HomeMy WebLinkAboutPermit Renewal1 �PLANNING AND DEVELOPMENT SERVICES DEPARTMENT
BUILDING AND CODE REGULATIONS DIVISION
2300'*7RGINrA AVE
FORT PIERCE, FL 34982 ,
(772) 462-1553 Fax (772) 462-1578
PERMIT RENEWAL REQUEST
PERMIT NUMBER: SLC 1608-0343 ADDRESS: 134 Parliament Court
I James W Law 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 Fort Pierce
L/i-e�4pl ` a— . June 9, 2020
O RlBLDR OR CONTRACTOR SIGNATURE DATE
James W Law
Print Name
STATE OF FLORIDA
COUNTY OF SL Lucie
ACKNOWLEDGED BEFORE ME THIS 9th DAY OF June
2020
BY James W Law IWHO IS PERSONALLY KNOWN TO ME X OR
HAS PROVIDED
FOR OFFICE USE ONLY.
AS IDENTIFICATION.
Beverly J. Proske
NOTARY PUBLIC
STATE OF FLORIDA
so.-
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Expims 912612022
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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(%o)] $175(permit fee) x .65=$113.75 (renewal fee)
Revised 712112014
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