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Permit # 11507988
Issue Date :		CO Date:	ejhobbs	Cert OccCert ComplAdmin

Description	Input	Date	Who
5th Edition FBC (2014)
INFO NOC-	BK 4097 PG 1412	10/15/2015 8:17:43 AM	edegrande

Energized

Permit #	Issue Dte	Contractor	EnergDate	Who
21504064	9/11/2015 8:42:19 AM	COLLINS, RANDY PARKER
21603848	7/20/2016 2:09:02 PM	BROKA, RUSS TYLER
21603954	7/26/2016 1:08:22 PM	BROKA, RUSS TYLER	9/7/2016 2:17:57 PM	cgalloway

Temp c/o Date :	Days :	Who :
Extend Date :	Days :	Who :
Extend Info :
Septic No :	Sewer Co :	Water Type :

St John’s County Building Services - Protecting Life, Health and Property

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