HomeMy WebLinkAboutPermit Renewal Request77.
PLANNING AND DEVELOPMENT SERVICES DEPARTMENT
PERMIT NUMBER: 2008-0365
BUILDING AND CODE REGULATIONS DIVISION
2300 VIRGINIA AVE
FORT PIERCE, FL 34982
(772) 462-1553 Fax (772) 462-1578
PERMIT RENEWAL REQUEST
ADDRESS: 3371 Hatcher St.
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,
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 for pool company to complete the deck so we can complete installation and
obtain final inspection
O ER/ , DR OR CONTRACTOR SIGNATURE DATE
arl's n n
Print Name
STATE OF FLO�tID
COUNTY OF b } \�
ACKNOWLEDGED BEFORE ME THIS 1-0DAY OF , 17y r 1l I 20-2— L
BY CJ0f rL&S --R . 6 f 417 n WHO IS PERSONALLY NALLY KNOWN TO ME V , OR
HAS PROVIDED
AS IDENTIFICATION.
STATF OF F O DA, Co my of 1 -- -- ""'" ""`"—FE LL A
r r C f� a KRISTINE MIGHELLETAYLOR
State of Florida -Notary Public
* Commission # GG '155618
I TCIREOFNOTARY SEAL=;;q'Op o*�` My Commission Expires
it` October 29, 2021
----------__•-----------------------------------------------------------------------------------------------------------------------------------------
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(%)] $175(permit fee) x .65=$113.75 (renewal fee)
Revised 7/21/2014
PLANNING AND DEVELOPMENT SERVICES DEPARTMENT
PERMIT NUMBER: 2008-0365
BUILDING AND CODE REGULATIONS DIVISION
2300 VIRGINIA AVE
FORT PIERCE, FL 34982
(772) 462-1553 Fax (772) 462-1578
PERMIT RENEWAL REQUEST
ADDRESS: 3371 Hatcher St.
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,
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 for pool company to complete the deck so we can complete installation and
obtain final inspection
O ER/ , DR OR CONTRACTOR SIGNATURE DATE
arl's n n
Print Name
STATE OF FLO�tID
COUNTY OF b } \�
ACKNOWLEDGED BEFORE ME THIS 1-0DAY OF , 17y r 1l I 20-2— L
BY CJ0f rL&S --R . 6 f 417 n WHO IS PERSONALLY NALLY KNOWN TO ME V , OR
HAS PROVIDED
AS IDENTIFICATION.
STATF OF F O DA, Co my of 1 -- -- ""'" ""`"—FE LL A
r r C f� a KRISTINE MIGHELLETAYLOR
State of Florida -Notary Public
* Commission # GG '155618
I TCIREOFNOTARY SEAL=;;q'Op o*�` My Commission Expires
it` October 29, 2021
----------__•-----------------------------------------------------------------------------------------------------------------------------------------
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(%)] $175(permit fee) x .65=$113.75 (renewal fee)
Revised 7/21/2014