HomeMy WebLinkAboutMisc Letters 954977359 �---, PERMITS PAGE 01/02
e1/27/2016 14:11
PLANNING AND DEVELOPMENT SERVICES DEPARTMENT
BUILDING AND CODE REGULATIONS DIVISION
2300 VIRGINIA AVE
FORT?TERM FL 34982
(772)462-1553 Fax(772)462-1578
PERMIT RENEWAL];:REQUEST
PERMIT NUMBER: 1507-0011 ADDRESS: 413 European Ln
Richard Levinson am requesting that the above permit be renewed. I
wderstand that I iia schedule and pass all required inspections for the pen-jut to be finaled. Further,I
understand that this is a ONE TIME RENEWAL and thepermit shall expire should I not receive a
passing inspection during any six month period during the renewal period.
�
Te un e Uktfflca e unable to schedule a date with the Homeowner in the time alloted for the
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OWNS . LDR-00 CONTRACTOR SIGNATURE 41A E�
XCONTRACT�
Richard Levinson
Print Narne,
STATE Or-FLORIDA
COUNTY OF &—d
ACKNOWLEDGED BEFORE.ME THIS DAY OF
By Richard Levinson WHO is PERSONALLY KNOWN TO Tvffi OR
HAS PROVIDED AS IDENTIFICATION.
S OF ORTDA�CoVyolf SKMFAWffM
EMEMY 0 2017 i jFji.jE5,.o=bar2l,2017
NOT
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IGNAT1."OF N N0,ZTVFub90Und4-"13 SEAL Atinrutiol.jr
FOR OFFICE TJSaE ONLY:
Number of Open Inspections.
Total Inspections:
(Divide open by total to get%of open inspections)
Percentage:
Original permit fee: x O/o open = $ Renewal fee
Example: (15 divided by 23=.65(%)] S175(pormit fee)x.65=$113.75(renewal fee)
Rovi-md 712112014 RECEIVELD
JAN 2 7 2016