Loading...
366 10th St CI 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 . . . . . . 8/07/13 Parcel Number . . . . . 170047-0000- Property Address . . . 366 10TH ST ATLANTIC BEACH FL 32233 Subdivision Name . . . Legal Description . . . Property Zoning . . . . RES SF DISTRICT Owner . . . . . . . . . CDL AB LLC Contractor . . . . . . ELITE HOMES INC. 904 349-2803 Application number 12-00000802 000 000 Description of Work SINGLE FAMILY RESIDENCE Construction type . . . TYPE 5-B Occupancy type . . . . RESIDENTIAL Flood Zone . . . . . . ZONE X -Nit Approved . . . . . . . Buil n Official VOID UNLESS SIGNED BY BUILDING OFFICIAL CITY OF ATLANTIC BEACH CERTIFICATE4F OCCUPANCY WORKSHEET Date Requested: I L3 Contractor Name: Permit #: Z Z' Property Address: �Q 7—# S7- Legal Description: 9 8o 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 F Public Works y }� CAM Utilities Building Planning Tree Mitigation Satisfied Final Survey with FFE Yes No All Re-Inspect Fees Paid Yes No Termite Treatment V Yes No BP500U04 CITY OF ATLANTIC BEACH 8/01/13 Request For Inspection - Inspection History 12 :47:42 Application number 12 00000802 000 000 Application type : SINGLE FAMILY RESIDENCE Tenant number , name : Permit type/seq/VRU : MECH 00 000245266 MECHANICAL HVAC PERMIT Property address . : 366 10TH ST Type options , press Enter . 2=Change 4=Delete 5=View Status Inspector Request Results Opt Date Inspection Description ID Date Time Stat Date _ 7/25/13 MECHANICAL A/C FINAL MJ 7/25/13 AP 7/25/13 2/12/13 MECHANICAL A/C ROUGH-IN MJ 2/12/13 AP 2/12/13 Bottom F3=Exit F6=Add inspection F12=Cancel F15=Override BP50OU04 CITY OF ATLANTIC BEACH 8/01/13 Request For Inspection - Inspection History 12:47:46 Application number 12 00000802 000 000 Application type SINGLE FAMILY RESIDENCE Tenant number , name : Permit type/seq/VRU PLBG 00 000239897 PLUMBING PERMIT Property address . : 366 10TH ST Type options , press Enter . 2=Change 4=Delete 5=View Status Inspector Request Results Opt Date Inspection Description ID Date Time Stat Date 7/25/13 PLUMBING FINAL MJ 7/25/13 AP 7/25/13 1/28/13 PLUMBING TOP OUT MG 1/28/13 AP 1/28/13 11/21/12 PLUMBING ROUGH-IN UNDERSL MJ 11/21/12 AP 11/21/12 Bottom F3=Exit F6=Add inspection F12=Cancel F15=Override BP200I01 CITY OF ATLANTIC BEACH 8/01/13 Application Inquiry 12:49:26 Application number . . . . . : 13 00002218 Application status , date CLOSED 7/30/13 Property . . . . . . . 366 10TH ST RE number . . . . . . . . . . 170047-0000- - NCR OLD ACCOUNT NUMBERS. . . AB06032 Zoning . . . . . . . . . . . RS-2 RES SF DISTRICT Application type . . . . . . MCHG MECHANICAL GAS PIPING Application date . . . . . . : 2/25/13 Tenant number , name . . . . Master plan number , rev'wd by: MAH Estimated valuation . . . . : 1200 Total square footage . . . . : 0 Public building . . . . . . NO Work description, qty . . . P i n number . . . . . . . . . : 561990 Application desc . . . . . . : 5 Outlets 1 W/H & 250 gal tank Press Enter to continue. F3=Exit FS=Land inq F7=Appl names FB=Tracking inq F9=Bond inquiry F10=Fees F11=Receipts F12=Cancel F13=Val calcs F14=Misc info F24=More keys BP200I01 CITY OF ATLANTIC BEACH 8/01/13 Application Inquiry 12 :49:29 Application number . . . . . 13 00002090 Application status , date : CLOSED 7/30/13 Property . . . . . . . . . . . 366 10TH ST RE number . . . . . . . . . . 170047-0000- - NCR OLD ACCOUNT NUMBERS. . . AB06032 Zoning . . . . . . . . . . . RS-2 RES SF DISTRICT Application type . . . . . . ELEC ELECTRIC ONLY Application date . . . . . . : 2/01/13 Tenant number , name . . . . Master plan number , rev'wd by: MAH Estimated valuation . . . . : Total square footage . . . . : 0 Public building . . . . . . : NO Work description, qty . . . Pin number . . . . . . . . . : 700880 Application desc . . . . . . NEW UG SERVICE Press Enter to continue. F3=Exit F5=Land inq F7=Appl names F8=Tracking inq F9=Bond inquiry F10=Fees F11=Receipts F12=Cancel F13=Val calcs F14=Misc info F24=More keys BP200I01 CITY OF ATLANTIC BEACH 8/01/13 Application Inquiry 12:49:32 Application number . . . . . : 13 00001956 Application status , date CLOSED 7/30/13 Property . . . . . . . 366 10TH ST RE number . . . . . . . . . . 170047-0000- - NCR OLD ACCOUNT NUMBERS. . . AB06032 Zoning . . . . . . . . . . . RS-2 RES SF DISTRICT Application type . . . . . . ELEC ELECTRIC ONLY Application date . . . . . . : 1/07/13 Tenant number , name . . . . Master plan number , rev'wd by: SLG Estimated valuation . . . . : Total square footage . . . . 