398 11th Street CERTIFICATE OF OCCUPANCY 1!'SS
y�`J ,.
f CERTIFICATE OF OCCUPANCY
. , r PERMANENT
Issue Date: 12/15/2015
RE Number: 170094-0030
Address: 398 11TH ST
Zoning: RS-1
Owner: LINDLEY TOLBERT DESIGN INC
Contractor: BOSCO BUILDING CONTRACTORS
Application Number: 15-SFR-466
Description of Work: NEW HOME
Construction Type: 5-B
Occupancy Type: R-3
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Approved:
Building Official
VOID UNLESS SIGNED BY BUILDING OFFICIAL
CITY IF ATLANTIC :EACH
CERTIFICATE OF OCCUPANCY WORKSHEET
Date Requested: / Z' 7
Contractor Name:
Permit #: /5 S1he V66
Property Address: 3?4? /' Sr.
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 D- : .
Public Works /2- 7 L 1 .5
Public Utilities 1217 MC / CS
Building / 4/ '71)
Planning /, //
Tree Mitigation /7/ a�/
Satisfied
Final Survey with FFE Yes No
All Re-Inspect Fees Paid Y No
Termite Treatment V Yes No
el.1 5:::: "rngton Expressway
uG UT nville, Florida 32211``n SERVICE Toll Frree g77 BUG-U OUT
bugoutsefvice.com
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.
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Block
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
dicreate new termite hazards,or interfere with the
treatment method used,this guarantee will become null and
Treatment Treatment
Technician Record Date Record Time
SOli Treatment:
Chemical Used:_.Premise Pre
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: Y Bo -Care Concentration 1:1 Solution �,! �v��;�— ' ��S `
Framing area treate : 24 inch bather treatment (,`Ct "
Method of Application: Pressure sprayed Gallons Applied ��
Baiting System: 0 Sentricon'
Product Used:—Sentricon Colony Elimination System Linear Feet:_ colony�""'""'°"sn
Monitoring System:
Product Used: Linear Feet:
Builder: ' Date: / Title: l'`17l '"r
rtri
By (Signature):
White-Job Site Canary-Job Site Pink-Bug Out
Reorder from Rush to Excellence
904-367-0100 Form#4045 Rev 08/14
DO NOT WRITE BELOW- OFFICE USE ONLY
Applicable Codes: 2010 FLORIDA BUILDING CODE
Review Result (circle one):
Approve• Disapproved Approved w/ Conditions
Review Initials/Date: 1, 3 6 �" FILE COPY
Development Size Q
Habitable Space 24-/'/� S,i' Non-Habitable /o / s' C 5a rq S< a porches)
Impervious area
Miscellaneous Information
Occupancy Group R-
Type of Construction V-6
Number of Stories
Zoning District 2 S - I
Max. Occupancy Load
Fire Sprinklers Required ,c
Flood Zone
Conditions/Comments:
Graham, Shirley
From: Williams, Scott
Sent: Tuesday, December 08, 2015 7:32 AM
To: Graham, Shirley; Gindlesperger,Toni
Cc: Layton, Douglas
Subject: RE: 398 11th St
Shirley,
The CO for 398 11th Street was done yesterday. Everything is good with PW.
Scott Williams
Deputy Public Works Director
City of Atlantic Beach
Office: (904)247-5834
swilliams @coab.us
From: Graham, Shirley
Sent: Friday, December 04, 2015 2:30 PM
To: Walker, Chris; Williams, Scott; Moore, Kayle; Clemons, Malcolm; Hubsch, Jeremy; Reeves, Derek
Cc: Jones, Mike; Arlington, Daniel; Daniels, Freddie; Brown, Emmanuel; Showman, Lisa; Josh Rotta
Subject: 398 11th St
Bosco is requesting a CO @ 398 11th St Monday 12/7 Todd or Josh can be reached at 241 0320.
sl��rle� c,rahafru.
cLtu of sktLawticBeach
Building Permits Technician
Atlantic Beach, Fl 32233
904 247 5800
sgraham @coab.us
Graham, Shirley
From: Clemons, Malcolm
Sent: Wednesday, December 09, 2015 3:04 PM
To: Graham, Shirley;Walker, Chris; Williams, Scott; Moore, Kayle; Hubsch, Jeremy; Reeves,
Derek
Cc: Jones, Mike; Arlington, Daniel; Daniels, Freddie; Brown, Emmanuel; Showman, Lisa; Josh
Rotta
Subject: RE: 398 11th St
Backflow inspection OK. Malcolm
From: Graham, Shirley
Sent: Friday, December 04, 2015 2:30 PM
To: Walker, Chris; Williams, Scott; Moore, Kayle; Clemons, Malcolm; Hubsch, Jeremy; Reeves, Derek
Cc: Jones, Mike; Arlington, Daniel; Daniels, Freddie; Brown, Emmanuel; Showman, Lisa; Josh Rotta
Subject: 398 11th St
Bosco is requesting a CO @ 398 11th St Monday 12/7 Todd or Josh can be reached at 241 0320.
SiIrl.ej 4ralnaw�.
c.ft of Atl.awtic Seach
Building Permits Technician
Atlantic Beach, Fl 32233
904 247 5800
sgraham @coab.us
1
Graham, Shirley
From: Reeves, Derek
Sent: Tuesday, December 08, 2015 2:37 PM
To: Graham, Shirley; Gindlesperger,Toni
Cc: Hubsch, Jeremy
Subject: RE: 398 11th St
Zoning is good.
Derek W. Reeves
Planner
City of Atlantic Beach
800 Seminole Road
Atlantic Beach, FL 32233
(904) 270-1605
dreeves(a�coab.us
From: Graham, Shirley
Sent: Friday, December 04, 2015 2:30 PM
To: Walker, Chris; Williams, Scott; Moore, Kayle; Clemons, Malcolm; Hubsch, Jeremy; Reeves, Derek
Cc: Jones, Mike; Arlington, Daniel; Daniels, Freddie; Brown, Emmanuel; Showman, Lisa; Josh Rotta
Subject: 398 11th St
Bosco is requesting a CO @ 398 11th St Monday 12/7 Todd or Josh can be reached at 241 0320.
S iirl.ej 4rahawt
Cit4 of Atl.awtic Beach
Building Permits Technician
Atlantic Beach, Fl 32233
904 247 5800
sgraham@coab.us
1
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\ CITY OF ATLANTIC BEACH
- .t, > :..�. SJ 800 SEMINOLE ROAD
a „ ATLANTIC BEACH, FL 32233
J INSPECTION PHONE LINE 247-5814
SINGLE FAMILY DWELLING NEW
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 15-SFR-466
Job Type: SINGLE FAMILY RESIDENCE
Description: new home
Estimated Value: $300,000.00
Issue Date: 3/30/2015
Expiration Date: 9/26/2015
PROPERTY ADDRESS:
Address: 398 11TH ST
RE Number: None
GENERAL CONTRACTOR INFORMATION:
Name: BOSCO BUILDING CONTRACTORS
Address: 2158 MAYPORT RD QA TODD ALBERT BOSCO
Phone: - -
PERMIT INFORMATION:
FEES:
PLAN CHECK FEES $540.00
UTIL REV RESIDENTIAL BLDG $50.00 /► 7)Q es -. 3'31)6
BUILDING PERMIT FEE $1,080.00 A INED
STATE DCA SURCHARGE $16.20 '
STATE DBPR SURCHARGE $16.20 SCACED
SEWER TAP FEES $4,674.38
Total Payments: $6,376.78
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.