HomeMy WebLinkAboutPermit Renewal RequestFrom: -Brian Kirby Fax: (954) 573-1400 To: +17724621578 Fax: +17724621578 —Rige 3 of 4 0811912014 9:46
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PLANNING AND DEVELOPMENT SERVICES DEPARTMENT
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BUILDING AND CODE REGULATIONS DIVISION
2300 VIRGINIA AVE
FORT PIERCE, FL 34902
(772) 462-1553 Fax (772)462-1678
PERMIT NUMBER: SLC 1312-0161
PERMIT RENEWAL REQUEST
ADDRESS: 6014 Sunset Blvd. Fort Pierce, FL 34982
I, Boysie Ramdial , 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 Permit SLC 1312-0161 has expired: We ran into product issues and scheduling issues
with the homeowner that prevented us from completing this job before its expiration.
A "41t``C 08/19/2014
OWNER/BLDR OR CONTRACTOR SIGMA FURE DATE
Boysie Ramdial
Print Name
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STATE OF FLORIDA
COUNTY OF Lek.
ACKNOWLEDGED BEFORE ME THIS 19 DAY OF August 2014
BY Boysie Ramdial WHO IS PERSONALLY KNOWN TO ME X OR
HAS PROVIDED AS IDENTIFICATION,
Lake AMBER FLENKER
STATE OF FL RID un of NOTARY PUBLIC
STATE OF FLORIDA
S092
IGNAT R OF NO A SEALCom201
*'OvalExpires111#/2016
.........................................................................................................................................................
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
Example: [16 divided by 23=.65%1 $175(permit fee) x .65=$113.75 (renewal fee)
Revised 7/21/2014