HomeMy WebLinkAboutDirobbio-Renwal FormPLANNING AND DEVELOPMENT SERVICES DEPARTMENT
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Q R I D A
PERMIT NUMBER: 2007-0373
BUILDING AND CODE REGULATIONS DIVISION
2300 VIRGINIA AVE
FORT PIERCE, FL 34982
(772) 462-1553 Fax (772) 462-1578
PERMIT RENEWAL REQUEST
ADDRESS: 166 Mediterranean BLVD
I Jonathan Starratt , 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, 1
understand that this is a ONE TIME RENEWAL and the permit sha11 expire should I not receive a
passing inspection during any six month period during the renewal period.
Justification The job is complete and needs a final inspection to close out the permit
OWNER/BLDR
Jonathan Starratt
Print Name
STATE OF FLORIDA
COUNTY OF St. Lucie
SIGNATURE
ACKNOWLEDGED BEFORE ME THIS 24 DAY OF March
BY Jonathan Starratt
HAS PROVIDED
STATE . F FL .vent of St. Lucie
�1
SIGNATU n ARY
FOR OFFICE USE ONLY:
3/24/22
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.
Y ALVIN RODRIGUEZ JR.
MY COMMISSION *GG327319
SEAL EXPIRES: APR 24, 2023
a Bonded through 1st State Insurance
Example: [15 divided by 23=.65(%)] $175(permit fee) x .65=$113.75 (renewal fee)
Revised 7/21/2014