5 10th St RERF21-0040 PP CC S!.API j
i "?, CITY OF ATLANTIC BEACH BUILDING DEPARTMENT
� , . 800 SEMINOLE ROAD
1.0y1,91-
ATLANTIC BEACH, FL 32233
CERTIFICATE OF COMPLETION RERF21-0040
PRIVATE PROVIDER
*NOT INSPECTED BY COAB BUILDING DEPT*
ISSUED: JOB ADDRESS: REAL ESTATE NUMBER: ZONING:
3/5/2021 5 10TH ST 170263 0100
DESCRIPTION OF WORK:
private provider, Legacy Shingle FL-10674R13
OWNER: CONTRACTOR:
CAIRNS SCOTT S TURNKEY CONSTRUCTION
2358 RIVERSIDE AVE APT 804 5991 Chester Avenue #105
JACKSONVILLE, FL 32204 JACKSONVILLE, FL 32217
APPROVED: Dik---4-%ACerct,A
CHIEF BUILDING OFFICIAL
VOID UNLESS SIGNED BY BUILDING OFFICIAL