357 4th St CO 2013 CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH FL 32233
C E R T I F I C A T E O F O C C U P A N C Y
P E R M A N E N T
Issue Date . . . . . . 6/13/13
Parcel Number . . . . . 169840-0100- -
Property Address . . . 357 4TH ST
ATLANTIC BEACH FL 32233
Subdivision Name . . .
Legal Description . . .
Property Zoning . . . . RES SF DISTRICT
Owner . . . . . . . . . KOVACS GREGORY FRANK & LUANN
Contractor . . . . . . CUSTOM HOMES BY BRYAN LENDRY
904 992-2100
Application number 12-00001437 000 000
Description of Work SINGLE FAMILY RESIDENCE
Construction type . . . TYPE 5-B
Occupancy type . . . . RESIDENTIAL
Flood Zone . . . . . . ZONE X
Approved . . . . . .
Building Official
VOID UNLESS SIGNED BY BUILDING OFFICIAL
CITY OF ATLANTIC BEACH
CERTIFICATE OF OCCUPANCY WORKSHEET
Date Requested: 3
Contractor Name: M /72e�S �6 V Ste M Z07
Y
Permit #: 12— — 11316�611�m -0 � ��
Property Address: �� r / 77 J
Legal Description:
Improvements to the above-described property have been completed in
accordance with the terms of the permit and are certified to be ready for
occupancy as:
Single-Family Residence
❑ Commercial
❑ Other:
Lowest Floor Elevation:
Required As Built FFE
The following must be completed before issuing Certificate of Occupancy:
Department Date Notified Date Approved Approved By
Public Works /
Public Utilities 00, m6116, 7 J
Building
Planning
Tree Mitigation
Satisfied �1
Final Survey with FFE V Yes No
All Re-Inspect Fees Paid �Y No
Termite Treatment Yes No
V
Graham Shirley
From: Carper, Rick
Sent: Wednesday, June 05, 2013 5:25 PM
To: Graham Shirley
Subject: RE: CO 357 4TH ST
I called Jim and told him survey required.
Ricky L. Carper, P.E.
Public Works Director/City Engineer
City of Atlantic Beach
1200 Sandpiper Lane
Atlantic Beach, FL 32233
rcarper(5coab.us
PH: (904) 247-5834
Fax: (904) 247-5843
From: Graham Shirley
Sent: Wednesday, June 05, 2013 4:41 PM
To: Carper, Rick; Kaluzniak, Donna; Clemons, Malcolm; Walker, Chris
Cc: Hall, Erika; Walker, Jennifer; Nodine, Phil; Daniels, Freddie
Subject: CO 357 4TH ST
Jim w/ Byran Lendry Homes is requesting a CO inspection tomorrow He can be reached at 545 8975.
.SKrleu crahnm
Atlantic Beach City Hall
800 Seminole Rd
Atlantic Beach, Fl 32233
904 247 5800
s�zraham@,coab.us
1
�T
Graham Shirley
From: Clemons, Malcolm
Sent: Thursday, June 06, 2013 10:34 AM
To: Graham Shirley
Cc: Walker, Jennifer; Kaluzniak, Donna
Subject: RE: CO 357 4TH ST
Backflow Inspection OK. Malcolm
From: Graham Shirley
Sent: Wednesday, June 05, 2013 4:41 PM
To: Carper, Rick; Kaluzniak, Donna; Clemons, Malcolm; Walker, Chris
Cc: Hall, Erika; Walker, Jennifer; Nodine, Phil; Daniels, Freddie
Subject: CO 357 4TH ST I
Jim w/Byran Lendry Homes is requesting a CO inspection tomorrow He can be reached at 545 8975.
ma
.sh%rleu crahavu
Atlantic Beach City Hall
800 Seminole Rd
Atlantic Beach, Fl 32233
904 247 5800
sraham@coab.us
Graham Shirley
From: Hall, Erika
Sent: Thursday, June 06, 2013 12:14 PM
To: Graham Shirley
Cc: Walker, Jennifer
Subject: RE: CO 357 4TH ST
I have no open issues with this address.
