HomeMy WebLinkAbout5841 HONEYBELL CT 36D_ RENEWAL REQUEST_090121COUNTYF
F
t.
O- R - I D A_---
PLANNING AND DEVELOPMENT SERVICES DEPARTMENT
BUILDING AND CODE REGULATIONS DIVISION
2300 VIRGINIA AVE
FORT PIERCE, FL 34982
(772) 462-1553 Fax (772) 462-1578
PERMIT RENEWAL REQUEST
PERMIT NUMBER: 2001-0048 ADDRESS: 5841 HONEYBELL CT 36D, FORT PIERCE, FL 34982
RICHARD BASSOFF , 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 NEED TO REOPEN TO CALL FOR FINAL INSPECTION
09/1/21
ER/BLD NTRACTOR SIGNATURE DATE
RICHARD BASSOFF
Print Name
STATE OF FLORIDA
COUNTY OF PALM BEACH
ACKNOWLEDGED BEFORE ME TI-IIS 1ST DAY OF SEPT 2021
BY RICHARD BASSOFF WI-10 IS PERSONALLY KNOWN TO ME X , OR
HAS PROVIDED
County of PALM BEACH
Y
FOR OFFICEUSE ONLY:
Number of Open Inspections:
Total Inspections:
(Divide open by total to get % of open inspections)
Percentage:
Original permit fee: x % open = $ Renewal fee
AS IDENTIFICATION.
F�01
=2tr2
tate of Florida
orgescu
SEAL GG 233150
22
Example: [ 15 divided by 23=.65(%)] $175(permit fee) x .65=$1 13.75 (renewal fee)
Revised 7/21/2014