0 Public building . . . . . . NO Work description, qty . . . P i n number . . . . . . . . . 200912 Application desc . . . . . . : low voltage Press Enter to continue. F3=Exit FS=Land inq F7=Appl names FB=Tracking inq F9=Bond inquiry F10=Fees F11=Receipts F12=Cancel F13=Val calcs F14=Misc info F24=More keys Graham Shirley From: Graham Shirley Sent: Thursday, August 01, 2013 12:55 PM To: Carper, Rick; Nodine, Phil; Daniels, Freddie; Kaluzniak, Donna Cc: Walker, Jennifer; Walker, Chris; Clemons, Malcolm; Hall, Erika; Jones, Mike Subject: CO Inspection 366 10`h St 12-802 Chris Lambertson called for a CO inspection Friday 8/2/13 please notify with email response. Chris can be reached at 349 2803. sk%rl,eu c;rnhavu. Atlantic Beach City Hall 800 Seminole Rd Atlantic Beach, F1 32233 904 247 5800 sgraham@coab.us Graham Shirley From: Walker, Chris Sent: Thursday, August 01, 2013 2:19 PM To: Graham Shirley Subject: RE: CO Inspection All good here From: Graham Shirley Sent: Thursday, August 01, 2013 12:55 PM To: Carper, Rick; Nodine, Phil; Daniels, Freddie; Kaluzniak, Donna Cc: Walker, Jennifer; Walker, Chris; Clemons, Malcolm; Hall, Erika; Jones, Mike Subject: CO Inspection 366 10`'St 12-802 Chris Lambertson called for a CO inspection Friday 8/2/13 please notify with email response. Chris can be reached at 349 2803. S h%rle� C 01101 K& Atlantic Beach City Hall 800 Seminole Rd Atlantic Beach, F1 32233 904 247 5800 sgraharn@coab.us 1 Graham Shirley From: Clemons, Malcolm Sent: Thursday, August 01, 2013 2:47 PM To: Graham Shirley Subject: RE: CO Inspection Backflow Inspection OK. Malcolm From: Graham Shirley Sent: Thursday, August 01, 2013 12:55 PM To: Carper, Rick; Nodine, Phil; Daniels, Freddie; Kaluzniak, Donna Cc: Walker, Jennifer; Walker, Chris; Clemons, Malcolm; Hall, Erika; Jones, Mike Subject: CO Inspection 366 10th St 12-802 Chris Lambertson called for a CO inspection Friday 8/2/13 please notify with email response. Chris can be reached at 349 2803. sKrl,eu C1rahavu. Atlantic Beach City Hall 800 Seminole Rd Atlantic Beach, F1 32233 904 247 5800 sgraham@coab.us i I w m m r r £ r w w w H r o r I H Ity I y ro O n Y : n ro I v t7 r to w t7 m w m m v r w o 1 .� 1 ro>£O Ctl H;o h7 i ro i 10 PO tzi7 Hu I H 0 0 0 0 0 0 0 0 0 0 0 0 0 o I p y z CMN I O m r r r r r r r r N r r r r r 1 •• I n N I M M I I N i �. HO i y t7 (n I M I y r r r r r r n z; I tq I C m m m w w w w N N N N N N r r r r r r r r r r r r r r I O M I •• •• •• •• I b\ O O H H O O r r r r O O N N N N r r r r N N N N r r 1 ro[y O r r n M W I H r 1 N N W W rr ww wwOl Ol W W NN J J JJ wwwwlP lP I rM0 I N JIJ L"Ch I H\ \ \\\\\\\\\\\\\\\ \\\\\\\\\\ I M N I I O r H 01 I n r r r r r r r r r r r r H r H r r r r r r r r r r r r N N N N NI H H N l o o y w W W W W W W W W W W W W W W W W W W W W N M M H I O IP y M N I m I t7 CJS i o�mx� � yr r l OoroD I n01 �J I m O0M I x•• I y y C y lu 3ro?3?3 1010 3 ro 3 '0 'aro ro b 3>:9 b 3 v 3 i x 1 0 o n M N 1 N 4 4 ro 4 ro 4 ro 4 ro 4 4 ro 4 4 S 4 4 4 4 q M H ay I N o N N z 2 I I (y'N I cn H I H N C 10H H I z N H r 1 7. 1 n k I Gl I r ydys• I M m W nmOmS mromwmn Hymrom mromrom i pd a l7 •bu uxuxu 3uxo l7o �r C7 C7 C7 o• 0 I MM�[••II I H $dl u � (D 3 3 3 I NNr I n mrd HH H£a.ro £ £p £ 0 N• M• M I anH I H M H '.O nZN NHry Oxro z(D ti H o t" O O I ClHA I C M HO 11 C z`G OxCO zn R z O S O I HHS I .� H rm I'4 C 1 00 'h x1C t7 R0 (Dt7 nro m H In IV I n H bM t,r-r H 00 1. H E r-0 N 7 >nH O H H t,'n z £0 CJNN PI HO:j - RHI N Y'xz I nHD{� I M i HH H ZyC H G] x1 xrm- W Hr-x HH 00�1ii H z n 3 H yy�(D K W M�C M• O N M D M H H 3 7 H t M ?1 o zm w (D T ON M •oro z H H z t7'•{ HwHE 0 m n 0wH z I M I M I MM H M H \ z xr-O M aO wx I z 1 z I n n N z O n N H R£ m a£w H w I y I n H H O S .'d.7 m z.'3''L• W z z IP I N I M O H \N� w �]o tJ n N n m I •• z d O O N 0 O H m O o N n O (O z ID Rw m 3 H z n •f1 r-z h' O : I H H O a p M0 PM W I 1 ro ro N I x n H ro H (D n0,TJ n I 1 xxC I MN, M z (D H m m H I I O O m 1 M N "�" N (4 O (D O tz*iMd I OH z C N p' I •• •• I M r- I N N I w R\ I o M I IP R 1. 1. (D N R I w fD I IP 0 w O w I 1 O IP I N I IT w I m I O Fj N I W ao I CD W CD i I I o I C o ro I � I I I 1 I 1 m I I \ I I o I N I I \ I r I i I I w r b � O L a � � =Turner Jacksonville,Florida Main Office W"PeSt 480 Edgewood Avenue,South•Jacksonville,Florida 32205.904-355-5300.904-353-1488(Facsimile) M.4 3 1..r St.Marys,Ga.