HomeMy WebLinkAbout Renewal requestCO►V
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PLANNING AND DEVELOPMENT SERVICES DEPARTMENT
PERMIT NUMBER-- 2107-0568
BUILDING AND CODE REGULATIONS DIVISION
2300 VIRGINIA AVE
FORT PIERCE, FL 34982
(772) 462-1553 Fax (772) 462-1578
PERMIT RENEWAL REQUEST
ADDRESS: 7960 PLANTATION LAKES DRIVE
17
1, PAU DRAGHI , 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,
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 APPLIANCES HAVE NOT BEEN DELIVERED
PAUL DRAGHI
Print Name
STATE OF FLORIDA
COUNTY OF MARTIN
ACKNOWLEDGED BEFORE ME THIS 10
BY PAUL DRAGHI
HAS PROVIDED
I
F FLO D County ofMARTIN
U OTAR
FOR OFFICE USE ONLY:
03.10.22
DATE
Is
DAY OF MARCH
20 22
WHO IS PERSONALLY KNOWN TO ME A-, OR
Number of Open Inspections:
Total inspections:
(Divide open by total to get % of open inspections)
Percentage:
Original permit fee: x % open = $ Renewal fee
TION.
2 EAbG N8681
%�i� �p���y ��nei�� �'�t�iy7� •• Q�
�`�>i��a,,pubric tlndy n`t�.e�`
Example: [15 divided by 23=_65(%)] $175(permit fee) x .65=$113.75 (renewal fee)
Revised 7/21/2014