HomeMy WebLinkAboutPermit extension requestPLANNING 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 2106-0220 ADDRESS: 7370 S OCEAN DR PROJECT BLD B
I Pavel Redko , 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 Construction has not started on this project due to material shortage. Construction
anticipated to commence mid February.
O"ER/B TOR SIGNATURE
Print Name
1 /31 /2022
DATE
STATE OF FL
COUNTY OF
ACKNOWLEDGED BEFORE ME THIS DAY 20 zlz�
BY " ` WHO IS PERSONALLY KNOWN TO ME , OR
HAS PROVIDED 4,h'A,E+9j (/'LeASC AS IDENTIFICATION.
Notary Public State of Florida
Kristee Nelson
r_ p� MY Commission HH 059433
� Rd' Expires t 1/02/2024
SEAL
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