HomeMy WebLinkAboutPERMIT RENEWAL REQUEST 12-10-21 PLANNING AND DEVELOPMENT SERVICES DEPARTMENT
-} r J u BUILDING AND CODE REGULATIONS DIVISION
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2300 VIl2GINIA AVE
- - FORT PIERCE,FL 34982
(772)462-1553 Fax(772)462-1578 RECEIVED
PERMIT RENEWAL REQUEST DEC 10 2021
r� St,LueIO County
I �� L[l� Permitting
PERMrr NUMBER: 20100617 ADDRESS: 124 Queen Frederika Ct. D M
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 TRUE 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.
12/10/2021
OWNER/BLDR OR CO C OR SIG DATE
Martin Gonzalez
Print Name
STATE OF FLORYDA
COUNTY OF •L o--
ACKNOWLEDGED BEFORE ME THIS \4�1 DAY OF G 20 O _
By a �y`i a�Z v.�e 2 WHO IS PERSONALLY KNOWN TO ME OR
HAS PROVIDED L L AS IDENTIFICATION.
STATE OF FLORID ty of J o e "'v'i" DEANNA GIVENS
i4; r Notary Public-State of Florida
Commission NH 086354
SIGNATURE OF TARY pF n°' My Cgt�t Expires Jan 28,2025
Bonded thPdd�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(1/o)] $175(permit fee)x.65=$113.75(renewal fee)
Revised 7/21/2014
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