HomeMy WebLinkAboutJames Korallis Permit app P1All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
1 i
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential
PERMIT TYPE:
PROPOSED IMPROVEMENT LOCATION:
Address: V5 ZZ �/ 1 wtJ C SL C 3 qs
l
Property Tax ID #: D 040 " 000 6 Lot No.
Site Plan Name: J-4vie) d Block No.
Project Name:
DETAILED DESCRIPTION OF WORK:
-—
k vo �h �' �✓ - lbw
tJ
CONSTRUCTION INFORMATION:
Additio I work to be performed under this permit — check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters
Electric _ Plumbing _ Sprinklers _ Generator
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ -5-000 Utilities: _ Sewer _ Septic
Windows/Doors
Roof Pitch
Building Height:
OWNERAESSEE:
CONTRACTOR:
Name_lo4A,y,ore, Cs
Address: SZZ oW C
Name: -"J
Company: a
C
City: r� r� C�{ State: �(
Zip Code: Y ( sa Fa/x:
Phone No. 47
Address: tt t Q1�0
C7
City: PSC
Zip Code: 3 lolsv2
Phone No
St tee:
Fax:q �`�b ?it7
z') l Q
E -Mail: iA (av►t � 01 M01
Fill in fee simple Titl Holder on next page ( if different
from the Owner listed above)
E -Mail So
I Cod 69
State or County License
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.