95 10th St RERF21-0051 PP CC s? CITY OF ATLANTIC BEACH BUILDING DEPARTMENT
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
CERTIFICATE OF COMPLETION RERF21-0051
PRIVATE PROVIDER
*NOT INSPECTED BY COAB BUILDING DEPT*
ISSUED: JOB ADDRESS: REAL ESTATE NUMBER: ZONING:
3/5/2021 95 10TH ST 170263 0010
DESCRIPTION OF WORK:
private provider, Legacy- Shingle FL10674R13
OWNER: CONTRACTOR:
LANIER KAY S ET AL TURNKEY CONSTRUCTION
95 10TH ST 5991 Chester Avenue #105
ATLANTIC BEACH, FL 32233-5701 JACKSONVILLE, FL 32217
APPROVED: . k---.4_,.kcier-z=ol.k
CHIEF BUILDING OFFICIAL
VOID UNLESS SIGNED BY BUILDING OFFICIAL