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HomeMy WebLinkAboutMisc Letters 04/01/2016 12:49 5614932701 ECM PAGE 01/02 PLANNING AND DEVELOPMENT SERVICES DEPARTMENT M UNTY BUILDING AND CODE REGULATIONS DIVISION 2300 VIRGINIA AVE FORT PIERCE,FL 34982 (772)462-1553 Fax(772)462-1578 PERMIT RENEWAL REQUEST PERMIT NUMBER: �I:� )�L�U3 ADDRESS: •.__R(,`"10 Wm clr `rD 1- .am requesting that the above permit be renewed. I understan that I must schedule and sass all required inspections for the permit to be finaled_ Further, ] understand that this is a ONE TIME RENEWAL and the permit shall expire should l not receive a passing inspection during any six month period during the renewal period. Justification Cc�.J d Y*)c* Co t oxi VV ,, yie-r. AgROWNE01 ONT ACT SIGNATURE DATE Print Name STATE OF FF COUNTY OF ' =V1 1 ACKN((OWU WET)T)RREF�yO�R/E ME THIS_.�DAY OF /2d�� Bl`�vl.] i�t�I r "ILL .—WHO TS PbL�,OI�©ALLY KNSZM 10..MF, V OR HAS PROVIDED AS IDENTIFICATION. STATE OF VLORIDA,County or _ _ Nicole Maguire s_ =* = Commission#FF928856 Expires;October 19,2019 sicNA JRr•. O rA Y SEAL '' OF ',;,,,.��` Bonded thru Aaron Notary FOR OFFiCi:LJSE ONLY: Number of Open Inspections: Total Tnspections: (Divide open by total to get%of open inspections) Percentage: Original permit fee: x%opal = $ Renewal fee Example: [15 divided by 23-.65(%)] $175(permit fee)x.65=$113.75(renewal fee) Rev!-.cd 7r-1/2014 `