HomeMy WebLinkAboutPERMIT RENEWALPublic Works Department
Code Compliance Division.
2300 Virginia Avenue
Ft. Pierce, FL 34982-5652
SCANNED
BY
- —`--_ - PERMIT-REnN-EWAI: REQUEST st hriA rn►inVti
ADDRESS: 5Rq 5 E. V �� 9J w . PERMIT NO.: n l !) Z - 3 I oL
7--U1Vt''Zil we, W G --VyVI� AT.iDC!'IT TIIC'i'R.T/�'1'GS�AT TTTn.�T��m
PERMIT IS RENEWED FOR EIGHTEEN MONTHS. 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.
Ownei/Builder or Contractor Signature Date"
STATE OF FLORID
COUNTYOF���( L
Swo to and subscribed before me this day o 200
��^ w � Who is pets nal, mown _ or who has produced
identification
U_ti
Signature
Commissi
FOR OFFICE USE ONLY:
RENEWAL FEE:
OPEN INSPECTIONS (� 1 X PERMIT FEE
TOTAL INSPECTIONS ( )