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1024 MAIN ST - CERTIFICATE OF OCCUPANCY r 7 ~ 's`'' CERTIFICATE OF OCCUPANCY cis PERMANENT Issue Date: July 8, 2016 RE Number: 170995-0600 Address: 1024 MAIN ST Zoning: R-G Owner: MASTERS RALPH L Contractor: RPC GENERAL CONTRACTORS (904) 241-4416 Application Number: 16-SFR-37 Description of Work: NEW HOME Construction Type: 5B Occupancy Type: R-3 Approved: Building Official VOID UNLESS SIGNED BY BUILDING OFFICIAL CITY OF ATLANTIC BEACH CERTIFICATE OF OCCUPANCY WORKSHEET Date Requested: 6,/Z. -7 / ( (0 Contractor Name: R PC F��fL, Q L)TRACTo2 Je..^► ��- 24t- 441(o Permit #: I CO -sr-R- 3� Property Address: t d Z.4 M. /A I Al S 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 El Commercial El 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 P/1'? /1 (_ `7/a/i S (l�Public Utilities ` C:/Z8/1(0 CB Building / Planning 7/q I ( ' ,� Tree Mitigation Satisfied 60/2.-41(02 78// (p 02_ Final Survey with FFE %/ Yes No All Re-Inspect Fees Paid V es No Termite Treatment V Yes No Gindlesperger,Toni From: Mackey, Grace Sent: Wednesday, June 29, 2016 8:38 AM To: Gindlesperger,Toni Subject: FW: Update on CO inspections Grace Mackey Administrative Assistant Building&Zoning City of Atlantic Beach gmackey@coab.us From: Williams, Scott Sent: Wednesday, June 29, 2016 8:18 AM To: Mackey, Grace Cc: Moore, Kayle; Clemons, Malcolm; Walker, Chris; Hubsch, Jeremy; Showman, Lisa; Gindlesperger,Toni; Reeves, Derek; Jones, Mike; Arlington, Daniel; Daniels, Freddie; Brown, Emanuel Subject: Update on CO inspections Grace/Toni The following is a update on the CO inspections from Public Works. 317 East Coast This CO has several problems. I have talked to Jack Ossie and he is aware of these items. 1. Rocks need to be removed from the ROW. 2. Need to remove the underground LP tank on the North West corner of the property. The contractor was told this at the beginning of their project. •- : ••• e back privacy fence where it is warped into the neighbors property. 1024 Main Street This CO ha several problems before a CO can be issued. I have talked to the owner of the house and to the contractor. need to put in their Water Retention as shown on plans. They have nothing now. 2. Roof needs to drain to the retention area 3. Water retention overflow needs to drain to the street. 705 Sailfish Drive Final Inspection : On this one they need to groom there water retention area a little better and make the overflow run to the street. I have met with the contractor and they are aware of what they need to do. All three of these have my contact information and said they will call me when they are ready for another inspection. I hope the following will help you know where this CO's stand in case you get any call on them. Scott Williams Deputy Public Works Director City of Atlantic Beach Office: (904)247-5834 1 Gindlesperger,Toni From: Brown, Emanuel Sent: Tuesday, June 28, 2016 8:35 AM To: Gindlesperger,Toni; Williams, Scott; Moore, Kayle; Clemons, Malcolm; Walker, Chris; Hubsch, Jeremy; Reeves, Derek; Jones. Mike; Arlington, Daniel; Daniels, Freddie: Showman, Lisa Cc: Mackey, Grace Subject: RE: 1024 MAIN ST This location receives a pass from Utilities From: Gindlesperger,Toni Sent: Monday, June 27, 2016 4:58 PM To: Williams, Scott; Moore, Kayle; Clemons, Malcolm; Walker, Chris; Hubsch, Jeremy; Reeves, Derek; Jones, Mike; Arlington, Daniel; Daniels, Freddie; Brown, Emanuel; Showman, Lisa Cc: Mackey, Grace Subject: 1024 MAIN ST THE CONTRACTOR HAS REQUESTED A CERTIFICATION OF OCCUPANCY FOR THIS ADDRESS JENNIFER 241-4416 Toni Gindlesperger Building Permit Technician City of Atlantic Beach 904-247-5800 ext 5800 ext 5852 tgin@coab.us Gindlesperger,Toni From: Brown, Emanuel Sent: Tuesday, June 28, 2016 1:49 PM To: Gindlesperger,Toni; Williams, Scott; Moore, Kayle; Clemons, Malcolm; Walker, Chris; Hubsch, Jeremy; Reeves, Derek; Jones, Mike; Arlington, Daniel; Daniels, Freddie; Showman, Lisa