HomeMy WebLinkAboutrenewalPLANNING AND DEVELOPMENT SERVICES DEPARTMENT
BUILDING AND CODE REGULATIONS DIVISION
2300 VIRGINIA AVE
FORT PIERCE, FL 34982
(772) 462-1553 Fax (772) 462-1578
pERmrr NUMBER: SLC 2108-0413
PERMIT RENEWAL REQUEST
ADDRESS: 107 N 37th St., Fort Pierce, FL 34947
1, Margaret May 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 Window and doors were delayed.
Paul Judson Digitally signed by Paul Judson
Data: 2022.02.0710:19:17-0 W'
OWNER/BLDR OR CONTRACTOR SIGNATURE
Paul Judson
Print Name
2/7/2022
DATE
STATE OF FLORIDA
COUNTY OF ICI °t✓
ACKNOWLEDGED BEFORE ME THIS , DAY OF Rib Y LAIC -I "A , 20 22
BY PCL IZI j Ld`(.Y) WHO IS PERSONALLY KNOWN TO ME 'OR
AS IDENTIFICATION.
OF
�YR "I& Notary Public State of Florida
Ashley Dunfi&AL
My Commission GG 949276
Exgras0l/2112024
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