330 Country Club Ln 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 . . . . . . 7/03/13
Parcel Number . . . . . 171956-0000- -
Property Address . . . 330 COUNTRY CLUB LN
ATLANTIC BEACH FL 32233
Subdivision Name . . .
Legal Description . . .
Property Zoning . . . . RES SF DISTRICT
Owner . . . . . . . . . PARKER EARL W JR & LEYA M
Contractor . . . . . . FIRST COAST CUSTOM HOMES INC
904 813-3471
Application number 12-00000696 000 000
Description of Work SINGLE FAMILY RESIDENCE
Construction type . . . TYPE 5-A
Occupancy type . . . . RESIDENTIAL
Flood Zone . . . . . . ZONE X
Approved . . . . 1
Buildin Official
VOID UNLESS SIGNED BY BUILDING OFFICIAL
CITY OF ATLANTIC BEACH
CERTIFICATE OF OCCUPANCY WORKSHEET
Date Requested:
Contractor Name:
Permit #:
Property Address:
P
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
Fire Dept.
Public Works AR9
7
Public Utilities
Building
Planning 2
Tree Mitigation
Satisfied
Final Survey with FFE Yes No
All Re-Inspect Fees Paid Yes No
Termite Treatment Yes No
Graham Shirley
From: Clemons, Malcolm
Sent: Monday, July 01, 2013 9:09 AM
To: Graham Shirley
Cc: Walker, Jennifer; Kaluzniak, Donna
Subject: RE: 330 COUNTRY CLUB LN 12-696
Backflow Inspection OK. Malcolm
From: Graham Shirley
Sent: Thursday, June 27, 2013 4:41 PM
To: Carper, Rick; Kaluzniak, Donna; Nodine, Phil; Clemons, Malcolm; Daniels, Freddie
Cc: Walker, Jennifer; Hall, Erika; Jones, Mike
Subject: 330 COUNTRY CLUB LN 12- 696
Matt Birdwell is requesting a CO inspection tomorrow 6/28/13 matt can be reached at 813 3471 ...pls email all
approvals.
Sh�rleU c,rahaK&
Atlantic Beach City Hall
800 Seminole Rd
Atlantic Beach, Fl 32233
904 247 5800
sgraham@coab.us
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UT5951 Arlington Expressway
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BUG OJacksonville, Florida 32211
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SEI?VICE Phone 904-743-8272
... Toll Free 1-877-BUG-U-OUT ' $` }
bugoutservice.com
TERMITE TREATMENT RECORD
Bug Out Service,Inc. verifies to the Builder,Building Inspector,Homeowner, and Lending Institution,in compliance
with Florida State Law (Chapter 482-226), this building has received a complete treatment for the prevention of
subterranean termites.Treatment is in accordance with the rules and laws established by the Florida Department of
Agriculture and Consumer Services.An annual inspection and renewal of the annual termite protection contract is
necessary for continued protection.
y(Street Address,City and State)
Lot Block
Location of Property
If termite infestation should occur within one year from the date of treatment in this building, Bug Out will retreat the
stricture using the standards in effect at the time of retreatment.The property owner shall have the option of extending
the limited warranty beyond the first year for no less than four additional years. If during the term of this guarantee,
additions or alterations are made which affect the structure and create new termite hazards,or interfere with the
treatment method used, this guarantee will become null and void
Technician Treatment Treatment
Soil'I�eatment: Record Date Record Time
Chemical Used:_Premise 75 _Other Concentration:0.5%
Gallons applied: Method of application:_Pressure sprayed _Soil rodded
Square footage of soil area treated: Linear ft.of Masonry Voids treated:
Tubs and Traps
Final Soil Treatment:
Wood Treatment,
Chemical Used- x/0 Bora Care Concentration 1:1 Solution
Framing area treated: 24 inch barrier treatment
Method of Application: /-Pressure sprayed Gallons Applied= �r
Baiting System: 40 Sentricon'
Product Used:_Sentricon Colony Elimination System—Linear Feet:
Monitoring System:
Product Used:_Termidor System_Linear Feet:_ TERMIOOW
Builder:
By(Signature): - Date: Title: dt "
White-Job Site Canary-Job Site Pink-Bug Out
Reorder from Rush to Excellence
904-367-0100 Form#4045 Rev 10/24/05
Graham Shirley
From: Hall, Erika
Sent: Tuesday, July 02, 2013 9:33 AM
To: Graham Shirley
Subject: RE: 330 Country Club Ln
I do not see any issues with the SFR or the trees, so OK for CO.
(I do believe this is the one I denied for the incomplete irrigation permit application,though).
Erika
Erika Hall
Principal Planner
City of Atlantic Beach
800 Seminole Road
Atlantic Beach, FL 32233
(904) 270-1605
ehalla.coab.us
From: Graham Shirley
Sent: Tuesday, July 02, 2013 9:18 AM
To: Hall, Erika
Subject: 330 Country Club Ln
Are you good with this property for the CO
sKrte� crakoim
Atlantic Beach City Hall
800 Seminole Rd
Atlantic Beach, Fl 32233
904 247 5800
syraham@coab.us
i
Walker, Jennifer
From: Walker, Chris
Sent: Tuesday, July 02, 2013 11:28 AM
To: Graham Shirley
Cc: Walker, Jennifer
Subject: RE: 330 COUNTRY CLUB LN
Failed! Need to install a clean out on the sewer lateral and install an RT-1 sewer cleanout box(elephants foot) it needs
to be visible and set to grade.
From: Graham Shirley
Sent: Tuesday, July 02, 2013 9:17 AM
To: Walker, Chris
Subject: 330 COUNTRY CLUB LN
Hey Chris Are you guys good with 330 Country Club Ln
shLrl.ed ciraham
Atlantic Beach City Hall
800 Seminole Rd
Atlantic Beach, F132233
904 247 5800
sgraham@coab.us
Graham Shirley
From: Walker, Chris
Sent: Wednesday, July 03, 2013 8:10 AM
To: Graham Shirley
Subject: RE: 330 COUNTRY CLUB LN
Looks good to me !
From: Graham Shirley
Sent: Wednesday, July 03, 2013 8:09 AM
To: Walker, Chris
Cc: Walker, Jennifer
Subject: FW: 330 COUNTRY CLUB LN
This guy is trying to get his CO today since Mike G is off Friday
From: Matt Birdwell [maiIto:matt@firstcoastcustomhomes.com]
Sent: Tuesday, July 02, 2013 6:36 PM
To: Graham Shirley
Subject: Re: 330 COUNTRY CLUB LN
Can you forward to Chris.
i
Graham Shirley
From: Gilboy, Tim
Sent: Wednesday, July 03, 2013 9:12 AM
To: Graham Shirley; Matt Birdwell
Cc: Daniels, Freddie
Subject: RE: 330 COUNTRY CLUB LN
PW has received what we needed and give our approval.
Tim
From: Graham Shirley
Sent: Wednesday, July 03, 2013 9:06 AM
To: Matt Birdwell
Cc: Daniels, Freddie; Gilboy, Tim
Subject: RE: 330 COUNTRY CLUB LN
Matt, Chris has approved ...just waiting on Public Works approval.
sl�irLeu CIraham-
Atlantic Beach City Hall
800 Seminole Rd
Atlantic Beach, Fl 32233
9042475800
suaham@coab.us
From: Matt Birdwell [mailto•matt@firstcoastcustomhomes.com]
Sent: Tuesday, July 02, 2013 6:36 PM
To: Graham Shirley
Subject: Re: 330 COUNTRY CLUB LN
Can you forward to Chris.
i