HomeMy WebLinkAboutPermit Renewals _ PLANNING AND DEVELOPMENT SERVICES DEPARTMENT
s BUILDING AND CODE REGULATIONS DIVISION
2300 VIRGINIA AVE
FORT PIERCE,FL 34982
(772)462-1553 Fax(772)462-1578
PERMIT RENEWAL REQUEST �<
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PERMIT NUMBER: 1605-0444 ADDRESS: 5853 Sunberry Cir. Fort Pierce, FL 34951
I, 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 Issues with ordering the product delayed the job from being installed before
the permit expiration date.
OWNE LDR OR CONTRACTOR SIGNATURE DATE
Boysie Ramdial
Print Name
STATE OF FLORIDA
COUNTY OF UoL
ACKNOWLEDGED BEFORE ME THIS DAY OF 2016
BY ('OJ WHO IS PERSONALLY KNOWN TOME OR
HAS PROVIDED r r- _ AS IDENTIFICATION.
STATE 0 WCounty of (.,(� �t4ftjjlll;
�� Flertk�� NOTARY PUBLIC
STATE OF FLORIDA
SIGNATURE OF NOTARY SEAL Cars m#FF970934
. Expires 7/11/2020
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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