HomeMy WebLinkAboutPermit Renewal RequestPLANNING AND DEVELOPMENT SERVICES DEPARTMENT
BUILDING AND CODE REGULATIONS DIVISION
2300 VIRGINIA AVE
FORT PIERCE, FL 34982
(772) 462-1553 Fax (772) 462-1578
PERMIT RENEWAL REQUEST
PERMIT NUMBER: 1912-0536 ADDRESS: 123 Queen Frederika Ct
I James Brann , 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 Waiting on pool company to complete the pool deck so the enclosure can be
installed and inspected.
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OW R/BI,IDR OR CONTRACTOR SIGNATURE DATE
James R. Brann
Print Name
STATE OF FLORIDA
COUNTY OF St. Lucie
ACKNOWLEDGED BEFORE ME THIS v�AY OF 601r)& V— , 20 140
BY James R. Brann
HAS PROVIDED
ST TE OF FLOFJDA, County of St.
I;IfNATURE OF NOTARY
-------------------------------------------
FOR OFFICE USE ONLY:
WHO IS PERSONALLY KNOWN TO ME X , OR
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.
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Example: [15 divided by 23=.65(%)] $175(permit fee) x .65=$113.75 (renewal fee)
Revised 7/21/2014