From: Graham Shirley
Sent: Wednesday, June 05, 2013 4:41 PM
To: Carper, Rick; Kaluzniak, Donna; Clemons, Malcolm; Walker, Chris
Cc: Hall, Erika; Walker, Jennifer; Nodine, Phil; Daniels, Freddie
Subject: CO 357 4TH ST
Jim w/ Byran Lendry Homes is requesting a CO inspection tomorrow He can be reached at 545 8975.
sk�rLed c,rakam
Atlantic Beach City Hall
800 Seminole Rd
Atlantic Beach, Fl 32233
904 247 5800
sgraham@coab.us
1
This contract provides for re-treatment of a structure and the repair of damages caused
by wood destroying organisms within the limits stated in this contract.
DAMAGE REPAIR AND RETREAT GUARANTEE
Prest Raiders LIQUID APPLICATION SERVICE AGREEMENT
for Subterranean Termites
Account Name-First Middle Initial Last Billing Address
Service Address I _ City State Zip Code
3z `TF
city State' Zip Code Billing Phone p Office
Best Contact Number Other Email Address
• TYPE OF STRUCTURE: W ESIDENTIAL.....0 COMMERCIAL......0 MULTI-UNIT: BLDGS.#:
• TYPE OF CONSTRUCTION: 0 CRAWL SPACE........Of SLAB.....0 BASEMENT......0 OTHER:
• STRUCTURES FOR SERVICE: Ca-MAIN DWELLING..................0 OTHER:
• TYPE OF INITIAL TREATMENT: O POST-CONSTRUCTION............................................97PPRE-CONSTRUCTION ABBfFt(Xv iv
• PURPOSE OF SERVICE: O-PREVENTION..................0 PRESUMPTIVE EVIDENCE ..............0 EXISTING INFESTATION 1
• LOCATION OF NOTICE OF SERVICE (FL): 0 N/A............0 ATTIC..............0 CRAWL..........3 OTHER:
INITIAL INVESTMENT METHOD OF PAYMENT
Termite Treatment..... .....$ 0 Due Upon Completion by: ❑CHECK 0 CASH 0 CREDIT CARD
Advanced Renewal Fee.......................s 0 CHECK#: ❑CASH ❑MIC 0 VISA 0 D/C 0 AMEX
Applicable Sales Tax............................$
TOTAL INITIAL COST.........................s
Total Amount.........................................$
BALANCE DUE...................................$
THE FOLLOWING GUARANTEE(S)CHECKED BELOW WILL BE EFFECTIVE UPON COMPLETION OF TREATMENT&NADER'S RECEMNG FULL
PAYMENT. SEE THE REVERSE SIDE FOR A DETAILED EXPLANATION OF GUARANTEE ALONG WITH ALL DISCLAIMERS, LIMITATIONS,
CONDITIONS OR EXCLUSIONS REGARDING THIS GUARANTEE.
DAMAGE REPAIR & RETREAT GUARANTEE for: _
Eastern Subterranean Termites*............................ Annual Renewal Fee........$ t
'"Does NOT include Formosan Termites
SERVICE PROVISIONS
The initial treatment shall be guaranteed for a period of one(1)year from the date the property is first treated, or in the case of new
construction pretreatment, one year from the date of the original closing. The guarantee may be renewed annually for up to six (5)
additional years provided that the COMPANY has an opportunity to visually re-inspect the treated property on a periodic basis and
payment of the Annual Renewal Fee is made on or before the expiration of the annual guarantee period.The COMPANY guarantee the
amount of the Annual Renewal to remain fixed as listed above for the first year. The COMPANY reserves the right to increase the .
Annual Renewal Fee after the first year, by giving the guarantee holder a minimum thirty day notice of the renewal rate.,,
i ..
