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310 BUOY LN PERMIT RENEWAL 11_, \,,til .. (Yi .. A ATLANTIC BEACH i, PERMIT RECEIPT 1J Vr 1 JI. i PERMIT DESCRIPTION: REPLACE 10 WINDOWS PERMIT NUMBER: 15-WIND-1248 CITY OF ATLANTIC BEACH ADDRESS: 310 BUOY LN 800 SEIIINOLE ROADATLANTIC BEACH, FL 32233 PHONE (9O4) 247-5855 OWNER: Cashier Id: atibcid\atlbbja Receipt Date: 7/1/2016 12:022:34 PN DATE ISSUED: Receipt Number: 0S-70226 Job ID:RENEWAL PERMIT4gEE REPLACE 0 i0 WIWINDOWS R FEES DUE: Amount Due: $9.30 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 AIIANTIC BEACH 800 SEMINOLE RD STATE DBPR SURCHARGE $0.00 ATLANTIC BEAC,FL 32233 07,01 2016 12:02:07 CREDIT CARD RENEWAL PERMIT FEE $8.30MC SALE Card; X100000000((X4907 SEQ g: 5 Totals: $8.30 Bad#: 162 INVOICE 5 Approval Code: 11102S Envy Metlod: Manual Mode: Online Card Code: M 1111 SALE AMOUNT $8.30 (uSTOMER COPY [0 C3 -C 0C-iCy ncl., ( -Gt., tKot.4 rinOL. , 3as- CtnnI LCD C_ exped14-e. peE mI 40 -7- 4Cc - .c s9 9 x 35