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Permit # 19300028
Issue Date :		CO Date:		Cert OccCert ComplAdmin

Description	Input	Date	Who
FEMA FORM REQUIRED
HOLD C/O: ORIGINAL FINISHED CONST FEMA
REGISTERED ARCHITECTURAL REVIEW ASSOCIATIONS
IMPACT FEE PAID			RF
FIRST FLOOR ELEVATION 8	1IMP	5/5/1993 12:00:00 AM	TM

Energized

Permit #	Issue Dte	Contractor	EnergDate	Who	TempPoleDate	Who
29101121	6/14/1991 12:00:00 AM	CARCABA JR, E. F.
29300034	1/7/1993 12:00:00 AM	KELLY, GERALD H.			1/8/1993 12:00:00 AM	BM

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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