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Permit Information - Permit 24040336

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Permit Information
Permit Number 24040336 STRAP NBR C-29-36-30-030-0220-0120
Permit Type BRNBLMONO Balance Due $50.00
Property Address 1602 CHURCHILL ST Status Open
Permit | Plan Reviews | Inspections | Fees | Contractors | Sub Permits | All
Permit
Permit Information
Application Date 04-09-2024 Operator cshackel
Issued Date 04-16-2024 Operator cshackel
Master Number   Project Number  
C.O. Number   Operator  
C.O. Issued  
C-404 Type 101 Usage Class SFR1500
Applied Value 100000 Units 1
Calculated Value 182070 Contractor ID 767-02
Property On Permit
STRAP NBR C-29-36-30-030-0220-0120    
Unit  
Address 1602 CHURCHILL ST
City/State/Zip LAKE PLACID, FL 33852
Owner On Permit
Name FORNEY DALE E + CAROL A    
Address 1604 CHURCHILL ST    
City/State/Zip LAKE PLACID, FL 33852    
Type Private    
Applicant
Name FORNEY DALE E + CAROL A    
Address 1604 CHURCHILL ST    
City/State/Zip LAKE PLACID, FL 33852    
Type Owner    
Miscellaneous Information / Notes
CNST 2023SF CBS SFR, FBC2023
SEPTIC# 28S1-2853263 WELL-SHORT TEST
ENG DW# 24040329 FORM BOARD SURVEY REQ

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