HomeMy WebLinkAboutPERMIT RENEWALPERMIT NUMBER:
PLAI`INING AND DEVELOPRENT SERVICES DEPARTMENT
BUILDING AND CODE REGULATIONS DIVISION
2300 VIRGINIA AVE
FORT PIERCE, FL 34982
(772) 462-1553 Faz (772) 462-1578
PERMIT RENEWAL REQUEST
'3~_dylqADDRESS..
must
am requesting that the above pemit be renewed. I
schedule and pass all required inspections for the permit to be finaled. Further, I
understand that this is a ONE TIME RENEWAL and the pemit shall expire should I not receive a
STATE OF FL
COUNTY OF
ow2P.L4<;ic
DATE
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 -S Renewal fee
Example: [15 divided by 23=.65(%)] S175®ermit fee) x.65=S113.75 (renewal fee)
Revised 7/2 I /20 I 4