Permit Information - Permit 15090470

Permit

Owner On Permit
Name	LUSBY CHRISTOPHER D + DEBORAH A
Address	125 THEO LANE
City/State/Zip	LAKE PLACID, FL 33852
Type	Private

Applicant
Name	GRIFFIN & KAMPMAN AIR AND ELEC SVC
Address	4715 US HWY 27 S
City/State/Zip	SEBRING, FL 33875
Type	Contractor

Miscellaneous Information / Notes

CHANGE OUT 3-TON, 14-SEER, 7-KW STRAIGHT COOL

SYSTEM, FMC2014, AG CIVIC CENTER

FEES

FEE ID	UNITS	QUANTITY	FEE AMOUNT	PAID TO DATE
BSCMIN	FLAT RATE	1.00	4.00	4.00
CC	FLAT RATE	1.00	10.00	10.00
MM	VALUATION	3525.00	90.00	90.00

TOTAL FEES:

$104.00

TOTAL PAID TO DATE:

$104.00

PENDING PAYMENT:

$0.00

BALANCE:

$0.00

Contractors

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