396 11TH ST CO CERTIFICATE OF OCCUPANCY
PERMANENT
Issue Date: 7/24/2015
RE Number: None
Address: 396 11TH ST
Zoning: RS-1
Owner: LINDLEY TOLBERT DESIGN INC
Contractor: BOSCO BUILDING CONTRACTORS
Application Number: 15-SFR-66
Description of Work: new home
Construction Type: 5-B
Occupancy Type: 5-3
Approved:
Building Official
VOID UNLESS SIGNED BY BUILDING OFFICIAL
2,Q ( - o --?) W
ans�\
CITY OF ATLANTIC BEACH
CERTIFICATE OF OCCUPANCY WORKSHEET
Date Requested: 7114P
Contractor Name:
Permit
Property Address:
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
F--i 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 -7110
Public Utilities
Building
Planning
Tree Mitigation
Satisfied-
Final Survey with FFE Yes No
All Re-Inspect Fees Paid Yes No
Termite Treatment Yes No
R-O.W Permit Attachment of for
R-O.W Permit H issued 1200 Atlantic Beach, FL 32233
Owner's Name. Lindley Tolbert Design,Inc.
Property Address: 396 1 1th Street
Atlantic Reach, FL 32233
Subdivision: Atlantic Beach
Lot Block Lot 45 Block 13
R.E. #: 5-69 16-2S-29E .17
REVOCABLE ENCROACHMENT PERMIT
THl[S REVOCABLE ENCROACHMENT PERMIT, issued on this day of
-)C-'r 1 200", by Atlantic Beach, Florida, a municipal corporation organized -and existing
under the laws of the State of Florida, hereinafter refeffed to as "CITY' and Liridley Tolbert Design,In
of Atlantic Beach, Florida, hereinafter referred to as"USER".
WITNESSETH:
That the CITY does hereby grant the USER permission on a revocable basis as described herein the
fight to enter upon the property of the City of Atlantic Beach for the purpose as described in the City of
Atlantic Beach Right-of-Way/Easement permit numbers noted above(copies attached).
This work is generally described as: Paver Drivew�!y
Any facility maintained, repaired, erected, and/or installed in the exercise of the privilege granted
remains subject to relocation or removal on thirty (30) days notice by CITY to the USER, said notice to
USER shall be given by certified mail, return receipt requested, to the following address.
The depositing of said notice of cancellation in the United States mail shall constitute the notice of
cancellation and the burden is upon USER to keep the CITY informed of USER's proper address
The USER shall promptly make any and all necessary repairs to any facility erected or maintained in
the exercise of the privilege herein granted and shall at all times maintain said facility in good and safe
condition
In the event it is necessary for the CITY or the City's approved representative or other franchised
utility to enter upon the above-described property of the CITY, the USER shall replace at the USER's
sole expense, any and all material necessarily displaced during the action of maintaining, repairing,
operating, replacing, or adding to of the utilities and facilities of the CITY or franchise utility provider.
The facilities allowed by the permit shall meet the current requirements of the City Code, Building
Codes, Land Development Code, and all other land use and code requirements of the CITY, including
City Code Section 19-7 (h) which states "Driveways that cross sidewalks: City sidewalks may not be
replaced with other materials, but must be replaced with smooth concrete left natural in color so that it
matches the existing and adjoining sidewalks-
MAP SHOWNG SURVEY OF
LOT 45.—13.S.—SON'A"ATLANTIC BEACH AS RECOR D IN PLAT
—5.PACE 69 Of'ME CUBBENT PUBLIC RECORDS Of W"L COUNTI'.
1OP.A.
so.
LOT 41
LOT 45 LOT 43
WT 47
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NAIICNAI-TITLE INSURAN�COMP-
ME PRCIPERTY SHOM HEREON—TO Ul�IN FLOW ZONE
X-(AREA CLIME OF ME D�n ANNUAL CHANCE`LOOCPLAJN)
A IND-L AS CAN BE DEIENIMINED MEM ME�INSURAN�
RAM MAP N1,IN ICO�.�SEI)�UNE 3.2.3 IOR DU-
DONN W.BOATMIGHT, P.S.M.
