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MAGNOLIA 134 CITY OF ATLANTIC BEACH xs� + 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 05-00030527 Date 6/13/05 Property Address . . . . . . 134 MAGNOLIA ST Tenant nbr, name . . . . . . REPIPE 11 FIXTURES Application description . . . PLUMBING ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 Owner Contractor ------------------------ ------------------------ ALLEN, MIKE DAVID GRAY PLUMBING INC. 134 MAGNOLIA STREET 8850 CORPORATE SQUARE CT. ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32216 (904) 213-4560 (904) 744-7255 ---------------------------------------------------------------------------- Permit . . . . . . PLUMBING PERMIT Additional desc . . Permit Fee . . . . 112 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Fee summary Charged Paid Credited Due ------- ---------- ---------- ---------- 112 . 00 112 . 00 . 00 . 00 . 00 . 00 . 00 . 00 112 . 00 112 . 00 . 00 . 00 City of Atlantic Beach *** CUSTOMER RECEIPT *** Oper: DS14ITH Type: OC Drawer: 1 Date: 6/13/05 01 Receipt no: 61316 Description Quantity Amount 2005 30528 BP BUILDING PER41TS1.00 142.00 2005 30527 BP BUILDING PERMITS 1112.00 Tender detail CK CHECK 6138 1154.00 Total tendered $154.00 Total payment $154.00 Trans date: 6/13/05 Time: 10:40:52 1 ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING BUIL OFFICIAL