Accepted By:The Company TO THE PERSONAL, FAMILY OR HOUSEHOLD CONSUMER: If
this is in a home solicitation you may cancel this agreement by providing
;��'; f✓r �f f �f written notice to the seller in person or by mail. This notice
Company Representative Date must indicate that you do not want the goods or services and must be
delivered or postmarked before midnight of the third business day after
you sign this agreement. If you cancel this agreement, the seller cannot
Company Address ` keep any part of a cash down payment. You are entitled to and should
r, receive an exact executed copy of this agreement. This agreement is
contingent on the approval of the service center manager.
Company Phone Fax Line Accepted By: 0 OWNER 0 AUTHORIZED AGENT
� --
Manager Approval:C2/Yes O Signature:No................Date �/ / t.�7 I /,.:,
Print Name:
Manager's Signature: XV Title: Date: 1 I
NDR-SAS-012(7yr) (Rev.06112)
n -7-\ t
V&Sentricog
C�olof1V�Elimin.Ci Olt S\'SY�rt �Complete iPest Control Service
i
Certificate of Compliance
Location of Property:
Street Name: 5'1 t-I t� 5�rem !
City and State:
t
Lot# Block## Unit#
i
Date of Treatment: w:5- 1-h
Chemical Used: cP �� •
The above-referred property has received a complete treatment
for the prevention of subterranean termites. This treatment is
in accordance with rules and laws established by the Florida
Department of Agriculture and Consumer Services.
Certified Operator Sigrlatyrf-
Randal P. Nader
President
Nader's Pest Raiders, Inc.
P.O. Box 3399-Ponte Vedra Beach, FL 32004-3399
10066 Sawgrass Drive West-Ponte Vedra Beach, FL 32082-(904) 285-0091 -Fax (904)273-0682
2167 Sadler Road-Fernandina Beach, FL 32034-(904)277-0090-Fax(904)277-3733
St.Augustine (904) 940-PEST(7378)-Jacksonville (904)223-4255
Toll Free(866)4NADERS J(866)462-3377
mrmnaderspestraiders.corn
Walker, Jennifer
From: Walker, Chris
Sent: Friday, June 07, 2013 7:50 AM
To: Graham Shirley
Cc: Walker, Jennifer; Matthews, Carlene '
Subject: RE: CO 357 4TH ST
Everything is good here!
From: Graham Shirley
Sent: Wednesday, June 05, 2013 4:41 PM
To: Carper, Rick; Kaluzniak, Donna; Clemons, Malcolm; Walker, Chris
Cc: Hall, Erika; Walker, Jennifer; Nodine, Phil; Daniels, Freddie
Subject: CO 357 4TH ST
Jim w/ Byran Lendry Homes is requesting a CO inspection tomorrow He can be reached at 545 8975.
sk�Keo crntiam
Atlantic Beach City Hall
800 Seminole Rd
Atlantic Beach, F1 32233
904 247 5800
sgraham@coab.us
1
This contract provides for re-treatment of a structure and the ;repair of damages causeu
by wood destroying organisms within the limits stated in this contract.
DAMAGE REPAIR AND RETREAT GUARAN-==
Pest Raiders LIQUID APPLICATION SERVICE AGREEMENT.
for Subterranean termites
Account Name.First Middle Initial Last Billing Address
Service Address City State Zip Code
City State Zip Code Billing Phone U Office
Best Contact Number Other Email Address
• TYPE OF STRUCTURE: :1 RESIDENTIAL.....0 COMMERCIAL......D MULTI-UNIT: BLDGS.
