HomeMy WebLinkAboutMisc Letters 01/27/2016 16:49 9549773591 PERMITS PAGE 01/02
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PLANNING AND DEVELOPMENT SER
�VZCES DEPARTMENT
BUILDING AND CODE REGULATIONS DIVISION
2,300 VIRGINIA AVE
* _ FORT PIERCE,FL 34982
(772)462-1553 Fax(777)462-1578
PERMIT RENEWAL REQUEST
PERMIT NUMBER:
150.7-0062 ADDRESS: 10200 S OCEAN DR#504
1, Richard Levinson am requesting that the above permit be renewed. I
understand that I Iaalzst schedule and pass all required inspections for the permit to beinalcd. Further,Z
understand that dais is a ONE T NEWAL and the permit shall expire should I not receive a
passing inspection during any si t inoz.th period during the renewal period.
J s 'fication we were unable to schedule an inspection with the Homeowner int he time alioted
th p r it.
1125/16
1O B R_ ONTR.ACTOR SIGNATLME DATE
Richard Levinson
Taint Name
S'TA'LE OF FLORIDA
COUNTY OF J(�
ACKNOWLEDGED BEFORE ML THIS / DAY OF `� •20- -
BY Richard Levinson wH0 IS PERSONAL LY KNOWN TOME x 'OR
,TAS PROVIDED AS IDENTIFICATION.
STA �0•T7L0� A,Cof E
"! SWERIFawHYrE
MY COMMISSION#FF 005032
NATURE F NOTARYES:October 21,2917
'L iit'�• fendednded Thru Nntmy PUBII�Undenurlt°ra
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FOR OFFICE USE ONLY:
Number of Open Inspections:
Total Inspections:
(Divide opens by total to get%of open inspections)
Percentage:
Original permit fee: x%open = $ Renewal fee
Example: [15 divided by 23=.65(%)] $I75(pernait fcc)x.65=$113.75(renewal fee) tfr- T
Revised 7/21/2004 JAN 212016