HomeMy WebLinkAboutrenewal requestPLANNING 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: 2106-0659 ADDRESS: 6102 Raintree Trl. Fort Pierce, FL 34982
I 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 Delays in material availability
OWNER/BLDR OR CONTRACTOR SIGNATURE
Roberto Sanchez
Print Name
STATE OF FLORIDA
COUNTY OF
21�
DA E
ACKNOWLEDGED BEFORE ME THIS � DAY OF Jan 20 22
BY Roberto Sanchez WHO IS PERSONALLY KNOWN TO ME X OR
L. t. 'i• 1�_O
St Lucie
t.r�yrnav
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.
Example: [15 divided by 23=.65(%)] $175(permit fee) x .65=$113.75 (renewal fee)
Revised 7YL1/2014
JONATHONTHOMAS
MY COMMISSION N HH 144114
EXPfRES: September 18, 2025