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Permit Information - Permit 22120534

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Permit Information
Permit Number 22120534 STRAP NBR C-14-37-29-130-1580-0190
Permit Type BROOF Balance Due $0.00
Property Address 997 WASHINGTON BLVD NW Status Closed

Permit
Permit Information
Application Date 12-12-2022 Operator slozada
Issued Date 12-12-2022 Operator slozada
Master Number   Project Number  
C.O. Number 20150191 Operator amhernan
C.O. Issued 12-20-2022
C-404 Type   Usage Class NA
Applied Value 13500 Units 0
Calculated Value 0 Contractor ID HC05159
Property On Permit
STRAP NBR C-14-37-29-130-1580-0190    
Unit  
Address 997 WASHINGTON BLVD NW
City/State/Zip LAKE PLACID, FL 33852
Owner On Permit
Name GHISIAWAN AMAR GOULIN    
Address 997 WASHINGTON BLVD NW    
City/State/Zip LAKE PLACID, FL 33852    
Type Private    
Applicant
Name FLORIDA HOME CONTRACTORS INC    
Address 9400 NE 307TH AVE    
City/State/Zip SALT SPRINGS, FL 32134    
Type Contractor    
Miscellaneous Information / Notes
REMOVE & REPLACE WITH SHINGLE
PITCH 6/12 29.74 SQ UL RHINO
FBC2020

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