Permit Information - Permit 23070564

Permit

Owner On Permit
Name	KOORNNEEF JASON DALE + BRIDGET DAMI
Address	875 HENSCRATCH RD
City/State/Zip	LAKE PLACID, FL 33852
Type	Private

Miscellaneous Information / Notes

CHANGE OUT 2.5-TON, 15-SEER, 7.5-KW STRAIGHT COOL

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	4000.00	90.00	90.00

TOTAL FEES:

$104.00

TOTAL PAID TO DATE:

$104.00

PENDING PAYMENT:

$0.00

BALANCE:

$0.00

Contractors

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