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Permit Information - Permit 09120127

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Permit Information
Permit Number 09120127 STRAP NBR C-22-35-28-020-00E0-0280
Permit Type BMOBHOME Balance Due $0.00
Property Address 5744 DERBY LN Status Closed

Permit
Permit Information
Application Date 12-09-2009 Operator cshackel
Issued Date 12-11-2009 Operator cshackel
Master Number   Project Number  
C.O. Number 20090356 Operator mbryant
C.O. Issued 12-23-2009
C-404 Type 999 Usage Class SFR2499
Applied Value 65000 Units 0
Calculated Value 0 Contractor ID HC01747-02
Property On Permit
STRAP NBR C-22-35-28-020-00E0-0280    
Unit  
Address 5744 DERBY LN
City/State/Zip SEBRING, FL 33872
Owner On Permit
Name GILLER ROGER + KATHLEEN    
Address 9233 MUSCADINE DR    
City/State/Zip SEBRING, FL 33875-5982    
Type Private    
Applicant
Name MODERN HOUSING OF FLORIDA, INC    
Address 5050 HWY 27 S    
City/State/Zip SEBRING, FL 33870    
Type Contractor    
Miscellaneous Information / Notes
P&S 28X60 MOBILE HOME FBC07W/09SUP
SEPTIC# 28S11006892 WELL-SHORT TEST
ENG DW# 09110232

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