HomeMy WebLinkAboutpermit renewalPLANNING 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: 2104-0431 ADDRESS: 7002 DONLON RD FT PIERCE, FL 34951
I THE HOME DEPOT/ 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 In order to complete installation and inspections
OWNER/BLDR OR CONTRACTOR SIGNATURE'DATE
gbtlh 500kZ
Print Name
STATE OF FLQRI A
COUNTY OF hp_�� A'
ACKNOWLEDGED BEFORE ME THIS DAY OF /1�OyGrytbez , 20 ,tl
BY UO2 iSdIAocz WHO IS PERSONALLY KNOWN TO MExVOR
HAS PROVIDED
STATE OF FLORIDA, CounTy
SIG T �ARY
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
AS IDENTIFICATION,
LOE MURPHY
MY COMMISSION # NH 707577
)WES: March 22, 2025
onded Thru Notary Public Undwwrile,
Example: [15 divided by 23=.65(%)] $175(permit fee) x .65=$113.75 (renewal fee)
Revised 7/212014