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421 Sargo Rd 2014 CO 800 SEMINOLE ROAD ATLANTIC BEACH FL 32233 C E R T I F I C A T E 0 F 0 C C U P A N C Y P E R M A N E N T Issue Date . . . . . . S/27/14 Parcel Number . . . . . 171505-0000 Property Address . . . 421 SARGO RD ATLANTIC BEACH FL 32233 Subdivision Name . . . Legal Description . - - Property Zoning . . . . TO BE UPDATED Owner . . . . . . . . . AF AB VENTURE LLCET AL Contractor . . . . . . MATHIEU BUILDERS 904 813-3661 Application number 14-00000222 000 000 Description of Work SINGLE FAMILY RESIDENCE Construction type . . . TYPE 5-B Occupancy type . . . . RESIDENTIAL Flood Zone . . . . . . ZONE X Approved . . . . . . . 8uil#ng Of f icial VOID UNLESS SIGNED BY BUILDING OFFICIAL CITY OF ATLANTIC BEACH CERTIFICATE OF OCCUPANCY WORKSHEET Date Requested: Contractor Name: Permit #: ILI — Property Address: �21 S"o JI 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: 0 Single-Family Residence F-1 Commercial Other: Lowest Floor Elevation: Required As Built FFE Thefollowing must be completed before issuing Certificate of Occupancy: Department Date Notified Date Approved Approved By Fire PCPT.-- Public Works z z W. Public Utilities -5 I-If Building JI Planning Tree Mitigation Satisfied Final Survey with FFE Yes No All Re-Inspect Fees Paid Yes No Termite Treatment No Graham, Shirley From: Clemons, Malcolm Sent: Thursday, May 15, 2014 11:12 AM To: Graham, Shirley Cc: Walker, Jennifer; Kaluzniak, Donna Subject: RE: 421 SARGO RD 14-222 Backflow inspection OK. Malcolm From: Graham, Shirley Sent: Wednesday, May 14, 2014 4:50 PM To: Carper, Rick; Nodine, Phil; Clemons, Malcolm; Walker, Chris Cc: Daniels, Freddie; Walker, Jennifer; Jones, Mike; Hubsch, Jeremy Subject: 421 SARGO RD 14-222 Brad w/Mathieu Builders is requesting CO inspection Brad can be reached at 237 5560. sKrLe� rirolnum Building Permits Technician 800 Seminole Rd Atlantic Beach, Fl 32233 9042475800 sgraham@coab.us A\N P.O. Box 50367 - Jacksonville Beach, FL 32240 (904) 242-BUGS E TREA P'TIFICAT101V ts Street Address: City: County: General Contractor/Builder: Area Treated: Date: Time: Name of Applicator: Active Ingredient: Product Used:Active Ingredient%Concentration: Number of gallons used: �� IS— Method of termite treatment: The building has received a-omplete treatment for the prevention of subterranean termites.Treatment is in accordance with rules and laws established by the Florida Department of Agriculture and Consumer Services. This form is proof of complete treatment for Certificate of occupancy or Closing. THIS IS PROOF OF WARRANTY Warranty and Treatment Certifications Have Been Issued. Authorized Signature: Date: Graham, Shirle From: Carper, Rick Sent: Thursday, May 22, 2014 3:47 PIVI To: Walker, Jennifer; Graham, Shirley Cc: Daniels, Freddie; Nodine, Phil Subject: 421 Sargo CO Approval Jenny & Shirley, can't find the request, but they have provided as-built survey and site inspection is completed satisfactory. CO Approved by PW Rick Ricky L. Carper, P.E. Public Works Director/City Engineer City of Atlantic Beach 1200 Sandpiper Lane Atlantic Beach, FL 32233 rcarper(cD-coab.us PH: (904)247-5834 Fax: (904)247-5843 Florida Public Works-First to Respond, Last to Leave www.apwaflorida.com Graham, Shirley From: Walker, Chris Sent: Thursday, May 22, 2014 4:52 PM To: Graham, Shirley Subject: RE: 421 Sargo CO Approval Yes all good here From: Graham, Shirley Sent: Thursday, May 22, 2014 3:48 PM To: Walker, Chris Cc: Walker, Jennifer Subject: FW: 421 Sargo CO Approval Are you guys good with this? Shirley From: Carper, Rick Sent: Thursday, May 22, 2014 3:47 PM To: Walker, Jennifer; Graham, Shirley Cc: Daniels, Freddie; Nodine, Phil Subject: 421 Sargo CO Approval Jenny & Shirley, can't find the request, but they have provided as-built survey and site inspection is completed satisfactory. CO Approved by PW Rick Ricky L. Carper, P.E. 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