HomeMy WebLinkAbout2103-0824 RenewalPLANNING 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: 2103-0824 ADDRESS: 87 Aqua Ra Dr
1, James Brann , 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 We were waiting for HO to decide on layout of enclosure. Ready to proceed now
with a revision.
OR
Jarrles Brann
Print Name
TURE
02/02/2022
DATE
STATE OF FLORIDA
COUNTY OF St Lucie
ACKNOWLEDGED BEFORE ME THIS DAY OFQ Yh 20dc�
BY James Brann WHO IS PERSONALLY KNOWN TO ME %le— , OR
HAS PROVIDED
STATE OF ORIDA, County of St Lucie
I &�
SIGN RE OF NOTARY
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.
�vsO Notary Public State of Florida
T+� Despina Borre
g� My Commission HH 081102
"'ofa Expires01/14/2025
Example: [15 divided by 23=.65(%)] $175(permit fee) x .65=$113.75 (renewal fee)
Revised 7/21/2014