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310 BUOY LN - RENEWAL PERMIT rjs r �s� ATLANTIC BEACH `+, yr PERMIT RECEIPT —',91119''' PERMIT DESCRIPTION: REPLACE 10 WINDOWS PERMIT NUMBER: 15-WIND-1248 CITY OF ATLANTIC BEACH ADDRESS: 310 BUOY LN BOO SEMINOLE ROAD ATLANTIC BEACH, FL 32233 PHONE (SO4) 247-5855 OWNER: Cashier Id: atibcld\atlbbja Receipt Date: 7/1/2016 12:02:34 PM DATE ISSUED: Receipt Number: OS-70226 Job ID: 15-WIND-1248 - REPLACE 10 WINDOWS R 1 FEES DUE: N - RENEWAL PERMIT FEE $8.30 Amount Due: $8.30 BUILDING PERMIT FEE $0.00 Tender Information: Cash $8.30 Tender Type: CC Tender Amount: $8.30 STATE DCA SURCHARGE $0.00 Change Due: $0.00 PLAN CHECK FEES $0.00 CITY OF ATLANTIC BEACH STATE DBPR SURCHARGE $0.00 800 SEMINOLE RD ATLANTIC BEAC,FL 32233 07"01;2016 12:02:07 RENEWAL PERMIT FEE $8.30 CREDIT CARD MC SALE Card# XXXXXXXXXXXX4901 Totals: SEQ#: S $8.30 . Batch#: 162 INVOICE 5 Approval Code: 11102S Entry Method: Manual Mode: Online Card Code: M SALE AMOUNT $8,30 CUSTOMER COPY I0 �� o `COr(Cy nCt ( �eL. i kot4 r e n Ok, , J a - am 1 I o C exiled i fe perm (-I- , Com 407- 4Cn - SS4C) 9 ., x 359