HomeMy WebLinkAboutPermit Renewals _ FLA NG AND AEVEL,OFMENT SER` ES DER R MENT
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BUILDING APTI�CODE REGULATIONS DIVISION'
R = 130D VIRGIN AV&
FORTEIERCE�FL 349$2 RE C �V
FaJ,(771)462157,$;
MAR 1 1 2020
I'ERNir-;1P VVA�,=REQUES
ST. Lude County, Permitting
PERMITNUMBER; 181 t=028I Abby ; 8036$ Ocean DO% Jensen,Beach;
►Can Tarpefl'
1, _t atn requesting thatthe.aboue permit b_e renewed
Iinderstand that I trust schedule and pass all regt�ired`inspeetions,for the.permit to be f naled Fui`t}ier I
understand that this;is a-ONE TIIVIE;RENEWAL and the:perrnifshaIl,expire should;I nothrecetve a,
,passing inspection during,any six month penal during the renewal period`
Tustficafton, renew fence perrr►if forfiiarti rnspecti'on
QW-NERBLDR OR CONTRAC'COR:S);tiNATT THE DATE
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ACICNOWLEDGEI}.BEFORE ACE THIS I)AY.0 r�< CL3 ,2b•
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BY. .' . .v .�GZ�^:r' _ .• : WFIOISPERS�QNALLYKNOWISTT.OME -
HA&PROVID,I I) `'''R AS'IDEN TIFICATIQN;
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STATE FLORIDA,Coup f.
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FOR_OFFICE:USR ONLY
dumber of Open Ins'peetrons;
Total Inspect am _._
(Divtde open=by total'to get.%«of'open inspections)
t?e�centage.
Ongnal permit fee x%open = '$ Renevyar fee.
Example CY'S divided by 23 65(0/)]r $L75(permit`fee)a .GS=$113,75(renewal fee)=
lteysed 7l2:1/2Qtil