Permit Information - Permit 21110563

Permit

Owner On Permit
Name	GRUENEFELD RALPH W + DIANE W CO-TRS
Address	59 DOGWOOD RD
City/State/Zip	MONTGOMER CITY, MO 63361
Type	Private

Applicant
Name	COVERED BRIDGE LAKE PLACID LLC
Address	10481 HIGH GROVE AVE
City/State/Zip	LAKE PLACID, FL 33852
Type	Owner

Miscellaneous Information / Notes

INSTALL 2-TON UNIT, 14-SEER, 5-KW, STRAIGHT COOL

FMC2020

FEES

FEE ID	UNITS	QUANTITY	FEE AMOUNT	PAID TO DATE
BSCMIN	FLAT RATE	1.00	4.00	4.00
MM	VALUATION	5786.00	100.00	100.00

TOTAL FEES:

$104.00

TOTAL PAID TO DATE:

$104.00

PENDING PAYMENT:

$0.00

BALANCE:

$0.00

Contractors

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