—912-576-1300•Daytona Beach, Fla.—386-788-8303•Melbourne,Fla.—321-951-3325 Control Ocala, Fla.352-351-4386•Port St. Lucie,Fla.—772-621-7905•Tampa,Fla.—813-681-6381 What's Bugging You? Toll Free:800-225-5305•www.tumerpost.com l Pre-Construction Home Termite Servicing Agreement Property Owner's Name: Mallory. Kim sonable costs of repairs subject to the above limitation.Turner is responsi- ble for repairs only if it has been given the opportunity to inspect the cov- ered premises in the area requiring repair PRIOR TO THE START OF ANY City,State,Zip Code:Atlantic Beach, FL 32233-5530 REPAIRS. In the event that damage is discovered by parties other than Turner,the owner agrees to notify Turner of such damage within 48 hours of Billing Address(If different): discovery of such damage. City,State,Zip Code: INITIAL INSPECTION: This Agreement calls for an Initial Inspection of the Primary Telephone:217-377-0943 Covered Premises upon transfer of the property from the Builder to the Homeowner.All charges and fees for the Initial Inspection are included in the Alternate Telephone: price of the pre-construction treatment, and are the responsibility of the Type of Structure: Single Family Residence Builder. Detached Structures Included: NONE This Agreement contains all the terms and conditions of the Agreement and no other representations of statements will be binding upon the parties.No Warranty Start Date: 08/07/2013 alterations of or additions to this Agreement(other than information to fill in the blanks) are effective or enforceable unless the alteration or addition is Turner Pest Control, LLC (herein 'Turner" ) is authorized to provide the signed by a corporate officer of Turner. treatment for the prevention and control of subterranean termites to the Structure and Detached Structures listed at the above Covered Premises Address (herein "Covered Premises') on behalf of the Property Owner's Name(herein'Owner")listed above. Turner Representative: ;— INITIAL TREATMENT: This Agreement will become effective upon full pay- Date: 08/02/2013 ment for the Initial Pre-treatment by the Builder.Continuation of the termite protection is subject to payment of the annual renewal fees by the Owner,or Builder if unsold after twelve months after the initial pre-construction treat- ment,and general terms and conditions on the reverse side hereof. ANNUAL RENEWAL FEE: This Agreement is renewable from year-to-year, upon re-inspection of the covered premises by Turner and upon payment of the annual renewal fee of $200.48 due and payable in full on or before the Renewal Date of the Agreement. The Renewal Date is defined as each one year anniversary starting with the "Warranty Start Date." Turner reserves the right to adjust the annual renewal fee as of the second (2nd) renewal year, or any year thereafter. Following expiration of the 4 _ year renewal, Turner reserves the right to require the covered premises to be completely retreated, at a rate to be determined by Turner, subject to Turner and owner entering into a new termite service agreement. COVERAGE:This Agreement provides for the re-treatment and repairs for damage to the Covered Premises limited to an aggregate of $250,000 . For as long as this Agreement remains in effect,Turner will perform any further re-treatment it finds necessary,free of charge,sub- ject to the terms and conditions of this Agreement. REPAIRS: If subterranean termite damage occurs to the Covered Premises QISt QYER' while this Agreement is in effect,then Turner will be responsible for the rea- Eis Vim Reorder Form No.6035 Nuso To Enoellence RiNinq,904.357-0100 Pre-Construction Home Termite Servicing Agreement General Terms and Warranty Conditions 1)This Agreement provides for Turner to perform an initial pre-con- minimum of four inches above the outside grade level.This may struction treatment and any subsequent treatments as deemed also include the removal of floor covering material such as wood, necessary by Turner to the structure if a live infestation of the marble,ceramic tile,vinyl or any other floor covering placed over specified subterranean termites is found in the structure during the concrete slab floors. This may also include the removal of the effective period of the Agreement. Turner will make such planter boxes,cabinets,bathtub enclosures,or other obstacles to repairs as necessary to correct damage with infestation subject to allow Turner to gain access to the area requiring treatment.The the following conditions: customer agrees to pay all expenses to make all non-accessible •Damage was caused by specified subterranean termites areas accessible for treatment and/or inspection as deemed nec- •Turner personnel verifies the evidence before it is altered or essary by Turner. destroyed. 