Permit Information - Permit 16110261

Permit

Owner On Permit
Name	TOLLIVER MAX + CARPENTER RICHARD M
Address	4203 PALOMINO DR
City/State/Zip	SEBRING, FL 33875-9502
Type	Private

Applicant
Name	HI TECH CONSTRUCTION SERVICE
Address	PO BOX 878
City/State/Zip	WINTER HAVEN, FL 33882-0878
Type	Contractor

Miscellaneous Information / Notes

P&S 864 SQFT MOBILE HOME FBC5TH2014

SEPTIC# 28-S1-17108176 WELL ENG DW#16110041

EXST-OK (GUEST HOUSE AGREEMENT ATTACHED)

*11/18/16 GARBAGE FEE REQUIRED PER BEA JOHNSON

FEES

FEE ID	UNITS	QUANTITY	FEE AMOUNT	PAID TO DATE
BMH	FLAT RATE	1.00	200.00	200.00
BSCMAX	VALUATION	215.00	6.45	6.45
ICF	FLAT RATE	1.00	0.00	0.00
IEMS	FLAT RATE	1.00	0.00	0.00
IFIRE	FLAT RATE	1.00	0.00	0.00
ILE	FLAT RATE	1.00	0.00	0.00
ILIB	FLAT RATE	1.00	0.00	0.00
ISCH	FLAT RATE	1.00	0.00	0.00
PRF	FLAT RATE	1.00	15.00	15.00
SMR1	PER UNIT	1.00	115.33	115.33
TEC	FLAT RATE	1.00	130.00	130.00
ZBAR	FLAT RATE	1.00	65.00	65.00

TOTAL FEES:

$531.78

TOTAL PAID TO DATE:

$531.78

PENDING PAYMENT:

$0.00

BALANCE:

$0.00

Contractors

General Contractor
General Contractor	HI TECH CONSTRUCTION SERVICE	Contractor ID	HC00125
Address	PO BOX 878
City/State/Zip	WINTER HAVEN, FL 33882-0878
Phone	(863) 968-0731
Work Comp Expires	06-01-2017	Insurance Expires	08-18-2021
License Expires	09-30-2017	Status	A

Inspections

TYPE	NUM	INSPECTOR	SCHED DATE	INSP DATE	RES	CONFIRM	NOTES
FINAL	1	ARNOLD	05-18-2017	05-18-2017	P	7235916	0
PARK AND SERVICE	1	JEFF	04-27-2017	04-27-2017	P	7235270	5
BLOCK & TIE	1						0
ENGINEERING DW NEEDED	1			05-01-2017	P		0
SEPTIC TANK APPROVAL NEEDED	1			05-02-2017	P		0
WATER RESULTS NEEDED	1			01-06-2017	I		0

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