HomeMy WebLinkAboutPermit Renewals y '
PLANNING AND DEVELOPMENT SERVICES DEPARTMENT
- - BUILDING AND CODE REGULATIONS DIVISION
2300 VIRGINIA AVE
- - - FORT PIERCE,FL 34982
RECEIVED (772)462-1553 Fax(772)462-1578
JAN 19 �? PERMIT RENEWAL REQUEST
St.Lucie c6ut1j.v
Permiiiing
PERMIT NUMBER: 2103-0364 ADDRESS: 7202 Deer Park Ave
I Morey Doyle 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 Delay due to COVID.
1/18/2022
OWNER/BLDR OR 7C CTOR SIGNATURE DATE
Morey Doyle
Print Name
STATE OF FLORIDA
COUNTY OF Brevard
ACKNOWLEDGED BEFORE ME THIS 18th DAY OF January 20 22
I
BY Morey Doyle WHO IS PERSONALLY KNOWN TO ME X)OC OR
HAS PROVIDED AS IDENTIFICATION.
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STATE OF FLORIDA,County of Brevard Notary Public State of Florida
� Heather C n M
My Commission HH 029010
V Expires
SI AT RE OF NOTAR SEALo' 08105l2024
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FOR OFFICE USE ONLY:
Number of Open Inspections:
j Total Inspections:
(Divide open by total to get%of open inspections)
Percentage:
Original permit fee: x%open = $ Renewal fee
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Example: [15 divided by 23=.65(%)] $175(permit fee)x.65=$113.75(renewal fee)
Revised 7/21/2014
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