HomeMy WebLinkAboutRenewal RequestPLANNING AND DEVELOPMENT SERVICES DEPARTMENT
BUILDING AND CODE REGULATIONS DIVISION
2300 VIRGINIA AVE
FORT PIERCE, FL 34982
(772) 462-1553 Fax (772) 462-1578
PERMIT RENEWAL REQUEST
PER IFENUMBER: 2103-0801 ADDRESS: 8650 S. Ocean Dr.,#1101-1102
I Nathan Cooke 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 We have been having problems getting needed materials due to COVID.
3/10/22
OWNERBLDR OR CONTRACTOR SIGNATURE DATE
Nathan Cooke
Print Name
STATE OF FLORj�j�
COUNTY OF ///<✓ '
ACKNOWLEDGED BEFORE ME /THIS /0� DAY OF ��''�� 22///00 ����Z Z
BY /VCJhaV\ �OPLr WHO IS PERSONALLY KNOWN TO ME� OR
HAS PROVIDED AS IDENTIFICATION.
_-o*- WALTER 6 PAYNE II
�E= Notary Public -State of Florida
`i Commission # HH 32033
?c�F; My Comm. Expires Aug 25, 2024
SEAT Bonded through National Notary Assn.
a
10]"XII1111011ORIM 0110air
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 (renewalfee)
Revised 7/21/2014