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Walker, Jennifer ry�f I N CJPA14r�
From: Williams, Scott
Sent: Friday, July 10, 2015 1:46 PIVI
To: Graham, Shirley
Cc: Layton, Douglas; Walker, Jennifer
Subject: RE: 396 11 TH ST
Shirley,
Freddie and I went by and did the CO Inspection at the 396 1 1th Street for Todd Bosco. Everything there looks good
except that I did not see a Revocable Encroachment Permit in the files and they do have a brick pavers driveway that
requires one.
Scott Williams
Deputy Public Works Director
City of Atlantic Beach
Office: (904)247-5834
swilliams@coab.us
From: Graham, Shirley
Sent: Thursday, July 09, 2015 4:21 PM
To: Layton, Douglas; Williams, Scott; Rigsbee, Jim; Clemons, Malcolm; Walker, Chris; Daniels, Freddie
Cc: Walker, Jennifer; Gindlesperger,Toni; Reeves, Derek; Hubsch, Jeremy; Brown, Emmanuel
Subject: 396 11TH ST
Todd Bosco is requesting a CO inspection tomorrow @ 396 1 11h St he can be reached at 2410230.
sKrLe� c1rakcim
C�t� of AtLn vvt�c,1�.ea ok
Building Permits Technician
Atlantic Beach, Fl 32233
9042475800
sgraham@coab.us
5951 Arlington Expressway
BUG OUT Jacksonville, Florida 32211
SHER VICH Phone 904-743-8272
bugoutservice.com Toll Free 1-877-BUG-U-OUT
TERMITE TREATMENT RECORD / CERTIFICATE OF COMPLETION
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.
Location of Property'(Street'Addr6ss,City and State) Lot Block
Z Z 7 �� 2>
If termite infestation should occur within one year from the date of treatment in this building, Bug Out will retreat the
structure 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.
Soil Treatment: Technician Treatment Treatment
Record Date Record Time
oth
Chemical Used: Premise Pre er 1 Concentration:0.5%
L
Gaflons applied: Method of application:—�'-Pressure spraj�4 —Sod rodded
Square footage of sod area treated: LinearA—.of Masonry Voids treated:
Tubs and Traps
Final Soil Treatment: 4�(/11,1"L
Wood T)reatment:
Chemical Used: Bora-Care Concentration 1:1 Solution
Fran-dng area treated: 24 inch barrier treatment
Method of Application: Pressure sprayed Gallons Applied
Baiting System: QSentricoV
Product Used: Sentricon Colony Elin-driation System Linear Feet: Colcmy Ehidnation�rlem
Monitoring System:
Product Used: Linear Feet:
Builder:
Title: ?e-:E1
By(Signature): Date: L
White-Job Site Canary-Job Site Pink-Bug Out
Reorder from Rush to Excellence
904-367-0100 Form#4045 Rev 08/14
MAP SHOWNG SURVEY OF
LOT 45,BLOCK 13,SUBDIVISION*A"ATLANTIC BEACH AS RECORDED IN PLAT
BOOK 5,PAGE 69 OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY.
FLORIDA.
SCALE 1* 20'
ELEVEV4-nA
OF VI
PAVED' 5�0-00
LOT 41
LOT 45 LOT 43
LOT 47
140 7.
2-STORY
STUCCO
FRAME
RESIDENCE
No.396
8.2 CL;
0 -s" 4.3
141
0
C.
LOT 46 LOT 44 LOT 42
LOT 4a
NO &'
1.THIS 15 A�NOARY A10 T��HIC
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INTERIOR-GiX �AS
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.0 WING RESTR!!C�U�IES M Pi-AT.
