HomeMy WebLinkAboutPermit Renewal RequestPLANNING AND DEVELOPMENT SERVICES DEPARTMENT
BUILDING AND CODE REGULATIONS DIVISION
2300 VIRGItNIA AVE
FORT PIERCE, FL 34982
(772) 462-1553 Fax (772) 462-1578
PERMIT NUMBER: 1608-0450
PERMIT RENEWAL REQUEST
ADDRESS: 7706 Deer Park Ave, Fort Pierce, FL
I Douglas E Roe Code Red Roofers Inc , am requesting that the above permit be renewed. I
understand that I must schedule and pass all required inspections for the permit to be Snaled. 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 To recall and pass final inspection and close permit per case No 103591.
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OWNERBLDR OR CONTRACTOR SIGNATURE DATE Prrht Name
STATE OF FLORIDA
COUNTY OFr��[��Q
ACKNOWLEDGED BEFORETHIS/7
MME DAY OF �� "f `ti""Yty`� • 20 ?�
BY N�� / WHO IS PERSONALLY KNOWN TO ME OR
HAS PROVIDED
STATE 0f FI^DA, County of
FOR OFFICE USE ONLY:
AS IDENTIFICATION.
" KF��1 CRAWFORD
MY M 1ss10N 4 W265055
1; � EXPIRES. October 03, 2022
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(%)] $175(permit fee) x .65=$113.75 (renewal fee)
Revised 7/212014