Cc: Mackey, Grace Subject: RE: 1024 MAIN ST Backflow inspection is good at this address. From: Gindlesperger,Toni Sent: Monday, June 27, 2016 4:58 PM To: Williams, Scott; Moore, Kayle; Clemons, Malcolm; Walker, Chris; Hubsch, Jeremy; Reeves, Derek; Jones, Mike; Arlington, Daniel; Daniels, Freddie; Brown, Emanuel; Showman, Lisa Cc: Mackey, Grace Subject: 1024 MAIN ST THE CONTRACTOR HAS REQUESTED A CERTIFICATION OF OCCUPANCY FOR THIS ADDRESS JENNIFER 241-4416 Toni Gindlesperger Building Permit Technician City of Atlantic Beach 904-247-5800 ext 5800 ext 5852 tgin a(�coab.us 1 Gindlesperger,Toni From: Jennifer Snow[Jennifer@rpcgc.com] Sent: Wednesday, June 29, 2016 1:45 PM To: Reeves, Derek Cc: Mackey, Grace; Gindlesperger,Toni; CJ Singleton; Danny Rodrigues Subject: RE: 1024 Main St CO Attachments: As-Built Survey 6-20-16.pdf Derek, Here is the final As-Built survey for your review. There is only one tree on the property. I just informed the homeowners that we will have to plant another tree and they are pretty upset.They don't want an extra tree, that is why they paid almost$10k in mitigation fees to remove the original trees.This should have been brought up at the beginning or provided to us prior to construction. If there is any way you can waive this requirement if so, I would be grateful. Also, Is there a specific list of what types of trees are allowed or can we just pick anything? Thank you, Jennifer Snow Project Manager RPC General Contractors, Inc. 248 Levy Road Atlantic Beach,FL 32233 (904)241-4416(904)241-4427 fax PC- (FA iennifer(a�rpcoc.com www.rocgc.com This e-mail is intended for the addressee shown.It contains information that is confidential and protected from disclosure.Any review,dissemination or use of this transmission or its contents by persons or unauthorized employees of the intended organizations is strictly prohibited. it If you must print this email,please recycle. From: Reeves, Derek [mailto:dreeves(acoab.us] Sent: Wednesday, June 29, 2016 1:11 PM To: Jennifer Snow Cc: Mackey, Grace; Gindlesperger,Toni Subject: 1024 Main St CO Jennifer, I just did your CO inspection for 1024 Main Street.Things looked pretty good, but I will double check the survey once you submit that to make sure. I do have one issue and I'm not sure if we discussed it a permitting.The City has minimum tree requirements for all lots of one 4 inch diameter tree for every 2500 square feet of lot area. You already have the one tree in the back yard so you will need one more for this lot. I noticed that there were a couple of trees near the property line so you may want to check and see where they are at. If there are none then you will have to plant a 4 inch tree. It can pretty much be whatever tree you want and wherever you want. Let me know what you would like to do. Thanks, Gindlesperger,Toni From: Reeves, Derek Sent: Wednesday, June 29, 2016 1:11 PM To: jennifer@rpcgc.com Cc: Mackey, Grace; Gindlesperger,Toni Subject: 1024 Main St CO Jennifer, I just did your CO inspection for 1024 Main Street.Things looked pretty good, but I will double check the survey once you submit that to make sure. I do have one issue and I'm not sure if we discussed it a permitting.The City has minimum tree requirements for all lots of one 4 inch diameter tree for every 2500 square feet of lot area. You already have the one tree in the back yard so you will need one more for this lot. I noticed that there were a couple of trees near the property line so you may want to check and see where they are at. If there are none then you will have to plant a 4 inch tree. It can pretty much be whatever tree you want and wherever you want. Let me know what you would like to do. Thanks, Derek W. Reeves Planner City of Atlantic Beach 800 Seminole Road Atlantic Beach, FL 32233 (904) 247-5841 dreevescoab.us 1 MAP SHOWING SURVEY OF LOT 3, BLOCK 184, SECTION "H" ATLANTIC BEACH, ACCORDING TO PLAT THEREOF RECORDED IN PLAT BOOK 18, PAGE 34 IN THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA. CERTIFIED TO: RPC GENERAL CONTRACTORS, INC. LOT 4 LOT,x BLOCK 183 I LOT 2 I 1 Pv I11000 SHED ENCROACHES I 30.50'ONTO PROPERTY dFOUND 1/2 IRON --X 111 el I N0020'51"W 49.95' l _PIPE 283672' e� X�6— X X ' - 0/i FENCE —0.40' = vK LOT 3, BLOCK 184 20'00L Z4.1 COVERED Eo 7.74' 7.4' CONC.PAHO '1 ❑ 21.8' A/C LOT 4 un I 2 LOT 2 CO00 4 CO oi ri 1-STY FRAME I 57,'RESIDENCE 1 ^ . /1024 e') '' t F.F.E.