372 10th St GSRS22-0049 CCCITY OF ATLANTIC BEACH BUILDING DEPARTMENT
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
CERTIFICATE OF COMPLETION
GSRS22-0049
MECHANICAL RESIDENTIAL GAS
ISSUED:JOB ADDRESS: REAL ESTATE NUMBER: ZONING:
5/24/2023 372 10TH ST 170051 0000
DESCRIPTION OF WORK:
2 outlets & gas wtr htr
OWNER: CONTRACTOR:
Providence Construction Company Blossman Gas, Inc
4901 Belfort Road Ste. 140 5923 Soutel Drive
Jacksonville, FL 32256 Jacksonville, Fl 32219
2
APPROVED:
CHIEF BUILDING OFFICIAL
VOID UNLESS SIGNED BY BUILDING OFFICIAL