HomeMy WebLinkAboutPERMIT RENEWAL REQUEST0
PLANNING AND DEVELOPMENT SERVICES DEPARTMENT
BUILDING AND CODE REGULATIONS DIVISION
2300 VIRGE41A AVE
FORT PIERCE, FL 34982
(772) 462-1553 Fax (772) 462-1578
PERMIT NUMBER: SLC 1906-0050
RECEIVED
PERMIT RENEWAL REQUES JAN O 6 2020
SCANNED
BY ST, Wcle County, Permitting
St. Lucie Coon
ADDRESS: 2603 JUNIP R CT.
1 ARTHUR FRANK , 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 MATERIAL DELIVERY WAS DELAYED
ARTHUR FRANK
Print Name
STATE OF FLORIDA
COUNTY OF PALM BEACH
ACKNOWLEDGED BEFORE ME THIS 6TH DAY OF JANUARY
EY ARTHUR FRANK
HAS PROVIDED
1 /6/2020
DATE
2020
WHO IS PERSONALLY KNOWN TO ME X OR
AS IDENTIFICATION.
STA' E OF FLORIDA, unty f. e_ �� U'���i Felicia Latchaw
y* Commission # GG185434
A' URE 0 OTARY s - ExPites: Febuary 13, 2022
sn Bonded thru Aaron Notary
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(0/o)] $175(permit fee) x .65=$113.75 (renewal fee)
Revised 7/21/2014