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HomeMy WebLinkAboutMisc Letters * �� � Y w JUANNING AND DEVELOPMENT S:-t,,SLICES DEPARTMENT �� Building and Code Regulations Division COUNTY2300 VIRGINIA AVE. FORT PIERCE,FL 34982 (772)462-1553 Fax(772)462-1578 PERMIT RENEWAL REQUEST PERMIT NUMBER: ADDRESS: 9705 r' 'Y>rT I'� ©i- f4 & V z- I, 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 OWNERBLDR OR CONTRACTOR SIGNATURE DA Print Name STATE OF FLORIDA COUNTY OF ACKNOWLEDGED BEFORE ME THIS DAY OF 20� BY 1 n {m WHO IS PERaNALLY KNOWN TO ME ,OR HAS PROVIDED LothAS IDENTIFICATION. STATE OF ORIDA,County of 7L�iL-P UDREYB.HUMPHREY SIGNAT OFNOTAR SEALOMP✓fISSlON Ik FF 174772 PIRES:March 6,2019 Thro Notary Pubtic Underwr ters FOR OFFICE USE ONLY: Number of Open Inspections: j _ Total Inspections: [ (Divide open by total to get%of open inspections) Percentage: Original permit fee: x%open = S Renewal fee Example: [15 divided by 23=.65(0/o)] $175(permit fee)x.65=$113.75(renewal fee) Revised 6/24!2014 RECEIVED JAN 2' 7 2016