• TYPE OF CONSTRUCTION: 0 CRAWL SPACE........LI SLAB.....0 BASEMENT...... OTHER:
• STRUCTURES FOR SERVICE: 0 MAIN DWELLING.................. OTHER:
• TYPE OF INITIAL TREATMENT. 0 POST-CONSTRUCTION............................ ...............0 PRE-CONSTRUCTION AE)DiT101
• PURPOSE OF SERVICE: 0 PREVENTION.................. PRESUMPTIVE EVIDENCE ..............0 EXISTING INFESTATION
• LOCATION OF NOTICE OF SERVICE(FL): 0 N/A............0 ATTIC..............J CRAWL.......... I OTHER:
INITIAL INVESTMENT METHOD OF PAYMENT
Termite Treatment.............-........._:.._...S ❑Due Upon Completion by: 0 CHECK ❑CASH :1 CREDIT CARD
Advanced Renewal Fee......._._._.......S 0 CHECK#: ❑CASH 0 M/C 0 VISA 0 D/C 0 AMEX
Applicable Sales Tax............................5
TOTAL INITIAL COST.........................S
Total Amount..................... .................s
BALANCE DUE..................................$
THE FOLLOWING GUARANTEE(S)CHECKED BELOW WILL BE EFFECTIVE UPON COMPLETION OF TREATMENT&NADER'S RECEIVING FULL
PAYMENT. SEE THE REVERSE SIDE FOR A DETAILED EXPLANATION OF GUARANTEE ALONG WITH ALL DISCLAIMERS, LIMITATIONS,
CONDITIONS OR EXCLUSIONS REGARDING THIS GUARANTEE.
DAMAGE REPAIR & RETREAT GUARANTEE for:
Eastern Subterranean Termites"............................ Annual Renewal Fee........$
'Does NOT include Formosan Termites
SERVICE PROVISIONS
The initial treatment shall be guaranteed for a period of one(1)year from the date the property is first treated, or in the case of new
construction pretreatment, one year from the date of the original closing. The guarantee may be renewed annually for up to six (o)
additional years provided that the COMPANY has an opportunity to visually re-inspect the treated property on a periodic basis and
payment of the Annual Renewal Fee is made on or before the expiration of the annual guarantee period. The COMPANY guarantee the
amount of the Annual Renewal to remain fixed as listed above for the first year. The COMPANY reserves the right to increase the
Annual Renewal Fee after the first year, by giving the guarantee holder a minimum thirty day notice of the renewal rate.
Accepted By:The Company TO THE PERSONAL, FAMILY OR HOUSEHOLD CONSUMER: If
this is in a home solicitation you may cancel this agreement by providing
1 1 written notice to the seller in person or by mail. This notice
Company Representative Date must indicate that you do not want the goods or services and must be
delivered or postmarked before midnight of the third business day after
you sign this agreement. If you cancel this agreement, the seller cannot
Company Address keep any part of a cash down payment. You are entitled to and should
receive an exact executed copy of this agreement. This agreement is
contingent on the approval of the service center manager.
Company Phone Fax Line Accepted By: OWNER 0 AUTHORIZED AGENT
Manager Approval:Dyes❑No................Date / /
Signature:
Print Name:
Manager's Signature: Title: Date: I 1
NDR-SAS-012(7yr) (Rev.06/12)
Colonv 2:i;n;nat:on S%-,,,-
-7
Cern'
z�
fA
Cate Old Compliance
Lcccticn of Proper--.-y:
reel- Name:
cnd 51-c-re:
L o t4,,- B L,o c k r Unit#
c" Treatment:
C^e'rnicc! Used]:
11 he cbcve-ref erred proper-ry hcs received c complete trec-�j ment
dor- -t Prevenot 0 -�rn
t, o-r- subterranean termites. This tre,--- ert ;s
mc
ccordance with rakes and laws es-'b-(ab'Ijshed byl-he Fic'-ida-
be-par ment of Agriculture and Cor sumer Services.
Certified Operal-or Signq--we,
,RIcndr-,' P. Nader
President
Ncde3r's Pest LRlciders, -rc.
