HomeMy WebLinkAboutpermit renewalPLANNING AND DEVELOPMENT SERVICES DEPARTMENT
4411.
COUNTY S
F L O R I D A
PERMIT NUMBER: 2004-0619
BUILDING AND CODE REGULATIONS DIVISION
2300 VIRGINIA AVE
FORT PIERCE, FL 34982
(772) 462-1553 Fax (772) 462-1578
PERMIT RENEWAL REQUEST
ADDRESS: 1578 Digiorgio Road, Fort Pierce
I David Graneto , am requesting that the above permit be renewed. I
understand that I must schedule and pass all required inspections for the permit to be fmaled. 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
SIGNATURE
David Graneto
Print Name
11 /30/21
DATE
STATE OF FL�([DA
COUNTY OF i1 c.
ACKNOWLEDGED BEFORE THIS LW' DAY OF 0 Wfit.
/20��
BY �� l 1 WHO IS PERSONALLY KNOWN TO MS/ OR
HAS PROVIDED
AS IDENTIFICATION.
STAM iARY
Countyof&�M ki—
OFNOT
SEAL
JULIE NIKLES
FOR OFFICE USE ONLY: a o State of Ohio
>4.. T
My Comm. Expires
Number of Open Inspections: oti ` w ; o May 17, 2025
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(%)] $175(permit fee) x .65=$] 13.75 (renewal fee)
Revised 7/21/2014