-(11.24) I rrie p. 74' 17.4' I tw ch cl ' CAR24.0' 7.<' PORT — X— X— I END 4'17000 FENCE BEGIN 6'WOOD FENCE 0.l' — j 20'BRE >< COIVGBEGIN 4'WOOD FENCE DRIVEWAY `� il.0'*EST OF UNE SOO*00100"E 50.10' �WLY R/W UNE (662)BC (870)EP (852)EP MAIN STREET (50' R/W) JAE 74,2016;FINAL SURVEY(2076-108-3),tits 1373-60 APRIL 14,2016; FOUNDATION SURVEY(2016-105-2).01 1369-74 UNLESS IT BEARS 771E SIGNATURE AND THE ORIGINAL RAISED SEAL OF A FLORIDA LICENSED SURVEYER AND MAPPER, THIS ORAMiNQ SKETCH PLAT OR MAP IS FOR INFORMATIONAL PURPOSES RKY,AND IS NOT VALO. NOTES 1.Bevkrys ore ASSIMED anal booed on Me WLY R/W LUNE OF MAW SKEET AS NOODo'00'E LEGEND Dote: 3/}5/tots 2 This/s o BOUNDARY SURLILY. Q cones coetatr1E YQN.edr Scale: 1'=20' 1 3.Devotions aho.n Mos(1S0)refer to Notional Ceadetk Vertical Datum of 1929(NOW-29) s-A DfH07Es e'soap MICE Job No. 2016-105 OS Mon on site plan prepared by Wray Architect for Maeters Re.Mnce. 0 mans 1370 4.By Grophlc platting mix the property shown hereon Ms within Zone: X em CAP,R A F.B. 56 on Mon on the Federal Emergency Management Agency(FEMA.),National Flood insurance • gplp��,,y r�,� Page' 16-105.dwg PrRl dab.euro��ote Map(F:LR.M)Community-pard Number 120077-0202'L (io swVe�w o WA N Comp. File: G.J.B. /3 .r DENO=Moss CUT Drawn By. S Unica.othawhs noted any portion of the parcel that may be deemed as*btiondo therefrom 4 not respcn.b9It°'"cies.ty of the a.not undersigned oi°any""6"`y'1N""9 RICHARD A. MILLER & ASSOCIATES 6 There may be Restrictions or Easements of Record.did nced by flee eronhatkn that PROFESSIONAL LAID SURVEYORS hove not been Mown hereon. 6701 BEACH&W.,SUITE/700 For(904)721-5758 ABBREl4ATKNS THAT MAY BE USED W 7165 SURVEY JACKSONVILLE FLORIDA 32.276 no..(904)721-1226 .6DEFM/E 701 DFF7NITON PCP Permanent Control Point LB L(�/Ce,,saeepd Buaheas one 7o ware NMT nes SUMO'b A OWE RONESDITA710(ar AN ACILML PRY Permanent Reference Monument RLS RepOteed Land Slm.yor MO e7e1t,,M�Lep7t w 9PFm1971R NO a ARVpYICe.ITN M pPODR Po* of B.ytnh9 Alaka:mike Electric Authority 1aae 0710.01E STAVING.{AS armAND NO SET SWI M DE FLa1pA Pah PT of Tangency A AlECmdltloner (��wW.t -e1 ROMA Aar name Maw OIRAWIT S.1-17. PRC Pah of Reverse Curvature 1Y Cobb Television RIORIt.stat):FLOW 11.0w PCC Pole of Compound Curvature R) Record Plot R RAAyMn of Noy M) Fled Measured OfRcla Recode Bods or Volume ( Radius Lentil equals PO Plat Book CIE.- Arc R Obfnny BY: _ elsd�lct_T :Mem Restriction Lite ,n,- - ONto or Cn�rd Amyls.pude s 7*LLUM.L MELROSE, STATE OF FLORIDA,REGISTERED ((IR�JJI Radio! CURC Comms LAND SURVEYOR, CER7IRCATE No. 5843 New Construction Subterranean Termite OMB Approval No.2502-0525 Services Record (exp.005/30/2018) This form is completed by the licensed Pest Control Company Public 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 is mandatory and 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(bX3)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. This report is submitted for informational purposes to the builder on proposed(new)construction cases when soil 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 Operator and builder,unless stated otherwise. Section 1:General Information(Treating Company Information) Company Name: APEX PEST CONTROL Company Address 4601 E.Moody Blvd..F2 City Bunnell State FL Zip 32110 Company Business License No. JB136276 Company Phone No.386-206-9109 FHA/VA Case No.