P.O. Box 3399-Ponte Vedra Beach, FL 32004-3399
10066 Sawgrass Drive West-Ponte Vedra Beach, F-1-32032-(904)285-0091 -Fax(904)273-0682
2.87 Sadler Road-Fernandina Beach. FL 32034-(904)277-0090-Fax(904)277-3733
St.Augustine(904)940-PEST(7378)-Jacksonville(904)223-4255
oil Free(866)-INADIERS/(865)462-3377
www.naderspestraiders.corn.
U.S.DEPARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE
FEDERAL EMERGENCY MANAGEMENT AGENCY OMB No. 1660-0008
National Flood Ins nrance Program Important: Read the instructions on pages 1-9. Expiration Date: July 31, 2015
SECTION A-PROPERTY INFORMATION FOR INSURANCE COMPANY USE
Al. Building Owner's Name GREGORY F.&LUANNE KOVACS Policy Number:
A2. Building Street Address(including Apt., Unit, Suite, and/or Bldg. No.)or P.O. Route and Box No. Company NAIC Number:
357 4T"STREET
City ATLANTIC BEACH State FL ZIP Code 32233
A3. Property Description(Lot and Block Numbers,Tax Parcel Number, Legal Description,etc.)
5-69 16-2S-29E, .172 ATLANTIC BEACH LOT 22 BLK 6, O.R.V. 14584-02465, RE#169840-0100
A4 Building Use(e.g.,Residential,Non-Residential,Addition,Accessory,etc.)RESIDENTIAL r
A5. Latitude/Longitude: Lat.30019'44" Long.81023'57" Horizontal Datum: ❑ NAD 1927 ® NAD 1983
A6. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance. /
AT Building Diagram Number 1B
A8. For a building with a crawlspace or enclosure(s): A9. For a building with an attached garage:
a) Square footage of crawlspace or enclosure(s) NA sq ft a) Square footage of attached garage NA sq ft
b) Number of permanent flood openings in the crawlspace b) Number of permanent flood openings in the attached garage
or enclosure(s)within 1.0 foot above adjacent grade NA within 1.0 foot above adjacent grade NA
c) Total net area of flood openings in A8.b NA sq in c) Total net area of flood openings in A9.b NA sq in
d) Engineered flood openings? ❑ Yes ® No d) Engineered flood openings? ❑ Yes ® No
SECTION B- FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
B1. NFIP Community Name&Community Number FDUVAL
2. County Name B3. State
CITY OF ATLANTIC BEACH FL
B4.Map/Panel Number B5.Suffix B6. FIRM Index Date B7. FIRM Panel B8.Flood B9.Base Flood Elevation(s)(Zone
120075/0001 D 4-17-1989 Effective/Revised Date Zone(s) AO,use base flood depth)
4-17-1989 X
B10. Indicate the source of the Base Flood Elevation (BFE)data or base flood depth entered in Item B9.
❑ FIS Profile ® FIRM ❑ Community Determined ❑ Other/Source:
B11. Indicate elevation datum used for BFE in Item 69: ® NGVD 1929 ❑ NAVD 1988 ❑ Other/Source:
B12. Is the building located in a Coastal Barrier Resources System(CBRS)area or Otherwise Protected Area(OPA)? ❑ Yes ® No
Designation Date: ❑ CBRS ❑ OPA
SECTION C -BUILDING ELEVATION INFORMATION (SURVEY REQUIRED)
Cl. Building elevations are based on: ❑ Construction Drawings* ❑ Building Under Construction* ® Finished Construction
*A new Elevation Certificate will be required when construction of the building is complete.
C2. Elevations-Zones Al-A30,AE,AH,A(with BFE),VE,V1-V30,V(with BFE),AR,AR/A,AR/AE,AR/A1-A30,AR/AH,AR/AO.Complete Items C2.a-h
below according to the building diagram specified in Item AT In Puerto Rico only,enter meters.