4)The Owner agrees to notify Turner of any additions and/or alter- •All repair work will be performed or supervised by Turner per ations to the Covered Premises.This may require the Owner to pay for additional treatment, service charge and/or adjustment to sonnel only unless otherwise agreed in writing by both parties. the renewal fee. Failure to notify Turner will terminate this • If damage is discovered to be a result of conditions other than Agreement automatically as of the date the structural change(s) subterranean termites or when conducive conditions have con- is made, tributed to the presence of subterranean termites, the cus- 5) In the event the property is sold, Turner will transfer the tomer agrees to accept responsibility in such cases for the cost Agreement to the New Owner.The Agreement is assignable at of repairs. the sole discretion of Turner. •Turner will repair only the specified areas damaged by the sub- 6)In the event of non-payment of the Initial Treatment,renewal fees, terranean termites according to the conditions stated herein. cost of repairs performed by Turner caused by conducive condi- Turner is not responsible for costs incurred to match existing tions contributing to infestation, or any other fees due to Turner wall coverings,floor coverings,moldings,paneling,tile or other under this Agreement, Turner has the right to terminate this cosmetic work. Agreement effective the due date of the unpaid fees. 2)This Agreement does not cover,and Turner will not be responsi- 7) In the event of a change in the existing law as it relates to this ble for re-treatment or repairs to any of the following: Agreement,Turner reserves the right to adjust the Renewal Fee, •Wood decks, wood steps, wood fences, wooden walk-ways, or amend the terms of this Agreement and/or terminate this other wooden structures outside the foundation perimeter of Agreement.The State listed in Service Address controls opera- the covered premises, or any area(s) of the structure where tion of this Agreement. wood members are in direct contact with the ground. 8) Any claim or complaint of dissatisfaction under the terms of this •Area(s)where stucco, coquina, Styrofoam and any other mate- Agreement must be made in writing to Turner.Turner is only obli- rial is applied in a manner conducive to infestation or is in gated to perform under this Agreement provided the customer direct contact with the ground. allows Turner access to the structure for any purposes contem- • Area(s) where moisture conditions conducive to infestation plated by this Agreement, including but not limited to re-inspec- exist,such as but not limited to faulty plumbing,roof leaks,ele- tion, whether the inspection was requested by the Owner or vations above slab levels such as planter boxes or any other deemed necessary by Turner. conditions that supply water to termites allowing them to sur- 9) The Owner and Turner agree that any controversy or claim vive above ground. between them arising out of,or relating to,the interpretation,per- •Infestations resulting from moisture conditions including but not formance,or breach of any provisions of this agreement,shall be limited to fungus. settled exclusively by arbitration administered by the American •Damage to plants,trees,flowers,and/or shrubs adjacent to the Arbitration Association, under its commercial arbitration rules, and judgement on the award rendered by the arbitrator(s)may be structure. entered into any court having jurisdiction.In no event shall either • Personal expenses including but not limited to lodging, meals, party be liable to the other for indirect, special, or consequential transportation, loss of use incurred as a result of treatment, damages or loss of anticipated profits. and/or re-treatment,or damages therein. •Any other indirect expenses or consequential damages relating to the existence of termites or termite damage. • Areas where Turner has documented conditions conducive to infestation that have not been corrected in a timely manner by the customer. •Damages or losses caused by war, fire, earthquake, floods, or other causes beyond the control of Turner. 