HomeMy WebLinkAboutPERMIT RENEWAL REQUESTPLANNING AND DEVELOPMENT SERVICES DEPARTMENT
PERMIT NUMBER: 2108-0714
BUILDING AND CODE REGULATIONS DIVISION
2300 ViRGINIA AVE
FORT PIERCE, FL 34982
(772) 462-1553 Fax (772) 462-1578
PERMIT RENEWAL REQUEST
ADDRESS: 7003 Sebastian Rd. Fort Pierce, FL 34951
I Roberto Sanchez 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 Delays in material availability due to COVID
OWNER/BLDR OR CONTRACTOR SIGNATURE DATIH
0 " �W�CkL
Print Name
STATE OF FLO A
COUNTY OF �'�. f -
ACKNOWLEDGED BEFORE
M,E_TIES 2� DAY OF RY� 520
BY 9 � ��yLl it,- WHO IS PERSONALLY KNOWN TOME Q4 OR
HAS PROVIDED
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
AS IDENTIFICATION
�.��;�'�'� �JONATFION TIi0hiA5
EgE
bbrs —
Example: [15 divided by 23=.65(%)] $175(permit fee) x .65=$113.75 (renewal fee)
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