Benchmark Utilized:SEE COMMENTS Vertical Datum: 1929
Indicate elevation datum used for the elevations in items a)through h)below. ® NGVD 1929 ❑ NAVD 1988 ❑Other/Source:
Datum used for building elevations must be the same as that used for the BFE.
Check the measurement used.
a)Top of bottom floor(including basement,crawlspace, or enclosure floor) 11.70 ®feet ❑meters
b)Top of the next higher floor 23.30 ®feet ❑meters
c) Bottom of the lowest horizontal structural member(V Zones only) N.A ❑feet ❑meters
d)Attached garage(top of slab) N.A ®feet ❑meters
e) Lowest elevation of machinery or equipment servicing the building 9.95 ®feet ❑meters
(Describe type of equipment and location in Comments)
f) Lowest adjacent(finished)grade next to building(LAG) 9.4 ®feet ❑meters
g) Highest adjacent(finished)grade next to building (HAG) 9.8 ®feet ❑meters
h) Lowest adjacent grade at lowest elevation of deck or stairs,including structural support N.A ❑feet ❑meters
SECTION D-SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION
This certification is to be signed and sealed by a land surveyor,engineer, or architect authorized by law to certify elevation
information.1 certify that the information on this Certificate represents my best efforts to interpret the data available.
1 understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001.
® Check here if comments are provided on back of form. Were latitude and longitude in Section A provided by a 1r
❑ Check here if attachments. licensed land surveyor? ® Yes ❑ No
Certifier's Name ALL AMERICAN SURVEYORS OF FL, INC. License Number 2647/6643 n
Title REG.LAND SURVEYORS Company Name ALL AMERICAN SURVEYORS OF FL, INC.
Address 6820 SOUTHPOINT PWY,STE 4 City JACKSONVILLE State FL ZIP Code 32216
Signalfa Date Telephone 904-279-0088 L
EF 086-0-33 ( See reverse side for continuation. Replaces all previous editions.
w.1 Nay_ �
IMPORTANT:In these spaces, copy the corresponding information from Section A. FOR INSURANCE COMPANY USE
Building Street Address(including Apt.,Unit,Suite, and/or Bldg. No.)or P.O. Route and Box No. Policy Number:
3574 TH TREET
City ATLANTIC BEACH State FL ZIP Code 32233 Company NAIC Number:
SECTION D—SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED)
Copy both sides of this Elevation Certificate for(1)community official, (2)insurance agent/company,and(3)building owner.
Comments BENCHMARK: SET 60d NAIL IN 16"PALM TREE IN FRONT OF THIS LOT ELEVATION: (11.00). ELEVATIONS SHOWN HEREON REFER
TO NGDV OF 1929.
ITEM A9.(a). HOME HAS DETACHED GARAGE, NOT ONE ATTACHED.
ITEM A5: LAT AND LONG DEPICTED FROM GOOGLE EARTH
ITEM C2(e). AC PAD SERVING HOME IS LOCATED ON RIGHT SIDE OF HOME.
Signature Date
SEC 10 BUILDING ON I ORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A(WITHOUT BFE)
For Zones AO and A(without BFE), complete Items E1—E5. If the Certificate is intended to support a LOMA or LOMR-F request,complete Sections A,B,
and C. For Items E1—E4,use natural grade, if available.Check the measurement used. In Puerto Rico only, enter meters.
E1. Provide elevation information for the following and check the appropriate boxes to show whether the elevation is above or below the highest adjacent
grade(HAG)and the lowest adjacent grade(LAG).
a)Top of bottom floor(including basement,crawlspace,or enclosure)is ❑feet ❑ meters ❑ above or❑below the HAG.
b)Top of bottom floor(including basement,crawlspace,or enclosure)is ❑feet ❑meters ❑ above or❑ below the LAG.
E2. For Building Diagrams 6-9 with permanent flood openings provided in Section A Items 8 and/or 9(see pages 8-9 of Instructions),the next higher floor
(elevation C2.b in the diagrams)of the building is ❑feet ❑ meters ❑above or ❑ below the HAG.
