HomeMy WebLinkAboutrenewalPLANNING AND DEVELOPMENT SERVICES DEPARTMENT
BUILDING AND CODE REGULATIONS DIVISION
2300 VIRGINIA AVE
FORT PIERCE, FL 34982
(772) 462-1553 Fax (772) 462-1578
PERMITNUMBER: SLC 2104-0535
PERMIT RENEWAL REQUEST
ADDRESS: 111 NE CAPRONA AVE, PORT S7
I, TOM FITE , 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 STRYKER ELECTRIC FOLLOWING THRU W/ PERMIT FOR GE[
PROJECT WITHIN A FEW
OWNER/BLDR OR
TOM FITE
Print Name
STATE OF FLORIDA
COUNTY OF MARTIN
JANUARY 11, 2022
DATE
ACKNOWLEDGED BEFORE ME THIS 11 TH DAY OF JAN UARY
BY TOM FITE
HAS PROVIDED
STAk OF FLORIDA, ou 7 of MARTI N
/lTURE OF NOTARY
FOR OFFICE USE ONLY:
zo 22
WHO IS PERSONALLY KNOWN TO ME XX , OR
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 7/21/2014
JANE L C®NNEN
Notary kbk • State of I'oi18a
Commissior x NN 086315
My Comm, Ex51r@5 Al' 7B, 2025
Mrnuh Natloa, Notary Mitt.