HomeMy WebLinkAboutMisc Letters 01/27/2016 14:15 95497735T"—�,
PERMITS PAGE 01/02
PLANNING AND DEVELOPMENT SERVICES DEPARTMENT
)RUILDJNG AND CODE REGULATIONS DMSTON
2300 VIRGINIA AVE
FORT PMRCE,FL 34982
(772)462-1553 Fax(772)462-1578
PERMIT RENEWAL REQUEST
PERWTNUl MER: 1507-0012 ADDRESS: 8020 LINKS WAY
Ir Richard Levinson 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. Fuither,l
understand that this is a On TIME RENEWAL and the pennit shall expire should I not receive a
passing inspection during any six month period during the renewal peri.od.
,el,N�e unable We were unable to schedule a date with the Homeowner in the time alloted for the
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OWNMaLDR_OP,CONTRACDO—R SIGNATURE DAfCF
Richard Levinson
Print Name
STATE OF FLORIDA
COUNTY OF Firo-d
ACKNOWLEDOED BEFORE W THIS DAY OF
-Q/7 20—LL
By Richard Levinson WHO IS PERSONALLY KNOWN TO Mr, OR
HAS PROVIT)ED AS IDEN'RFICATION,
STATE 1 LORID .County of RM-
My COMMISSION 0 FF M5032
ARES;Odobar2i,2017
WONATURE OK
NOTARY SEA
ELsunded Thru Nofm Publi;UndOmmgrfic
t
FOR OFFICE USE ONLY:
Number of Open Inspections:
Total Inspections:
(Divide open by total to get%of open inspections)
Percentage,
Original permit fee. x 0/6 open Renewal fee
Example. LIS divided by 23=_65(°/0)3 $175(permit fee)x.65—SI13.75(renewal.fec)
Revised 721/2014