(if any) Section 2:Builder Information Company Name RPC General Contractors Phone No. Section 3:Property Information Location of Structure(s)Treated(Street Address or Legal Description,City,State and Zip) 1024 Main St. Atlantic Beach FL 32233 Section 4:Service Information Date(s)of Service(s) 3/28/2016 Type of Construction(More than one box may be checked) ®Slab ❑Basement ❑Crawl ❑Other Check all that apply: ® A.Soil Applied Liquid Termiticide Brand Name of Termiticide:Dominion 2L EPA Registration No.53883-229 Approx.Dilution(%):.5 Approx.Total Gallons Mix Applied: 180 Treatment completed on exterior:®Yes 0 No ❑ B.Wood Applied Liquid Termiticide Brand Name of Termiticide: EPA Registration No. Approx.Dilution(%): Approx.Total Gallons Mix Applied:3.5 ❑ C.Bait system Installed Name of System: EPA Registration No. Number of Stations Installed ❑ C.Physical Barrier System Installed Name of System: Attach installation information(required) Service Agreement Available?0 Yes 0 No Note:Some state laws require service agreements to be issued.This form does not preempt state laws. Attachments(List) Comments The building has received a complete 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.(Per the Florida Building Code.) Name of Applicator(s) B. Heppler Certification No.(if required by State law)JE1109500 The applicator has used a product in accordance with the product label and state requirements.All treatment materials and methods used comply with state and federal regulations. Authorized Signature "-ICU& 4i_t'`tS.0 Date 6/13/2016 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 NPCA-99-B May still be used. form HUD-NPMA-99-B(08/2008) SUI3TERRANEAN TERMITE SERVICE AGREEMENT /AMC ❑East Florida/Corporate ❑Central Florida ❑West Florida X❑North Florida El South Florida 1180 US Highway 1.Ste 1(15 3200 rlaad Road 28/2 South 70th Street 4601 li Moody Bh'd,Ste 1-1 /8/0 Hypnhcm Rd.,Ste 1)12 Rockledge.FL 32955 Apopka,l•7. 32703-9473 "Pampa,1'1 336/9 Baaaell.1.7. 32/10-7300 Lake Worth.P7. 33462 (321)459-2847 (407)246-1721 (813)221-2847 (386)206-9109 (561)908-6210 PEST CONTROL INC (800)929-2847 (888)764-2847 (877)459-2847 (888)408-2847 (888)220-1888 www.apexpest.com DATE OF TREATMENT Account Number 3/28/2016 1 1403381 ❑x RESIDENTIAL ❑ COMMERCIAL PURCHASER PROPERTY Name RPC General Contractors Name(0 different from purchaser) Maters Residence Mailing Address 248 Levy Rd.PO Box 330775 Service Address 1024 Main Street City/State/Zip Atlantic FL 32233 City/State/Zip Atlantic Beach FL 32233 Primary Phone Primary Phone Alternate Phone Alternate Phone Email Email Structure(s)to be treated include I Single Family Dwelling Linear Ft.: Location of Notice of Treatment: Electrical Panel This is a 0 Pre Construction ❑Post Construction Subterranean Termite Service Agreement ("Agreement") between Apex Pest Control, Inc. ("APEX") and the above-named Customer to treat the above referenced Structure(s) for a period of one (1) year for Eastern Subterranean Termites (Reticulitermes) and Formosan Subterranean Termites (Coptotermes Formosanus), hereinafter referred to in the plural as"Subterranean Termites," aerial infestations excluded. In consideration for the payment(s) of the fees and tax set forth below, APEX will service the Structure(s)in accordance with the terms and conditions of this Agreement. Re-treatments may be necessary during the period of this Agreement and will be provided at no additional cost to the Customer if a reinfestation of Subterranean Termites occurs. Customer acknowledges that this Agreement is offered for Retreatment Only, unless the upgrade option is selected below. If Customer does not elect to upgrade to the Repair and Re-treatment Option, then APEX's only obligation will be to re-treat the Structure(s) if an infestation of Subterranean Termites occurs. The initial treatment provided under this Agreement is intended to E Prevent(Pre or Post Construction)or 0 Correct(Post Construction Only)an infestation of Subterranean