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Permit Extension
Permit Extension
Tamara Duran
2019-07-16T18:17:05-04:00
Request for Permit Extension
Step
1
of
2
50%
Village of Estero Building and Permit Services
9401 Corkscrew Palms Circle Estero, FL 33928 Tel # (239) 221-5036 | Fax # (239) 319-2235 │ permitting@estero-fl.gov
Permit Number
*
STRAP Number
*
Date
*
MM slash DD slash YYYY
Job Address Unit/Suite Number
*
Occupancy/Use: Total Square Feet for this Extension Request
Number or Residential Units for the Extension Request
Owner Name
*
Mailing Address
*
Company Name
*
License Number
*
Contractor Contact Mailing Address
*
Contractor Contact Phone Number
*
Email Address
*
Reason for Extension Request and Reasonable Estimate of Duration
*
Contractor's E-Signature
NOTE
The Village of Estero will not be held responsible in any form for any damage or liability as a result of the issuance of the Permit Extension
Date
MM slash DD slash YYYY
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