3) Customer warrants full cooperation with Turner during the Agreement period and any renewal period and agrees to maintain the structure free from any factors or conditions contributing to re- infestation by specified termites.It is the customer's responsibiii- Turner ty to correct any conditions that may inhibit proper inspection pest and/or treatment deemed necessary by Turner.This may include +i removal of stucco,coquina or other exterior siding materials to a FMControl What's Bugging You? Subterranean Termite Protection Builder's Guarantee OMB Approval No.2502-0525 This form is completed by the builder. (exp.04/30/2015) Public reporting burden for this collection of Information is estimated to average 5 minutes per response,including the time for reviewing instructions,searching existing data sources,gathering and maintaining the data needed,and completing and reviewing the collection of information.This information is required to obtain benefits.HUD may not collect this Information,and you are not required to complete this form,unless it displays a currently valid OMB control number. Section 24 CFR 200.926d(b)(3)requires that the sites for HUD insured structures must be free of termite hazards.This information collection requires a licensed Pest Control company to provide the builder a record of specific treatment information in those cases when if any method other than use of pressure treated lumber is used for prevention of subterranean termite infestation.When applicable,form HUD-NPMA-99-B must accompany the form HUD-NPMA-99-A. Builders,pest control companies,mortgage lenders,homebuyers,and HUD as a record of treatment for specific homes will use the information collected. The information is not considered confidential,therefore no assurance of confidentiality is provided. This form is submitted for proposed(new)construction cases when prevention of subterranean termite infestation is specified by the builder or required by the lender,the architect,FHA or VA This form is to be completed by the builder.This guarantee is issued by the builder to the buyer.This guarantee is not to be considered as a waiver of,or in place of,any legal rights or remedies that the buyer may have against the builder. FHA/VACase No. Location of Structure(s)(Street Address,or Legal Description,City,State and zip): 366 1 Oth St Atlantic Beach, FL 32233-5530 Buyer's Name: Mallow, Kim Builder is to check and complete either box 1 or box 2. 1.❑X Pest Control Company Applied Treatment(See HUD-NPMA 996 for treatment information) The undersigned builder hereby certifies that a State licensed or otherwise authorized pest control company(where required by State law)was contracted to treat the property at the location referenced above to prevent subterranean termites.The builder further certifies that the contract with the pest control company required the treatment materials and methods used to be in conformance with all applicable State and Federal requirements.All work required by the contract has been completed unless noted on HUD-NPMA 990.Where not prohibited by applicable State requirements,the buyer,for an additional fee payable to the pest control company,may extend the protection against subterranean termites.Contact the pest control company listed on the attachment for further information. The builder hereby guarantees that,if subterranean termite infestation should occur within one year from the date of closing,the builder will ensure that a licensed or otherwise State authorized pest control company will treat as necessary to control infestations in the structure.This further treatment will be without cost to the buyer. If permitted by State law,the buyer may contract directly,at the buyer's expense,with a pest control company to inspect the property on a periodic basis and use EPA registered products to control any infestation.The builder will not be responsible for guaranteeing such contracted work.The builder further agrees to repair all damage by subterranean termites within the one-year builder's warranty