HomeMy WebLinkAboutRenewal From Team K5 1.407.469.3499 Tue Jan 5 11:02:27 2016 EST Page 2 of 3
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PLANNING AND DEVELOPMENT SERVICES DEPARTMENT
.�.`.: ' .C),,.`.—A
•~••• BUILDING AND.CODE REGULATIONS DIVISION
230OVIRG INIA AVE
FORT PIERCE,FL 34982
(772)462-1553 Fax(772)462.1578
PERMIT RENEWAL REQUEST
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PERMIT NUM BER: SLC 1506-0013 ADDRESS: 8111 S Indian River Dr. Fort Pierce, FL 34982
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Boysie Ramdial , am requesti nq that the above permit be renewed. I
understand that I must sched-UTe and pass aTf required inspections for the permit to be final ed. Further, I
understand that this is a 0 N E TIM E RENEWAL and the permit shall expire shout d I not receive a
passing inspection during any six month period during the renewal period.
justification The installation of this job was delayed due to scheduling and ordering issues_
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,,;Q A a �,,,,� 01/05/16
---------- ---- -------------------------- ----------------------
OWNER/BLDR OR CONTRACTOR SIGNATURE DATE
Boysie Ramdial
---------------------------------------------------
P ri nt N arae
STATE OF FLORIDA
COUNTY OF Lake
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ACKNOWLEDGED BEFORE METHIS 5 DAY OF January 2016
-------- ------------------------------ -------
BY Boysie Ramdial WHO IS PERSONALLY KNOWN TO ME X OR
-------------------------------------- ---------
HAS PROVIDED AS IDENTIFICATION.
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5TA E F F County of Lake..................................
AA1£ER pLFNICER
NOTARY PUBLIC
-------------------------- STATE OF FLORIDA
SI TUBE OF NOTARY SEAL!,,&STATE
to ExpiresV1112016
FOR OFFICE USE ONLY:
Number of Open Inspections:_____
Total Inspections:_ 1
(Divide open by total to get%oof open inspections) 3
Percentage:
(i
-------------------
Original permit fee:---------- x% open = S----------Renewal fee
Example: [15 divided by 23=.65(%)] S175(permitfee)x .65=$113.75 (renewal fee)
R evised 7.!2112014
From Team K5 1.407.469.3499 Tue Jan 5 11:02:27 2016 EST Page 1 of 3
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407-469-5599 office
407-469-3499 Fax
Sr amber.flenker@expeditepermit.com
, RMe. 1
FACSIMILE TRANSMITTAL SHEET
TO: FROM:
Building Department Amber
COMPANY: DATE:
Saint Lucie County 01/05/16
FAX NUMBER TOTAL NO.OF PAGES INCLUDING COVER:
(772) 462 - 1578 3
RE: APPLICATION#
Renewal
Please find the attached renewal form and credit card authorization form to
renew expired permit SLC 1506-0013. .
Please contact Amber if any additional information is required and once the
permit has been renewed. Contact information can be found below.
Thank you for your assistance,
MAILING & SHIPPING ADDRESS:
205 W WASHINGTON ST SUITE B
MINNEOLA, FL 34715
Amber Flenker
Team K5 Construction&Development Coordination,LLC
407-469-5599 office Ext 357
407-469-3499 fax
Amber.flenketp_expeditepermit.com email