HomeMy WebLinkAboutBrandon Troska (St Lucie) - Permit RenewalPLANNING AND DEVELOPMENT SERVICES DEPARTMENT
•
w BUILDING AND CODE REGULATIONS DIVISION
2300 VIRGINIA AVE
FORT PIERCE, FL 34982
(772) 462-1553 Fax (772) 462-1578
PERMIT RENEWAL REQUEST
PERMIT NUMBER: 2012-0403 ADDRESS: 7106 Banyan Street Ft. Pierce 34951
1, James Player 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 Need to schedule bldg. final inspection
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OWNER/BLD R CONTRACTOR SIGNATURE DATE
James Player
Print Name
COLS o FLORIDA
ACKNOWLEDGED BEFORE ME THIS 3rd DAY OF March , 2022
BY James Player WHO IS PERSONALLY KNOWN TOME 0 , OR
HAS PROVIDED
FLOWDA,
NOTARY
FOR OFFICE USE ONLY:
radford
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.
MARIAR. BURGIN
Commission # GG 362849
s Ai;Avp',' Expires August 25, 2023
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Example: [15 divided by 23=.65(%)] $175(permit fee) x .65=$113.75 (renewal fee)
Revised 7/21/2014