period.This guarantee does not apply to additions or alterations that are made by the buyer, which affects the original structure or treatment.Examples include,but are not limited to,landscape and mulch alterations,which disturb the treated area and create new subterranean termite hazards,or interfere with the control measures.If within the guarantee period the builder questions the validity of a claim by the buyer,the claim will be investigated by an unbiased expert mutually agreeable to the buyer and builder.The report of the expert will be accepted as the basis for disposition of the case.The non-prevailing party will pay the cost of any inspections made to investigate the claim.For further information,contact your State structural pest control regulatory agency.All service must be in compliance with the International Residential Code. Type of Service:: ❑Termite Bait System o Field Applied Wood Treatment E] Soil Treatment Installed Physical Barrier System 2,n Builder Installed Subterranean Termite Prevention using Pressure Treated Lumber The builder certifies that subterranean termite prevention was installed using pressure treated lumber only and certifies that use of the pressure treated lumber is in compliance with applicable building codes and HUD requirements including Mortgagee Letter 2001-04.Note:Using pressure treated sills as a sole method of termite prevention is NOT acceptable and violates the requirements of Mortgagee Letter 2001-04. Initial of Builder Date Attachments:NPMA-99-B Builder's Company Name: Elite Homes Phone No: 904-241-5251 Builder's Signature: Date: Consumer Maintenance Advisory regarding integrated Pest Management for Prevention of Wood Destroying insects.Information regarding prevention of wood destroying insect infestation is helpful to any property owner interested in protecting the structure from infestation,Any structure can be attacked by wood destroying insects.Periodic mainte nance should include measures to minimize possibilities of infestation in and around a structure.Factors which may lead to infestation from wood destroying insects include foam insulation at foundation,earth-wood contact,faulty grade,firewood against structure,insufficient ventilation,moisture.wood debris in crawl space,wood mulch,tree branches touching structures,landscape timbers,and wood rot.Should these or other such conditions exist,corrective measure should be taken by the owner in order to reduce the chances of infestations by wood destroying insects,and the need for treatment. An original and one copy of this guarantee are to be prepared by the builder and sent to the lender.The lender provides one copy to the buyer at closing and includes a copy in the VA loan package or HUD insurance case binder.The builder sends one copy to the licensed pest control company which performed the treatment. Attached is a copy of the state authorized pest control company's New Construction Subterranean Termite Service Record,HUD-NPMA-99-B. Warning:HUD will prosecute false claims and statements.Conviction may result in criminal and/or civil penalties.(18 U.:S.C.1001.1010,1012:31 U.S.C.3729.3802) form HUD-NPMA-99-A(8/2008) New Construction Subterranean Termite OMB Approval No.2502-0525 Service Record (exp.04/30/2015) This form is completed by the licensed Pest Control Company FUMIE reporting burden for this collection of information is estimated to average 15 minutes per response,including the time for reviewing Instructions, searching existing data sources,gathering and maintaining the data needed,and completing and reviewing the collection of information.This information its required to obtain benefits.HUD may not collect this information,and you are not required to complete this form,unless it displays a currently valid OMB control number. Section 24 CFR 200.926d(b)(3)requires that the sites for HUD insured structures must be free of termite hazards.This information collection requires the builder to certify that an authorized Pest Control company performed all required treatment for termites,and that the builder guarantees the treated area against infestation for one year.Builders,pest control companies,mortgage lenders,homebuyers,and HUD as a record of treatment for specific homes will use the information collected.The information is not considered confidential,therefore,no assurance of confidentiality is provided. This report is submitted for informational purposes to the builder on proposed(new)construction cases when treatment for prevention of subterranean termite infestation is specified by the builder,architect,or required by the lender,architect,FHA,or VA. All contracts for services are between the Pest Control company and builder,unless stated otherwise. Section 1:General Information(Pest Control Company Information) Company Name: Turner Pest Control LLC Company Address 480 South Edge—wood Avenue City 4acksonville State FL Zip 32205 Company Business License No. JB112358 Company Phone No. 904-355-5300 FHA/VA Case No.