Permit Information - Permit 09080295

Permit

Applicant
Name	FORMANS CONSTRUCTION & EXCAVATION
Address	393 CR 17 A
City/State/Zip	AVON PARK, FL 33825
Type	Contractor

Miscellaneous Information / Notes

DEMOLISH MOBILE HOME (800 SQ FT)

FBC07 W/09 SUPP

FEES

FEE ID	UNITS	QUANTITY	FEE AMOUNT	PAID TO DATE
BA	VALUATION	1800.00	53.00	53.00
CC	FLAT RATE	1.00	10.00	10.00

TOTAL FEES:

$63.00

TOTAL PAID TO DATE:

$63.00

PENDING PAYMENT:

$0.00

BALANCE:

$0.00

Contractors

General Contractor
General Contractor	FORMANS CONSTRUCTION & EXCAVAT	Contractor ID	HC01426
Address	393 CR 17 A
City/State/Zip	AVON PARK, FL 33825
Phone	863-453-2010
Work Comp Expires	01-01-2012	Insurance Expires	01-11-2012
License Expires	09-30-2011	Status	A

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