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Permit Information - Permit 21050370

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Permit Information
Permit Number 21050370 STRAP NBR C-01-35-28-040-0030-0060
Permit Type BROOF Balance Due $0.00
Property Address 4416 MEDINA WAY Status Closed

Permit
Permit Information
Application Date 05-13-2021 Operator mcarner
Issued Date 05-13-2021 Operator mcarner
Master Number   Project Number  
C.O. Number 20136317 Operator hathomp
C.O. Issued 05-14-2021
C-404 Type   Usage Class NA
Applied Value 2500 Units 0
Calculated Value 0 Contractor ID HC00614
Property On Permit
STRAP NBR C-01-35-28-040-0030-0060    
Unit  
Address 4416 MEDINA WAY
City/State/Zip SEBRING, FL 33875-
Owner On Permit
Name BELICH BRENT DAVID    
Address 2463 HAY LAKE RD    
City/State/Zip CARLTON, MN 55781    
Type Private    
Applicant
Name BELICH BRENT DAVID    
Address 2463 HAY LAKE RD    
City/State/Zip CARLTON, MN 55781    
Type Owner    
Miscellaneous Information / Notes
REPAIRS ON FLAT-BUILD UP, 5/12-PITCH, 3.8-SQ,
2-PLY MODIIED FBC2020

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