390 Main St ACRS20-0017 HVAC permit l Cash Register Receipt Receipt Number
s
-r
44-1-01319%-
City of Atlantic Beach R11492
DESCRIPTION ACCOUNT I QTY PAID
PermitTRAK $99.00
ACRS20-0017 Address: 632 MAIN ST APN: 170915 1000 $99.00
MECHANICAL $95.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
AC AND REFRIGERATION 455-0000-322-1000 3 $16.00
FURNACES AND HEATING 455-0000-322-1000 30000 $24.00
STATE SURCHARGES $4.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL FEES PAID BY RECEIPT: R11492 $99.00
Date Paid: Thursday,January 16, 2020
Paid By: BOLD CITY HEATING AND AIR INC
Cashier: CT
Pay Method: CREDIT CARD 018617
Printed:Thursday,January 16,2020 3:27 PM 1 of 1 I