HomeMy WebLinkAboutperemit renewal request _ 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: 2002-0717 (518) ADDRESS: 9632 ENCLAVE CIRCLE
I,_ r%3 T L nQr_. ,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 We are requesting an extension of 30 days. We received word that the builder is ready
for final inspection.
3/2021
OWNE RQ&06NTRACTO
IGNATURE DATE
James T Leonard
Print Name
STATE OF FLORIDA
COUNTY OF St. Lucie
ACKNOWLEDGED BEFORE ME THIS 23rd DAY OF November 20 21
By James T Leonard WHO IS PERSONALLY KNOWN TO ME XX ,OR
HAS PROVIDED AS IDENTIFICATION.
STATE OF FLORIDA,County of St Lucie
(/ ;o►' '4` ANGELA SORSODI-BIRMINGHAM
�V Notary Public•State of Florida
SIGNA OF NOTARY Ego Commission GG 249625
My Comm.Expires Aug 16,2022
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
Example: [15 divided by 23=.65(%)] $175(permit fee)x.65=$113.75(renewal fee)
Revised 7/21/2014