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Permit Information - Permit 04070387

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Permit Information
Permit Number 04070387 STRAP NBR C-22-37-30-200-2630-0220
Permit Type BRNBLMONO Balance Due $0.00
Property Address 163 BLUE MOON AV Status Closed

Permit
Permit Information
Application Date 07-16-2004 Operator cshackel
Issued Date 07-16-2004 Operator cshackel
Master Number   Project Number  
C.O. Number 97095162 Operator hmckinne
C.O. Issued 03-22-2005
C-404 Type 101 Usage Class SFRD
Applied Value 189700 Units 2710
Calculated Value 189700 Contractor ID 40-01
Property On Permit
STRAP NBR C-22-37-30-200-2630-0220    
Unit  
Address 163 BLUE MOON AV
City/State/Zip LAKE PLACID, FL 33852
Owner On Permit
Name SHIELDS JIM & BONNIE    
Address 166 BLUE MOON AV    
City/State/Zip LAKE PLACID, FL 33852    
Type Private    
Applicant
Name SHIELDS JIM & BONNIE    
Address 166 BLUE MOON AV    
City/State/Zip LAKE PLACID, FL 33852    
Type Owner    
Miscellaneous Information / Notes
CNST SF CBS RESIDENCE (FBC-01)
SEPTIC# 04-3878 / WELL-SHORT TEST
ENG DW PERMIT# 220-B

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