E3. Attached garage(top of slab)is ❑feet ❑meters ❑ above or ❑ below the HAG.
E4. Top of platform of machinery and/or equipment servicing the building is ❑feet ❑ meters ❑ above or❑ below the HAG.
E5. Zone AO only: If no flood depth number is available,is the top of the bottom floor elevated in accordance with the community's floodplain management
ordinance? ❑ Yes ❑ No ❑ Unknown.The local official must certify this information in Section G.
SECTION F—PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION
The property owner or owner's authorized representative who completes Sections A, B, and E for Zone A(without a FEMA-issued or community-issued BFE)
or Zone AO must sign here.The statements in Sections A,B,and E are correct to the best of my knowledge.
Property Owner's or Owner's Authorized Representative's Name
Address City State ZIP Code
Signature Date Telephone
Comments
❑Check here if attachments.
SECTION G—COMMUNITY INFORMATION (OPTIONAL)
The local official who is authorized by law or ordinance to administer the community's floodplain management ordinance can complete Sections A,B,C(or E),and G
of this Elevation Certificate.Complete the applicable item(s)and sign below.Check the measurement used in Items G8—G10. In Puerto Rico only,enter meters.
G1. ❑ The information in Section C was taken from other documentation that has been signed and sealed by a licensed surveyor, engineer,or architect who
is authorized by law to certify elevation information. (Indicate the source and date of the elevation data in the Comments area below.)
G2. ❑ A community official completed Section E for a building located in Zone A(without a FEMA-issued or community-issued BFE)or Zone AO.
G3. ❑ The following information(Items G4—G10)is provided for community floodplain management purposes.
G4.Permit Number G5. Date Permit Issued G6. Date Certificate Of Compliance/Occupancy Issued
I
G7. This permit has been issued for: ❑ New Construction ❑Substantial Improvement
G8. Elevation of as-built lowest floor(including basement)of the building: ❑feet ❑ meters Datum
G9. BFE or(in Zone AO)depth of flooding at the building site: ❑feet ❑ meters Datum
G10.Community's design flood elevation: ❑feet ❑meters Datum
Local Official's Name Title
Community Name Telephone
Signature Date
Comments
❑Check here if attachments.
FEMA Form 086-0-33 (7/12) Replaces all previous editions
ELEVATION CERTIFICATE, page 3 Building Photographs
See Instructions for Item A6.
IMPORTANT: In these spaces, copy the corresponding information from Section A. FOR INSURANCE COMPANY USE
Buildin�Street Address(including Apt., Unit,Suite,and/or Bldg. No.)or P.O. Route and Box No. Policy Number:
3574 T STREET
City ATLANTIC BEACH State FL ZIP Code 32233 Company NAIC Number:
If using the Elevation Certificate to obtain NFIP flood insurance, affix at least 2 building photographs below according to the instructions
for Item A6. Identify all photographs with date taken; "Front View" and "Rear View"; and, if required, "Right Side View" and "Left Side
View." When applicable, photographs must show the foundation with representative examples of the flood openings or vents, as
indicated in Section A8. If submitting more photographs than will fit on this page, use the Continuation Page.
1
z
- Sk,
FRONT VIEW 5-13-2013 REAR VIEW 5-13-2013
h �
1
9
" I
LEFT-SIDE VIEW 5-13-2013 RIGHT-SIDE VIEW 5-13-2013
FEMA Form 086-0-33 (7/12) Replaces all previous editions.
V
q; INSPECTIONS REQUIRED FOR PERMITS
To verify compliance with building codes,inspection of they work authorized at various points of the construction are required.4he following
inspections are typically for residential projects. R °y
Date: Initial: Date: Initial. ,
Power Pole Y ?-/ Swimming Pool Steel
'When power pole is ready to be released to JEA for connection. -When all swimming pool steel is in place but before any gunite is placed.