Termites. Customer may elect to upgrade the terms of this Agreement to include a ONE MILLION DOLLAR Repair and Re-treatment Option by initialing in the space provided hereafter N r_' and paying an additional fee of$ uu.uu ,then APEX, in addition to providing re-treatments if a live infestation occurs, will repair new damage, as defined under the General Terms and Conditions of this Agreement, caused by Subterranean Termites. PAYMENT TERMS: A down payment against the Total Price is due upon Customer's execution of this Agreement. The remaining balance is due at the time that APEX renders the services provided in this Agreement. Initial Treatment price rail Method of Payment: 0 CHECK#1 1 $1,000,000 Repair and Re-treatment Option Fee Included ❑ CREDIT CARD Less Down Payment u ❑ CASH Sales Tax(Commercial Only) u Total Amount Due Customer may renew this Agreement for four(4)additional year(s) by paying an annual renewal fee of$ zuu.uu I, on or before each anniversary date of this Agreement. Following the fourth renewal of this Contract, Customer may exercise the option to renew this Contract for five(5)additional years by paying APEX to perform a complete or maintenance treatment,depending on the circumstances, to the Structure(s). For purposes of this Agreement,the parties agree that"anniversary date"is defined as that day that falls exactly one year from the date of treatment indicated above. Customer's failure to pay the annual renewal fee in accordance with this Agreement will render this Agreement voidable, at the election of APEX, but shall not relieve Customer from the obligation and requirement to provide payment for all amounts due and owing pursuant to this Agreement. APEX may adjust the annual renewal fee by providing written notice to Customer within forty-five(45)days before the anniversary date of this Agreement. Should Customer wish to terminate the service,written notification must be provided to APEX at least ten(10)days prior to the anniversary date of this Agreement. Buyer Initials: Page 1 of 3 AP-TA01 (Aug 2014) 10.CHEMICAL SENSITIVITY costs, expenses, and fees of arbitration and settling a controversy If Customer or an occupant of the Structure(s)knows,or believes,that he or shall be borne equally by the parties. This arbitration provision shall she may be sensitive to pesticides. written notice must immediately be survive cancellation.expiration.or termination of this Agreement. provided to the APEX prior to treatment or retreatment of any area of the 12.TRANSFERABILITY Structure(s). APEX reserves the right. upon receipt of such notification, to This Agreement is transferable to a new owner of Structure(s) upon written deny or terminate service. Failure to provide this notification represents notice to APEX; however.APEX reserves the right to charge a transfer fee Customer and occupants' assumption of the risk and waiver of any claims and adjust the annual renewal fee upon transfer of ownership. against APEX in connection with such sensitivity.Customer further agrees to indemnify, protect and hold harmless APEX from any and all chemical 13.TERMINATION sensitivity claims. causes. actions. judgments. costs, attorneys fees, APEX's responsibilities. duties. obligations, and any liabilities under this expenses and losses of every kind and character,whether direct or indirect, Agreement shall be terminated if APEX is prevented or delayed from fulfilling brought by Customer or other occupants(including invitees and licensees)to any of its duties, obligations or responsibilities under the terms of this the Property.if Customer fails to provide the above written notice. Agreement by reasons or circumstances beyond its control or by the Customer's interference or refusal to provide APEX with access to the Structure(s) or areas in need of service. This obligation includes. but is not 11.BINDING ARBITRATION limited to,Customer's responsibility to move fixtures or components