HomeMy WebLinkAboutPermit Renewal0612212020 13:07 ADAMS FENCE IT97729992039 P.0011002
PLANNING AND DEVELOPMENT SERVICES DEPARTMENT
BUILDING AND CODE REGULATIONS DIVISION
2300 VMGINIA AVE
PORT PIERCE, FL 34982
(772) 462-1553 Fax (772) 462-1578
PERN11T RENEWAL REQUEST JUN 2 3 2020
ST. Lucle County, Pern
PERMIT NUMBER: I-1 j a -61 qQ) ADDRESS: 3(C) C3 "/ A f A-
1, _ 5 cut 69 U rn3 am requesting that the above permit be renewed. I
understand That I most schedule and pass all required inspections for the permit to be finaled. Further,l
understand that this is a ONE THE RENEWAL and the permit shall expire should I not receive a
passing inspection during any six month period during the renewal period. �
Justification The. QJnco ;..riad �>L1' i. 4t4a � /",'r" y-k
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Print Name
'Al . r MICHAEL ADDED
Ilk
MY COMMISSION # GGOU606
STATE OF FLO DA ,a,. EXPIRES October lM, 20Z6
COUNTY OF (M IC.OV�e'
ACKNOWLEDGED
Y
ED��DGE ,AA�-�I
BEFOREME THIS � � DAYOF �A" 20
Sk BY �Ary%--1 WHO IS PERSONALLY KNOWN TOIvIEk JOR
HAS PROVIDED
VIOKAXOF-�OTARY
LORIDA County Of
1^�
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
As IDENTIFICATION.
SEAL
Example: 115 divided by 23=.65(%)] S175(permit fee) x.65=SI13.75 (renewal fee)
Revised 7212014