HomeMy WebLinkAboutPermit Renewal Request_2005-0684_4-7-21 PLANNING AND DEVELOPMENT SERVICES DEPARTMENT
BUILDING AND CODE REGULATIONS DIVISION
2300 VIRGINIA AVE
FORT PIERCE,FL 34982
(772)462-15.53 Fax(772)462-1578
PERMIT RENEWAL REQUEST
PERMIT NUMBER: 2005-0684 ADDRESS: 2950 Aico Road, Fort Pierce, FL 34951
Dan Curington, Curington Contracting, LLC 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 This fence permit was never inspected. We would like to renew the permit and
have the final inspection completed. Thank you.
4/7/2021
LDR OR TRACTOR SIGNATURE DATE
Dan l U(-I*f)% Pn6
Print Name
STATE OF FLORIDA
COUNTY OF A)
ACKNOWLEDGED BEFORE ME THIS DAY OF_ &)L- ,20_,LL
BY '�)/ffj )21n/rc0/J HO 1S PERSONALLY KNOWN TO M OR
HAS PROVIDED AS IDENTIFICATION.
STATE O ,Cou f •� =Bruzdz'ak
State of Floridazdziakon GG 254595NO SEAL � ::+J r /2022
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 7/212014