HomeMy WebLinkAboutPERMIT RENEWAL REQUEST PLANNING AND DEVELOPMENT SERVICES DEPARTMENT
BUILDING AND CODE REGULATIONS DIVISION
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2300 VIRGINIA AVE
- - - FORT PIERCE,FL 34982 RECEIVEp
(772)462-1553 Fax(772)462-1578
DEC 10 2021
PERMIT RENEWAL REQUEST St.Lec ial Lucie County
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PERMIT NUMBER: 20100618 ADDRESS: 124 Queen Frederika Ct. �e
I, Martin Gonzalez ,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 selling our house and the final inspection was not conducted.
These permits are from prior to our purchase of the house.
4, 12/10/2021
OWNER/BLDR OR CO)qWACTOWSIGNATURE DATE
Martin Gonzalez
Print Name
STATE OF FLORIDA
COUNTY OF Sk,\-is -
ACKNOWLEDGED BEFORE ME THIS a DAY OF 20a
BY WHO IS PERSONALLY KNOWN TO ME OR
HAS PROVIDED L {J t- AS IDENTIFICATION.
STATE OF FLORIDA,County of
DEANNA GIVENS
SIGNATURE OF TARY Notary public State 8 Florida
����r 'a Commissio8lgA1E1086354
'''�o�` o-' My corn Expires Jan 28,2025
Bonded through National Notary Assn.
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(0/o)] $175(permit fee)x.65=$113.75.(renewal fee)
Revised 7/21/2014