HomeMy WebLinkAboutMisc Letters From Team K5 1.407.469.3499 Fri Aug 5 10:23:28 2016 MDT Page 2 of 2
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PLANNING AND DEVELOPMENT SERVICES DEPARTMENT
c BUILDING AND CODE REGULATIONS DIVISION'
2300 VIRGINIA AVE
FORT PIERCE,FL 34962
(772)462-1553 Fax(772)462-1578
PERMIT RENEWAL REQUEST t.
t
PERMIT NUMBER: 1601-0448 ADDRESS: 7425 Laurel PI. Port Saint Lucie, FL 34986
Boysie Ramdial 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 The permit expired due to ordering and changing the products that were ordered.
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A ��,� 08/05/16
OWNER/BLDR OR CONTRACTOR SIGNATURE DATE
Boysie Ramdial
Print Name
STATE OF FLORIDA
COUNTY OF SetntLude
ACKNOWLEDGED BEFORE ME THIS 5 DAY OF August 20 16
BY Boysie Ramdial WHO IS PERSONALLY KNOWN TO ME X OR
HAS PROVIDED AS IDENTIFICATION.
STAT FL A, ountyof Lake
Amber FW*n
NOTARY MIX
SIGNATURE OF NOTA Y STATE OFFLOMDASEAL
CWMW FF970M
Explre9 7/11/2020
FOR OFFICE USE ONLY:
Number of Open Inspections:
Total Inspections:
(Divide open by total to get%of open inspections)
Percentage:
Original permit fee: x%open = $ Renewal fee
Example: [15 divided by 23=.65(%)] $175(permit fee)x.65=$113.75(renewal fee)
Revised 7/21/2014