475 Palmwood Ln RESA19-0022 private provider certificate of occupancy „),,-r
.,), ,, „,, CERTIFICATE OF OCCUPANCY
\J� /' PRIVATE PROVIDER
I.--/-0-1--119'f' NOT INSPECTED BY CITY OF ATLANTIC BEACH BUILDING DEPARTMENT
Issue Date: 03/05/2021
RE Number: 172020-0194
Address: 475 PALMWOOD LN
Zoning: RS-L
Flood Zone: ZONE X
Owner: JOHN DODSON
Private Provider: UNIVERSAL ENGINEERING SCIENCES, INC.
Contractor: TOM TROUT, INC.
Permit Number: RESA19-0022
Description of Work: ADDITION AND INTERIOR RENOVATION - PRIVATE PROVIDER
Construction Type: VB
Occupancy Type: SINGLE-FAMILY DWELLING
Approved:
A,17: ..1 )\---.6...t gerOA
Building Official
VOID UNLESS SIGNED BY BUILDING OFFICIAL