in or on Customer and APEX agree that any and all controversies or claims between the Structure to allow for service.APEX is authorized,following notification to them. their principals, agents. representatives. successors. or assigns, Customer,to install or open access panels to facilitate the service performed arising in any way out of,or relating to,this Agreement to include the subject under this Contract. Structure(s)or Property and any services performed. shall be settled solely 14.SEVERABILITY and exclusively by arbitration.Such arbitration shall be conducted in Brevard Customer agrees that if any part of this Agreement is held to be invalid or County, Florida using the substantive law of Florida governing the issue or unenforceable for any reason, the remaining terms and conditions of this claim in dispute and in accordance with the Voluntary Binding Arbitration Agreement shall remain in full force and effect. provisions of Section 44.104, Florida Statutes. The arbitrator shall be g independent, mutually agreed upon, and to the greatest extent possible. be 15. NON-PAYMENT knowledgeable in pest control and building construction matters by In the event that Customer fails to pay any sum due and owed under the education, experience, licensing and training to deal with the issues and terms of this Agreement,APEX has the right to terminate this Agreement. In claims presented. The decision of the arbitrator shall be a final and binding the event a collection service is utilized or legal action becomes necessary to resolution of the disagreement.which may be entered as a judgment by any recover all unpaid balances. Customer will be responsible to pay all costs court of competent jurisdiction. Neither party shall sue the other where the associated with said collection, including attorney's fees. Notwithstanding basis of the suit is or arises out of this Agreement. other than for (1) any provision in this Agreement to the contrary.APEX is entitled to bring civil enforcement of the arbitrator's decision;or(2)appointment of an arbitrator if suit and claim damages.interest.attorney's fees.and costs for issues arising one cannot be mutually agreed upon.The parties specifically agree that the from this agreement relating to collection of unpaid amounts. sole and exclusive venue of any suit shall be in Brevard County,Florida.All By signing this Agreement, Customer hereby acknowledges that Customer has read and fully understands all terms, disclaimers, limitations, conditions and exclusions contained on the front and back of this Agreement that affect APEX's obligations to re-treat the Structure(s) or, if the Repair and Re-treatment Option is selected, to repair and re-treat the Structure(s), under the terms of this Agreement. Customer specifically understands that APEX and Customer are bound only by the terms of this Agreement and not by any other representation(s)whether oral,written, or otherwise. BUYER'S RIGHT TO CANCEL: If this is a home solicitation sale and Customer does not want the goods or services, Customer may cancel this Agreement by giving written notice of cancellation to APEX before midnight of the third business day after the day Customer signed this Agreement. I. 3/28 016 (! _., [ - '/ & 12 t C . i 1 1 DATE CUSTOMER/CUSTOMER'S AGENT DATE APEX PEST CONTROL,IN My signature above indicates that I have reviewed and accept the terms and conditions on all 3 pages of this agreement. Page 3 of 3 AP-TA01 (Mar 2011) DO NOT WRITE BELOW- OFFICE USE ONLY Applicable Codes: 2010 FLORIDA BUILDING CODE Review Result (circle one): Approved Disapproved Approved w/ Conditions Review Initials/Date: 1'I S-I Development Size Habitable Space /a/Fr £ Non-Habitable 5 /I5:x; Impervious area 3 7, 5 %G Miscellaneous Information Occupancy Group Q- 3 Type of Construction V 13 Number of Stories I Zoning District Q Max. Occupancy Load Fire Sprinklers Required Flood Zone 1( Conditions/Comments: