35 10th St RERF21-0042 PP CC : � - CITY OF ATLANTIC BEACH BUILDING DEPARTMENT
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
CERTIFICATE OF COMPLETION RERF21-0042
PRIVATE PROVIDER
*NOT INSPECTED BY COAB BUILDING DEPT*
ISSUED: JOB ADDRESS: REAL ESTATE NUMBER: ZONING:
3/5/2021 35 10TH ST 170263 0070
DESCRIPTION OF WORK:
private provider, Legacy Shingle FL-10674R13
OWNER: CONTRACTOR:
JW AND KS HOLDINGS LLC TURNKEY CONSTRUCTION
333 9TH ST 5991 Chester Avenue #105
ATLANTIC BEACH, FL 32233 JACKSONVILLE, FL 32217
APPROVED: ACeZ)A
CHIEF BUILDING OFFICIAL
VOID UNLESS SIGNED BY BUILDING OFFICIAL