HomeMy WebLinkAboutReheis Permit renewal request (2)RMP :,�
C6UNTY
F L Q
R I D A
PLANNING AND DEVELOPMENT SERVICES DEPARTMENT
PERMIT NUMBER: 2106-0610
BUILDING AND CODE REGULATIONS DIVISION
2300 VIRGINIA AVE
FORT PIERCE, FL 34482
(772)462-1553 Fax (772) 462-1578
PERMIT RENEWAL REQUEST
ADDRESS: 3200 N Hwy Al #301
I John Zervopoulos , 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 Building going through concrete restoration. No balcony's
SIGNATURE
John-Ze—rvopoulos
Print Name
STATE OF FLORIDA
COUNTY OF Martin
ACKNOWLEDGED BEFORE ME THIS 8th DAY OF March
BY John Zervopoulos
HAS PROVIDED
STATE OF FLORIDA, County of Martin
SIGNAT+E OF NOTARY
FOR OFFICE USE ONLY:
03/08/2022
DATE
2022
WHO IS PERSONALLY KNOWN TO ME X , OR
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.
MELISSA A. EWOLaT
SEAL MY COMMISSION # HH 1465M
Pg: EXPIRES: August 10, 2025
%Fdd FAQ.` Bonded Thru Notary Public Underwriters
Example: [15 divided by 23=.65(%)] $175(permit fee) x .65=$113.75 (renewal fee)
Revised 7/21/2014