HomeMy WebLinkAboutPermit Renewal - Lynn Condon:r,.I,,l,l@lr.:, ........ COUNTY
FLORIDA
PLANNING AND DEVELOPMENT SERVICES DEPARTMENT
BUILDING AND CODE REGULATIONS DIVISION
2300 VIRGINIA A VE
FORT PIERCE, FL 34982
(772) 462-1553 Fu (772} 462-1578
PERMIT RENEWAL REQUEST
PERMIT NUMBER, 2106-0776 ADDRESS, 5812 Pinetree Drive Fort Pierce
t, Todd M Paroline am requesting that the above permit be renewed.
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 Customer is buildin a ool and has to com lete ool prior to fence-
1/7/2022
DATE
Todd M Paroline
Prim Name
ST ATE OF FLORIDA
COUNTYOF�S�tL�•�de,_ _
ACKNOWLEDGED BEFORE ME TJUS �? __ DAY OF January '20 22
WHO IS PERSONALLY KNOWN TO ME X OR
HAS PROVIDED ------------------- AS lDENTIFICATION.
av Todd M Paroline
-------·-----
FOR OFFICE USE ONLY,
Number ofOpen Inspections: __
Total Inspections: _
(Divide open by total to get% of open inspections)
Percentage:-------
Original pennit fee: x % open = $ Renewal fee
Example: [15 divided by 23=.65(%)] $175(pcrm.it fee) x .65=$ 113.75 (renewal fee)
Revised 712112014