenewalJun 12 2020 08:35AM HP Fax page 1
PLANNING AND DEVELOPMENT SERVICES DEPARTMENT
e BUILDING AND CODE REGULATIONS DIVISION
It�we 2300 VIRGINIA AVE
FORT PIERCE, F1.34982
(772)462-1553 Fax(772)d61-Mg
PERMIT NUMBER: 1511-0194
PERMIT RENEWAL REQUEST
ADDRESS: 9950 Ocean Dr Project
1, Brad Schehr , am requesting that the above permit be renewed. 1
understand that I must schedule and pass all required inspections for the permit to be finaled. Further, 1
understand that this is a ONE TIME RENEWAL and the permit shall expire should 1 not receive a
passing inspection during any six month period during the renewal period.
Justification We completed all inspections and would like to reopen the permit for
Submittal Of the Engineer Letter, and closing of the permit.
OIVNERBLDR Q9 CONTRACTOR SIGNATURE
Brad Schehr
Print Name
S'rA7'F. OF FLORIDA
COUNTY OF'
ACKNOWLEDGED BEFORE Mi.. Trlts 9th DAY OF June
BY Brad Schehr
HASPROVIDED
6/9/2020
DATE.
.202020
WHOIS PERSONALLY KNOWN 7"OMF. X .OR
STA "OFFLORIDA:C a�ryorLee
sIGN RE ad�--
oFmOrARY -----
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 = S Renewal fee
AS IDENTIFICATION.
Noltry PuaYa LnY al F66da
Snaran K Hoever
MY CmmWiantic OadA88
and' F�trt�OSnYMi1
Example: LI5 divided by 23=.65(0/e)] SI75(permit fee) x .65=$113.75 (renewal fee)
Revised 7nlnnu
1i56a--1453-aoao_adG-
1 U-F t t � t I