HomeMy WebLinkAboutPermit Renewal 0511212020 08:46 (FAX) P.001/002
PLANNING AND DEVELOPMENT SERVICES DEPARTMENT
Li A
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1'7-11- BUILDING AND CODE REGULATIONS DIVISION
2300 VIRGINIA AVE
__'......._._..__......._. FORT PIERCE,FL 34982
(772)462-1553 Fax(772)462-1578
PERMIT RENEWAL REQUEST
PERMIT NUMBER: 1710-0368 ADDRESS: 11027 S OCEAN DR,JENSEN BEACH,FL 34957
I, KEVIN M. SHARKEY ,am requesting that the above permit be renewed. I
understand that I must schedule and pass all required inspections for the permit to be flnaled. 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 mCntTi period wring the renewal period.
Justification WE THOUG PROPERTY HAD BEEN INSPECTED.
5/12/2020
T
CTOR SIGNATURE DATE
ARKEY
STATE OF FLOMA
COUNTY OF
ACKNOWLEDGED BEFORE ME THIS 12TH DAY OF MAY .2020
BY KEVIN M SHARKEY WHO IS PERSONALLY KNOWN TO ME X .OR
HAS PROVIDED AS IDENTIFICATION.
STATE 07,LORMA,County of MARTIN
50NJA ANN LEWIS
Notary Public•State of Florida
SIGNATURE TARY S tammtselon N GG 103171
My Comm,Expires Mar 10,2023
sanded Ihruugh Natlnoal'NoUry Assn,
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; [15 divided by 23=.65(°/a)] $175(pennit fee)x.65—$113.75(renewal fee)
Ravised 7/21/2014