Piers Swimming Pool Safety
Underground Plumbing
Electrical Grounding&Bonding
Underground Electric 'When the pool and deck steel is in place but before it is covered.
Foundation/Slab noting /)L- -iZ j--7- 13 ''r
Retaining Wall Footing Swimming Pool Final
`When all underground plumbing,electric and reinforcement are complete but
before any backfill is placed. Additional inspections may apply to your project,if your project
- contains these elements.
Rough Electric ' v" (5 rR
Rough Plumbing/Top Out �' Reinforced Concrete
Mechanical
Rough — (J•-1 3 j .
*When forms and reinforcing steel, anchor bolts, sleeves, and inserts, and all
9 electrical,plumbing,and mechanical work is in place,but before concrete is placed.
"When all rough electric,plumbing,mechanical are complete buthepre any w k
is covered up.
Structural Steel
*When all structural steel members are in place and all connections are complete,
House Wrap ,1- v but before such work is covered or concealed.
Tie-down Framing Connections "
Wall Sheathing • •
Rough Framing _ -.��-i y�
'�, ; r3 - -.
Roof Sheathing(Dry In) �—�, itType- �
Window Installation-Door
When all framing,windows,sheathing,shear-walls and metal connectors are in
place but before insulation is placed.
InsulationCeiling'Jc &1N
Insulation wall
When insulation is in place but before insulation is covered.
Exterior Lath
-'When all backing and lathing,interior and exterior,is in place,but before any
3 �
plaster is applied or insulation is installed. -
_ . Permit No.
Drywall► 3'll-/S /Y1. `' lo�
13
Job Address
*When all wallboa d is in place but befor#4oints are taped and finished.
Early Power __ Contractor
"When building electrical can be safely energized and all work is substanti " ,►
complete.
,OST THIS,CARD S BUILDING
Gas Test � IN FRONT OF �
*When all gas piping�compl�eteandwallboard is installed but before gas i
attached to any appliance.Al!outlets must be capped and pipe pressurized at a Building Department Fire Department
minimum of 15 lbs. Phone:904-247-5814 Phone:904-630-4789
_. .
Fax:904-247-5845- Fax:904-630-4203
Email buuding:tieptgcoab.us
Final Plumbing
Public Worfcs/
Final ElectricalPublic Utilities
Phone.-'904- 7-5834
Final HVAC Fax:964-247-5843
Final Building
"When all construction work including electrical,plumbi ;and mechanical, Construction Hours per City Code
exterior finish grading,required paving,and landscaping are complete and_the 7 am—7 pm Weekdays: 9 am-7 pm Weekends
budding is ready fd r occupancy but before being occupied
t I
Graham Shirley
From: Gilboy, Tim
Sent: Thursday, June 13, 2013 4:07 PM
To: Graham Shirley; Walker, Jennifer
Subject: 357 4th Street
Hi Shirley and Jennifer,
I have given CO approval for 357 4th Street from Public Works.Thanks and have a great day.
Tim
z:
1
Graham Shirley
From: Daniels, Freddie
Sent: Friday, June 14, 2013 1:07 PM
To: Graham Shirley
Subject: RE: CO 357 4TH ST
Ok on public works end
From: Graham Shirley
Sent: Wednesday, June 05, 2013 4:41 PM
To: Carper, Rick; Kaluzniak, Donna; Clemons, Malcolm; Walker, Chris
Cc: Hall, Erika; Walker, Jennifer; Nodine, Phil; Daniels, Freddie
Subject: CO 357 4TH ST
Jim w/Byran Lendry Homes is requesting a CO inspection tomorrow He can be reached at 545 8975.
st7wl-e� crahavu.
Atlantic Beach City Hall
800 Seminole Rd
Atlantic Beach, Fl 32233
904 247 5800
sarahamPcoab.us
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