Permit Information - Permit 21100661

Permit

Owner On Permit
Name	ASHBY RUSTY STEWART JR JULIE E
Address	120 SERENITY LOOP APT 102
City/State/Zip	LAKE WALES, FL 33859
Type	Private

Applicant
Name	SOUTHERN HOMES OF POLK COUNTY
Address	1925 E EDGEWOO DR SUITE#100
City/State/Zip	LAKELAND, FL 33803
Type	Contractor

Miscellaneous Information / Notes

INSTALL 4 TON UNIT

HEAT PUMP 15 SEER

FMC2020

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	4716.00	95.00	95.00

TOTAL FEES:

$109.00

TOTAL PAID TO DATE:

$109.00

PENDING PAYMENT:

$0.00

BALANCE:

$0.00

Contractors

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