HomeMy WebLinkAboutPERMIT RENEWAL REQUESTi
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PLANNING AND DEVELOPMENT SERVICES DEPARTMENT
BUILDING AND CODE REGULATIONS DIVISION
q ) 2300 VIRGINIA AVE
FORT PIERCE, FL 34982
(772)462-1553 Fax (772) 462-1578
PERMIT RENEWAL REQUEST SCANNED
BY
I �t Lucie Count
PERMITNUMBER: SLC-1811-0583 ADDRESS: '7832 Saddlebrook Drive y
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I,I Jason Prince , 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 Fence still not ready to be installed
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OWNERBL R O TRACTOR SIGNATURE DAT
Jason Prince
Print Name
STATE OF FLORIDA
COUNTY! OF PALM BEACH
ACKNOWLEDGED BEFORE ME THIS O� DAY OF �N I t'.iY�' i , 20-1�—
BY III OSdh Yi Y1 L'e- WHO IS PERSONALLY KNOWN TO ME ✓ OR
HAS
AS IDENTIFICATION.
YPUB� CHERYL L AZZIZZI
STATE OF L A,'Countyiof l a•I1M pCAcy-� *4wirka" Commission#GG250143
ExplresAugust30,2022
BondedTluuBudgatNoteyG*rd 0
GNA AI SEAL
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FOR OFFICE USE ONLY:
Number of Open Inspections:
Total Inspections:
(Divide open by total to get % of open inspections)
Percentage:
Original pi rmit fee: x % open = $ Renewal fee
Example: [15 divided by 23=.65(%)] $175(permit fee) x .65=$113.75 (renewal fee)
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Revised 7/21/2014
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