HomeMy WebLinkAboutProject Information 04/05/2016 16:16 1 ELITE ELECTRIC INC PAGE 02
PLANNING AND DEVELOPMENT SERVICES DEPARTMENT
'COUNTY BUILDING AND CODE REGULATIONS DIVISION
F L 0 R I D A 2300 VIRGINIA AVE
FORT PIERCE,FL 34982
(772)462-1553 Fax(772)462-1578
PERMIT RENEWAL REQUEST RECEI V-'D APR 0 6 2016
PERMIT NUMBER: 1510-0101 ADDRESS: 3104 Tropic Boulevard Fort Pierce, Fl. 34946
John A. Pankraz 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 montuh,Axi-during the renewal period.
Justification Homeowner up no , Ill be back in May.
4/512016
OWNER/9—LDR DRZO— —CTOR SIGNATURE DATE
John A. Pankrai
Print Name
STATE OF FLORIDA
COUNTY OF ST.UICIE
LT
ACKNOWLEDGED BEFORE ME TIMSH DAY APRIL }I
By JOHN A. PANKRAZ WHO IS PERSONALLY KNOWN TO ME X OR
HAS PROVIDED AS IDENTIFICATION.
STAOF FLORIDA,County of ST. LUCIE 4
A
NANCY Lee LANG]FORD
C 0
OMMIS$ION EE830242-
SIGNATURE OVNOTARY SEA I My
Ole
EXPIRES October 12 2016
(401) 183 ......
am
FOR OFFICE USE ONLY,
Number of Open Inspections:
Total Inspections:
(Divide open by total to get 0/6 of open inspections)
Percentage:
Original permit fee: x%open $ Renewal fee
Example: [15 divided by 23=.65(0/*)] $175(permit fee)x.65=$113.75(renewal fee)
Revised 7/21/2014