HomeMy WebLinkAboutSLC-2006-0650 - ZammitPLANNING AND DEVELOPMENT SERVICES DEPARTMENT
BUILDING AND CODE REGULATIONS DIVISION
PERMIT NUMEER: SLC-2006-0650
2300 VIRGINIA AVE
FORT PIERCE, FL 34982
(772) 4624553 Fax (772) 462-1578
PERMIT RENEWAL REQUEST
ADDRESS: 12478 Harbour Ridge Blvd. Palm City, FL 34990
I Roberto Sanchez 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 Due to Covid and installation delays
OR CONTRACTOR SIGNATURE
�obe�ia �nG�wZ
Print Name
STATE OF FL RID uAe
COUNTY OF a
DATE
ACKNOWLEDGED BEFORE ME THIS
BY Pob{/l Sc,.n04'0�Z WHO IS PERSONALLY KNOWN TO MEJS OR
HAS PROVIDED
STATE
FLORI/DfA,
CounTy of
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R OFFICE USE ONLY:
AS IDENTIFICATION.
;�`Mr av�,•, ZOE MURPHY
� MY COMMISSIONHHH 107517
'•.'�'•,; . o`.? EXPAIES: March 22, 2025
'••%okdtY"' Bonded Thru Nolaw Public UndamrHars
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 7YLII20I4