633 Aquatic Dr RES20-0089 Receipt r „J ,
” , Cash Register Receipt Receipt Number
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City of Atlantic Beach R12102
DESCRIPTION I ACCOUNT I QTY I PAID
PermitTRAK $161.86
RES20-0089 Address: 633 AQUATIC DR APN: 171818 5356 $161.86
BUILDING $105.00
BUILDING PERMIT 455-0000-322-1000 1 0 $105.00
BUILDING PLAN REVIEW $52.50
BUILDING PLAN CHECK 455-0000-322-1001 0 $52.50
STATE SURCHARGES $4.36
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.36
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL FEES PAID BY RECEIPT: R12102 $161.86
Date Paid: Thursday, June 11, 2020
Paid By: Pablo Creek Construction
Cashier: CT
Pay Method: CHECK 1004
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Printed:Thursday,June 11,2020 11:39 AM 1 of 1 ,