HomeMy WebLinkAboutPERMIT RENEWAL REQUESTPLANNING AND DEVELOPMENT SERVICES DEPARTMENT
(J1 T
F L 0 R i D
PERMIT NZJMBER; 108-0020
BUILDING AND CODE REGULATIONS DIVISION
Ball VIRGTNIA AVE
FGRT PIERCE, FL 34
(772} 1553 F-21 (772) 462-1579
PERMIT RENEWAURUQUEST
ADDRESS:3333 S. Indian, River Dr
L Vincent Franco am requesting that the above perm it be renQwQd. I
un&Tstand that I must schedule and pas. all Tequired inizpec-bons for the pemn t to be finakd. Further I
understand that this i� a ONE TIME RENEi AL. and the pervnit shall expire sheuId 1 not receive a
passing irispectten dunng any six month period during the renewai penod.
Justification Delay in missing Wn-dow part due to oovid
OW N L W.13LDR CAR CNTPLACTOR S I GNATLI R E
Vincent Franco
Pritac Name
STATE OF FLOP T'l'A
COUNTY DE 4W, r)
/r
TEA r
ACKN OWLEDG E D BEFORE AEI E T14TS TRAY OF �. }� �• 2�
BY t� � t �� WH IS PERSONALLY KNOWN TOME.....
HASPROVIDED AS IDE,NM ATION-
STATE OF F
of A)A Elnl 6kA) "
SAHAINACALCAGRO
Notes pubk • *Ski#. of FWd-k
SEAL J Carnrnis�io� Flfi 1;
NA� ..
m] Carnal_ W �k[ *. 2025
FOR OFFICE USE ONLY:
Number of (?bier, Irkspectionq-.
Total Inspoetiirr :
(Divide open by 90taI tO get % Of GpeD ir]Specti0ns)
P=untagc-
Original permit fee: x Flo open = S Renewal fee
Fxamp]e= f 15 divided by 2=165(%)a S175(permit fee) x .65=St 13.15 (re=wa I fee)
Rovised 7P' ] ] 4