5.�CHU �IS NORT-IEAST 0ORNOt OF A CONCRETE LINDLEY TOLBERT,INC..ATLANTIC COAST BANK AND OLD REPUBLIC
HEAD-ADJAM.T TO IAST UNE OF LOT NATIONAL TITLE INSURANCE COMPANY.
OXVATIO14-13.99(N.G.V.O.19n)
DW Digilly It-d by D.-W
onn B-igh''PSM
DN:a,=D.n'WB-ght.
THE PROPERTY SHOYM HEREON APPEARS TO LIE IN FLOOD ZONE 11 , L,,l
-X-(AREA OUTSDIE OF THE 0.2%ANNUAL CHANCE FLOODPLAIN) Boatwrigh lum-y',,I-o-t-53295 H3
AS WELL AS CAN BE DETERMINED FROM THE FLOOD INSURANCE 3672.
RATE MAP No.12031CO409H,REVISED JUNE 3,2013 FOR DUVAL -il=d nn@I--ghfland-
COUNTY.FLORIDA. sm .-Us'
ADOED R-ED FLOOR 0-EVATON:WLY 10.2015 t' P D-2015.07.101436�04W
BRICK PAWR-A-:XNE 21.- DONN W. BOATMIGHT, P.S.M.
VALID-OUT T,IE�GNATJW AND �RW�XNE 10.2015 FLORIDA Url SURVEYOR md MAPPER ft LS 3295
NE MG Al-RNSED-01`A FLORIDA FOUND��RWY:MMCH 10.=5 &M�ING BUSINEM No.LB M72
UCINMD WRW�MD M�.' WMSED CERTFICATONS:DEC11IIIER 12.M14 RORMA UC.SURVE"NO
CHECKmD Hr. FILE 2cH5-694 Ery,.-cL-I BOATWRIGHT LAND SURVEYORS. Inc. 500 ROBER.TS DRIVE, JACKSONVILLE BEACH. FLORIDA 241-85i;
Graham, Shirley
From: Walker, Chris
Sent: Monday, July 13, 2015 8:19 AM
To: Graham, Shirley
Subject: RE: 396 11 TH ST
All good with us.
From: Graham, Shirley
Sent: Thursday, July 09, 2015 4:21 PM
To: Layton, Douglas; Williams, Scott; Rigsbee, Jim; Clemons, Malcolm; Walker, Chris; Daniels, Freddie
Cc: Walker, Jennifer; Gindiesperger,Toni; Reeves, Derek; Hubsch, Jeremy; Brown, Emmanuel
Subject: 396 11TH ST
Todd Bosco is requesting a CO inspection tomorrow @ 396 1 Ith St he can be reached at 2410230.
sKrLeu ':�jrOam
UtU of AtLa wt�o 1�-eao�
Building Permits Technician
Atlantic Beach, Fl 32233
9042475800
sgraham@coab.us
Graham, Shirle
From: Clemons, Malcolm
Sent: Monday, July 13, 2015 10:50 AM
To: Graham, Shirley; Layton, Douglas; Williams, Scott; Rigsbee, Jim; Walker, Chris; Daniels,
Freddie
Cc: Walker, Jennifer; Gindlesperger,Toni; Reeves, Derek; Hubsch, Jeremy; Brown, Emmanuel
Subject: RE: 396 11 TH ST
Backflow inspection ok. Malcolm
From: Graham, Shirley
Sent: Thursday, July 09, 2015 4:21 PM
To: Layton, Douglas; Williams, Scott; Rigsbee, Jim; Clemons, Malcolm; Walker, Chris; Daniels, Freddie
Cc: Walker, Jennifer; Gindlesperger,Toni; Reeves, Derek; Hubsch, Jeremy; Brown, Emmanuel
Subject: 396 11TH ST
Todd Bosco is requesting a CO inspection tomorrow @ 396 1 1th St he can be reached at 2410230.
sKrLeu C-irclkam
C�tu Of AtLot wt�o 1�.ea ok
Building Permits Technician
Atlantic Beach, Fl 32233
9042475800
sgraham@coab.us