(if any) Section 2:Builder Information Company Name Elite Homes Phone No. 904-241-5251 Section 3:Property Information Location of Structure(s)Treated(Street Address or Legal Description,City,State and Zip) _366 10th St.Atlantic Beach FL 32233-5530 Section 4:Service Information Date(s)of Service(s) 08/0212013. 05/21/2013 01/21/2013 11/28/2012 Type of Construction(More than one box may be checked) Slab Basement Crawl n Other Check all that apply: A.Soil Applied Liquid Termiticide Brand Name of Termiticide: EPA Registration No. Approx.Dilution(%): Approx,Total Gallons Mix Applied: Treatment completed on exterior: Yes No © B.Wood Applied Liquid Termiticide Brand Name of Termiticide:BOM.CARE.PMEMISEPROTERMITICIDE.PREMISE PRo EPA Registration No.64405-1.432-1449,432-1449 Approx.Dilution(%): 2100%,0.05%.0.10% Approx.Total Gallons Mix Applied: 2-,IMMGA,,93WGA C.Bait system Installed Name of System EPA Registration No. Number of Stations installed D.Physical Barrier System Installed Name of System Attach installation information(required) Service Agreement Available?0 Yes F] No Note:Some state laws require service agreements to be issued.This form does not preempt state law. Attachments(List) Pre-Construction Home Termite Servicing Agreement Comments The building has received a complete treatment for subterranean termites Treatment is in gg ordance witt the rules and laws established the FloridaDepartment of Agriculture and Consumer Services(Per the Florida Building Code) Name ofApplicator(s) OHARA. STEVEN Certification No.(if required by State law) JB112358 The applicator has used a product in accordance withthe product I and state requirements.All materials and methods used comply with state and federal regulations. Authorized Signature Date 98/02/2013 Warning:HUD will prosecute false Lms and stateme .Conviction may result in criminal and/or civil penalties.(18 U.S.C.1001,1010.1012;31 U.S.C.3729,3802) form HUD-NPMA-99-B(08/2008) IMA T urner . m , peSt Control What's Bugging You? CERTIFICATE OF COMPLIANCE FOR TERMITE PROTECTION INFORMATION REQUIRED AS PER FLORIDA BLDG CODES 104.2.6. & 1816.1 CONTRACTOR: Elite Homes PERMIT* 1200000802 SITE LOCATION: ass 10th St Atlantic Beach,FL 32233-5530 DATE OF TREATMENT: 08/02/2013 TIME OF TREATMENT: 10:15:00 AM AREA TREATED: SQUARE FOOTAGE: 2506 LINEAR FOOT: 224 IDENTITY OF APPLICATOR: OHARA.STEVEN PRODUCT NAME: BORA-CARE,PREMISE PRO TERMITICIDE,PREMISE PRO.1% CHEMICAL NAME: DISODIUM OCTABORATE TETRAHYDRATE,IMIDACLOPRID,IMIDACLOPRID (DIFFERENT FROM PRODUCT) (FOR BAIT SYSTEMS-LIST CHEMICAL NAME THAT WILL BE USED IF TERMITES ARE DETECTED) PERCENT CONCENTRATION: 23.00%,0.05%,0.10% FOR BAIT SYSTEMS-IF YOU DON'T HAVE THE%=TELL HOW MANY STATIONS PER FOOT) NUMBER OF GALLONS: 2.87GA,136.00GA, 193.00GA (FOR BAIT SYSTMS-ENTER*OF STATIONS USED) FINAL STATEMENT: THE 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 AGRIGULTURE AND CONSUMER SERVICES. I GREE THAT THE ABOVE INFORMATION IS CORRECT AND REFERS TO THE ADDRESS LISTED ABOVE: ARD / B 17 CE TI ED PE CO OR TUR C NTROL,LLC. MAIN OFFICE 480 EDGEWOOD AVENUE SOUTH JACKSONVILLE, FL 32205 PHONE:904-355-5300 FAX:904-353-1488 Graham Shirley From: Hall, Erika Sent: Monday, August 05, 2013 8:58 AM To: Graham Shirley Subject: RE: CO Inspection All is OK here. - No planning& zoning issues. All tree mitigation met by on-site preservation. Erika From: Graham Shirley Sent: Thursday, August 01, 2013 12:55 PM To: Carper, Rick; Nodine, Phil; Daniels, Freddie; Kaluzniak, Donna Cc: Walker, Jennifer; Walker, Chris; Clemons, Malcolm; Hall, Erika; Jones, Mike Subject: CO Inspection 366 10"'St 12-802 Chris Lambertson called for a CO inspection Friday 8/2/13 please notify with email response. Chris can be reached at 