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A PLANNI .GaAND-DEVEI�OPMEN'�`SERVICES DEPARTMENT '```
BUI ING°AND C-ODE RE 1JLA-TIONS DTYMSION
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;2300-V1RGINIA AN'E_ k
FORT PIERCE FL 3498
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PERMIT RENEVAL;REQUEST
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PERAlIT_NUMBER:;.1606-0003• _ADDRESS200 N Al A,apt;815, Ft_ Pierce, FL 34949'
Curtis Sammons.
__.� -_,am requesting that the above permit be-ienewed I
understand that I must scm. hedule and'pa s all required,Inspectjons,for the permrtao bemaled. Further;l>:
understand that#his Is a ONE TIME NEWAL'and the permit shall expire_should 7"not receive.-a
passing insp sect on:during any 4six mont perigd during the.,renewal period:
Justification not sure what Happened.' hmk-a.couple got'misfled;-
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Curtis Sammons: 8 25-2020
-Date 4-slgned C Sammons fle
20 08.2515 03-0419
QW_NERBIDROR CONTRACTOR SIGNA URE — �' DATE:
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Curtis Sammons
,STATE OF FLORIDA:
COUNTY OF'.Berm c�
AGKNOWLED:GED BEFORE ME'I'fIIS.25 DAY OF AU9USt 2020
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'CUrt1S.SammOnS _. WNO I9 PERSONAELY" WN'fONE YeS .� OR.
NASPROVIDD --- - _.,. ...yin.—__ _._ _ _ AS=IDENTIFIGA3ION
Saint lucle
STA OF FLORID ounty of ' . ,iA1E3jARVt$•
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$ ATUI?E.QFN ,ARY SEAL; EEW�ES' S )
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7777
Number Qf Open Iiispect�ons � _
Total Inspections: -
(Dtvide opeq,h3�iotal:''to get 3'0 of openInspec4 onsJ
Original permit fee - M -x°lo'open 'Renewal-fee-
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