HomeMy WebLinkAboutMisc Letters 02/01/2016 13:22 9549773591 PERMITS PAGE 01/02
PLANNING AND DEVELOPMENT SERVICES DE PARTMENT
BUILDING AND CODE REGULATIONS DIVISION
2300 VIRGINIA AVE
FORT PIERCE,FL 34982
(772)462-J553 Fax(772)462-1578
PERMIT RENEWAL REQUEST
PERMIT NUMBER: 1507-0219 ADDRESS., 854 SE CORTO TER
I, Richard Levinson atA requesting that the above permit be renewed. I
understand that I must schedule and pass Z—rec uired ins ections for the pernift to be finaled. Further,I
understand th�t this is a Q MW 71�
_RENEWAL and the pe.=. 't shall expire should I not receive a
paMg a mspecti6�during any six mouth period during the renewal period.
e re unable to schedule an inspection with the Homeowner int he
'6kii f� ,ti
0 time alloted
forTa Aermit.
Lj-
6W—NERN64:R O�- -(NffbAtTORSIGNATURE DATE
Richard Levinson
Print Name
STATE OF FLORID
COUNTY OF
ACKNOWLEDGED BEFORE N1E THIS DAY Or PAL—
BY Richard Levinson WT40 IS PERSONALLY KNOWN TO ME X . OR
:HAS PROVIDED AS IDENTIFICATION.
ST OFF ORJDA5 COW*
SHEF;1FAW1:1,HYTE
My COMMISSION#FF 065032
EXPIRES;oclobor2i,2017
LtFG—NA77 OF NOTARY/ SE 2017.
..'m
FOR OFFICE USE ONLY:
Number of Open Inspections:
Total Inspections:
(Divide open by total to get O/o of open inspections)
Percentage:
Original permit fee: x%open = $ Renewal fee
Example: [15 divided by 23-.65(0/a)] S175(permit fee)x-65-$1 13.75(ronewal'&e) ;�"Z
REC
Ravisod?/=014
FEB, 1 20