1871 Atlantic Beach Dr Certificate of Occupancy CERTIFICATE OF OCCUPANCY
# PERMANENT
Issue Date: 10/26/2016
RE Number: 169505-1560
Address: 1871 ATLANTIC BEACH DR
Zoning: SPA
Owner: TOLL FL VI LIMITED PARTNERSHIP
Contractor: TOLL BROS.,INC
(904) 595 - 5243
Application Number; 16-SFR-21
Description of Work: NEW HOME/DRIVEWAY
Construction Type: V B
Occupancy Type: R-3
Approved:
Building Official
VOID UNLESS SIGNED BY BUILDING OFFICIAL
CITY OF ATLANTIC BEACH
CERTIFICATE OF OCCUPANCY WORKSHEET
Date Requested: tola'( wo
Contractor Name: �10 �u 13(os.3
Permit #.. 1(4 — is Fe-— .� (
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: CW<,,gIc-FandIy Residence
[7 Coniniercial
M Other:
Lowest Floor Elevation:
Required As Built FFE
The foZiouping must be camp tedbefore issuing CertoRcaie of Occupancy:
Department Date Notified Date Approved Approved JJY
F e D
ir: ept.
Public Works I ,C)J.�j
Iola-&
Pub1hic Utilities 12,
Building 10- c26-16
Zoning �0 LID
Tree Mitigation
Satisfied
Backflow
Final Survey with FFE Yes — No
All Re-Inspect Fees Paid 4es _ No
Termite Treatment Yes — No
Updated 9115/16
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
r it
SINGLE FAMILY DWELLING NEW
MUST CALL BY 4PM FOR NE)Cr DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 16-SFR-21
Job Type: SINGLE FAMILY RESIDENCE
Description: NEW HOME/DRIVEWAY
Estimated Value: $382,762.00
Issue Date: 2/17/2016
Expiration Date: 10/9/2016
PROPERTY ADDRESS:
Address: 1871 ATLANTIC BEACH
RE Number: None
GENERAL CONTRACTOR INFORMA77ON:
Name: TOLL BROS.,INC
Address: 250GIBRALTARRD STEVENRMERTEN
Phone: - -
PERMIT INFORMATION:
FEES:
ENG REV RESIDENTIAL BLD $100.00
PLAN CHECK FEES $664.14
UTIL REV RESIDENTIAL BLDG $50.00
BUILDING PERMIT FEE $1,328.29
STATE DCA SURCHARGE $19.92
STATE DBPR SURCHARGE $19.92
SEWER SDC-SYSTEM DEV CHG $4,050.00
PMARrER(St3NNE6T"APTA4EWMCE$M.60L CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
AWL CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
IV INSPECTION PHONE LINE 247-5814
WATER CROSS CONNECTION $50.00
WATER SDC-SYSTEM DEV CHG $1,140.00
BID PLAN REV. 2ND SUBMITTAL $996.00
Total PaymenW $8,798.27
PERAHT IS APPROVED ONLY IN ACCORDANCE 'RTTH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODE&
FILE COPY CITY OF ATLANTIC BEACH
800 Seminole Road
Atlantic Beach,Florida 32233
Telephone(904)247-5800
itl FAX(904)247-5845
REVISION REQUEST SHEET
Date: Received by:_ Resubmitted:—
Ptarnit Number: I I
Original Plans Examinar: Project Nante:—
Project Address: WIt A-Ha 'c, Bcgcii Dr-lv"-
Contractor:��eA-r. InC�, Contact Name: PGh
iv
Y_
-ezm
Contact Phone :q04- 5A 5 Contact e-mail:0
Revision/Plan Check/Permit Fee(s)Due: $ 5 0 7c, o 4- 0 r rA i A a
Description of Proposed Revision to FAsting Pen"it.
'Rerv�ov'c'a 2-nq-hiQQ-R— Tn��ecj cq Ge+- jr) Gedrooryi
-to
New SiyuctlAvcu -VYLA�1� ev�
Additional Increase in Building Value: $— AdditionalS.F. ptz\,noor-
Site Plan Revised: MO Public W/U Approval:_
By signing below.I(P affirm that the above revision
isinclusiveoft, P PUN he
SignatureofCont—mdor/Agent Date
Rtl.'�. N.dfl�dby:
D., /(1 , All�
Plan Review,;,mmen S ?J6
y0W
COW, Wolf 2
wiws�orll foLved Q!
ent review ulred YeSTV01
ilding VT-1
nnn &Zoning
, 'to, —��Plans .mmne,
annin &Zoning
Tree Administ tor
Public Worftk,
P, tc tjt'lbea
ublic Utilities
Public Safety
Fire"Sewims — Date
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