HomeMy WebLinkAboutPERMIT RENEWAL REQUEST0(0 �0(0
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PERNIITRENKWALREQUEST.0/0
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PptMITiyUylgr R: t9-Fi106t5 ApDREgg:, 3906 Duneside Drive 04hlY
1 Alan Tatpell am requestingthat:the above permit be renewe(L I
understand that T must schedule and pass all required inspections forthe permit to be finaled.. Fnrthe>; I
understand that this is a ONig TnH RENEWAL and: the permit: shall expire should Inot, receive a
passing in during any six month: period during the renewal period.
7ustilleation
Fence Renewal
OWNERIBLDILOR CONTRACTOR SIONATUPY,
/Vats `arpell
PrintName
STATE OF FL0 _ {
VA
COUNTY OOFF� �ff
ACKNOO,WLED""lG RBEFORI MBTTIHS !4o DAY QF 20
&Y y/frEE .OG(fie- wu tlS RSONALL KNOwN TOME OR
MAR PRf1VMPn A e. if!VXft'CIi+ A'R XT
FOR OFFICE ITS& ONLY-.
Number of Open Inspections:_
Total Inspections.
(Divide open by total to get %ofopen inspections)
Percentage:
Original pennitfee x%open= S RenewaLfee
Example: [15 divided by 23=65CYo)] S175(permit fee) x.6" 1.13.75 (renewal fee)
Revised VIT2014