349 2803. sh�rled cirahaw. Atlantic Beach City Hall 800 Seminole Rd Atlantic Beach, Fl 32233 904 247 5800 sgraham@coab.us 1 Walker, Jennifer From: Daniels, Freddie Sent: Monday, August 05, 2013 10:22 AM To: Walker, Jennifer Cc: Graham Shirley; Carper, Rick Subject: RE: CO Inspection Fail Need to remove port-o-let and repair asphalt were driveway meets road. From: Walker, Jennifer Sent: Monday, August 05, 2013 8:28 AM To: Daniels, Freddie Cc: Graham Shirley; Chris Lambertson Subject: FW: CO Inspection Good morning Freddie, Please email Shirley and I as soon as the inspection is done please so we can email the CO to Chris with Elite. Have a great day, JewwlU WC 1Zer Administrative Assistant Building Department City of Atlantic Beach 904-247-5826 From: Carper, Rick Sent: Friday, August 02, 2013 4:34 PM To: Daniels, Freddie Cc: Graham Shirley; Walker, Jennifer; Nodine, Phil; Chris Lambertson Subject: RE: CO Inspection Freddie, On-site storage survey reviewed and approved. Please try to get site inspection completed on Monday. Rick Ricky L. Carper, P.E. Public Works Director/City Engineer City of Atlantic Beach 1200 Sandpiper Lane Atlantic Beach, FL 32233 rcarper(a-)-coab.us PH: (904) 247-5834 Fax: (904) 247-5843 From: Carper, Rick Sent: Thursday, August 01, 2013 1:05 PM To: 'Chris Lambertson' 1 Cc: Graham Shirley; Walker, Jennifer; Nodine, Phil; Daniels, Freddie Subject: FW: CO Inspection Chris, did not find where I have reviewed the as-built survey for this parcel yet. Rick Ricky L. Carper, P.E. Public Works Director/City Engineer City of Atlantic Beach 1200 Sandpiper Lane Atlantic Beach, FL 32233 rcarper(aD-coab.us PH: (904) 247-5834 Fax: (904) 247-5843 From: Graham Shirley Sent:Thursday, August 01, 2013 12:55 PM To: Carper, Rick; Nodine, Phil; Daniels, Freddie; Kaluzniak, Donna Cc: Walker, Jennifer; Walker, Chris; Clemons, Malcolm; Hall, Erika; Jones, Mike Subject: CO Inspection 36610`'St 12-802 Chris Lambertson called for a CO inspection Friday 8/2/13 please notify with email response.Chris can be reached at 349 2803. ShLrlte r1rakam Atlantic Beach City Hall 800 Seminole Rd Atlantic Beach, F1 32233 904 247 5800 sgraham@coab.us 2 MAP SHOWING SURVEY OF LOT 29, BLOCK 12, PLAT No. 1, SUBDIVISION "A", ATLANTIC BEACH, AS RECORDED IN PLAT BOOK 5, PAGE 69 OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA. 10th STREET 40' RIGHT OF WAY PAVED PUBLIC ROAD BENCH MARK: MAGNAIL IN EDGE OF--", PAVEMENT. ELEVATION - 9.27 N.G.V.D. 1929 _1 EDGE OF PAVEMENT 12" SEWER CLEAN OUT FOUND 1" IRON __50. ' NO CAP I FOUND 1/2" IRON 400.00' --_ _ A p WA p FOUND 1/2" IRON--__— i PIPE, NO CAP YAR ❑METER YARb STONE DRIVEWAY I PIPE. NO CAP DRWAIN EL49.30 :9.33 (V (V O Q a-�, i \� 04 ADERGR NDN 12" SEWER O o I .-{G�--�� CLEAN OUT ry } �"Y o Of i -r 19.0' ;1^ i L i cn ' 0 }o i SWALE 7.0'i 16.0' I SWALE o l 2 STORY Ld � I 0.1' FRAME _ � " RESIDENCE No. 366 I FlNSHED FLOOR ELEV.-10.97 I FINISHED GARAGE FLOOR I Q ELEV.- 10.12 O O n p .0' I p N I— M o o' o Go ^ i '7.0' 35.2' 8.1' Q 10 20 4,0 I SCALE: 1" = 20' PUMP PORCH AREA I$W U W NOTES � I t0 1. THIS IS A BOUNDARY SURVEY STONE POOL DECK 2. INTERIOR ANGLES AS PER FIELD 0 u SURVEY AS FOLLOWS: z A = 90'08'52" B = 89'54'10" POOL C = 89'50'32" 12 D = 90.06'26" L 3. NORTH PROTRACTED FROM PLAT. B 4. NO BUILDING RESTRICTION LINES PER PLAT. o 6 5. BENCH MARK USED IS A MAG NAIL D,/, LINE FENCE C .s' IN THE SOUTHERLY EDGE OF _ 0.4' PAVEMENT, NEAR THE WESTERLY FOUND 1/2" IRON , s' CHAIN 0 4 OUND 1/2" IRON PROPERTY LINE OF LOT 29. PIPE, NO CAP 50.00 LINK FENCE , , IPE, CAP LB3672 ELEVATION = 9.27 N.G.V.D. 1929 I I 6. BUILDING TIES SHOWN ARE MEASURED FROM THE FOUNDATION. cv p 00 rn I M I N O p J 0 THE PROPERTY SHOWN HEREON APPEARS TO LIE IN FLOOD ZONE "X" (AREA OUTSIDE THE 0.2% ANNUAL CHANCE FLOOD PLAIN) AS WELL AS CAN BE DETERMINED FROM THE FLOOD INSURANCE RATE MAP THIS SURVEY WAS MADE FOR THE BENEFIT COMMUNITY PANEL No. OF ELITE OMES. 12031 CO409H, REVISED JUNE 3, 2013 FOR DUVAL COUNTY, FLORIDA. DONN W. BOATWRIGHT. P.S.M. NOT VALID WITHOUT THE SIGNATURE AND THE FLA, UC. SURVEYOR AND MAPPER No. LS 3295 ORIGINAL RAISEDISED SEAL OF A FLORIDA LICENSED SURVEYOR AND MAPPER." FLA. LIC. SURVEYING & MAPPING BUSINESS No. LB 3672 CHECKED BY: BOATWRIGHT LAND SURVEYORS, INC. DRAWN BY: CL 1500 ROBERTS DRIVE DATE: JULY 2 2013 1 FILE ; 2013-0670 JACKSONVILLE BEACH, FLORIDA 241-8550 SHEET 1 OF 2 REF-12-941