HomeMy WebLinkAboutPERMIT RENEWAL REQUEST8/9/22, 9:42 AM To: +1 772-462-6443 From: +1 954-271-1414
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PLANNING AND DEVELOPMENT SERVICES DEPARTMENT
BUILDING AND CODE REGULATIONS DIVISION
2300 VIRGINIA AVE
FORT PIERCE, FL 34982
(772)462-1553 Fax (772)462-1579
PERMIT RENEWAL REQUEST
PERMITNUMBER: 2109-0018 ADDRESS: 7905 James Rd. Fort Pierce, Fl_ 34951
1 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 and Installer availability
OWNER/BLDR OR CONTRACTOR SIGNATURE
Roberto Sanchez
STATE OF FLORIDA
COUNTY OF
DATE
ACKNOWLEDGED BEFORE ME TIRS _� DAY OF 1111I- -y • • "20� : �•- •�
BY ' r"o1D �" WHO IS PERSONALLY KNOWN TO ME -OPC , OR
HAS PROVIDED
AS
Joiw, 01 TIIOMAS
MY COMMISSlU4111 tIH 144714
EXPIRE& September 18, 2e25
....e.n Tani ROM Pldie UMrm {ter5
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
Example: (15 divided by 23=.65(%)] $175(permit fee) x .65=$113.75 (renewal fee)
Reviwd 7f21=14
.., .