HomeMy WebLinkAboutPermit Renewals PLANNING 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: SLC 2103-0388 ADDRESS: 7501 Belleair 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 COVID - Supplies and man power shortage
2/3/2022
OWNER/BLDR OR CONTRA SIGNATURE DATE
Morey Doyle
Print Name
STATE OF FLORIDA
COUNTY OF Brevard
ACKNOWLEDGED BEFORE ME THIS 3rd DAY OF January ,2022
BY Morey Doyle WHO IS LPERS ME XXX OR
HAS PROVIDED AS IDENTIFICATION.
STATE OF FLORIDA,County of Brevardr
+F' NOerY Pic mete of Florida
. Heather C Dahlin
�` My Commission HH o2so111
SIGNATURE OF NOTARY SEAL
oa wp` Expires 0&=024
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
Example: [15 divided by 23=.65(%)] $175(permit fee)x.65=$113.75(renewal fee)
Revised 7/21/2014