1306 Beach Ave RES20-0062 Receipt ,;i 1..A.,I,74J,
`•• t' Cash Register Receipt Receipt Number
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City of Atlantic Beach R12050
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DESCRIPTION ACCOUNT I QTY PAID
PermitTRAK $927.63
RES20-0062 Address: 1306 BEACH AVE APN: 171839 0000 $927.63
BUILDING $570.00
BUILDING PERMIT 455-0000-322-1000 0 $570.00
BUILDING PLAN REV RESUBMITTALS $50.00
BUILDING PLAN REVIEW RESUBMITTAL
455-0000-322-1006 0 $50.00
SECOND
BUILDING PLAN REVIEW $285.00
BUILDING PLAN CHECK 455-0000-322-1001 0 $285.00
STATE SURCHARGES $22.63
STATE DBPR SURCHARGE 455-0000-208-0700 0 $13.58
STATE DCA SURCHARGE 455-0000-208-0600 0 $9.05
TOTAL FEES PAID BY RECEIPT: R12050 $927.63
Date Paid: Thursday, April 16, 2020
Paid By: BOSCO BUILDING CONTRACTORS
Cashier: CT
Pay Method: CHECK 21687
Printed:Thursday,April 16, 2020 8:21 AM 1 of 1 t