HomeMy WebLinkAbout2102-0351 - Permit RenewalCOUNTY
F
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0 R I D R
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: 2102-0351 ADDRESS: 7445 Bob O Link Way
1, 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, 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 Waiting on pool company to finish pool so we can start and complete
the pool enclosure
OR CONTRACTOR SIGNATURE
James Brann
Print Name
STATE OF FL IAA
COUNTY OF ( t
9/15/21
DATE
Notary Public State of Florida
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+� Nty Comrossion HH 081102
ltdj; Expires01/1412025
ACKNOWLEDGED BEFORE ME THIS � DAY OF&-'O'(' � , 20a
Bg WHO IS PERSONALLY KNOWN TOME V , OR
HAS PROVIDED
AS IDENTIFICATION.
STAT FLORIDA, County of —Q'� "(2A E
Sfd11ATURE OF NOTARY SEAL
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 = S Renewal fee
Example: [15 divided by 23=.65(%)] $175(permit fee) x .65=$113.75 (renewal fee)
Revised 7/21/2014