601 Coastal Oak Ln certificate of occupancy CERTIFICATE OF OCCUPANCY
# PERMANENT
Issue Date: 02/06/2017
RE Number: 169505-1750
Address: 601 COASTAL OAK LN
Zoning: SPA
Owner: TOLL FL VI LIMITED PARTNERSHIP
Contractor: TOLL BROS.,INC
(904) 217 - 0739
Application Number: 16-SFR-1212
Description of Work: NEW SINGLE FAMILY
Construction Type: VB
Occupancy Type: R-3
Approved: -E�a 64-,-k&K-4),k
Building Official
VOID UNLESS SIGNED BY BUILDING OFFICIAL
CITY OF ATLANTIC BEACH
CERTIFICATE OF OCCUPANCY WORKSHEET
Date Requested: 0 1. as I awa.
Contractor Name: t� go's qyl(--
Permit #:
Property Address: (&Dt
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: Zl'�Smgle-Family Residence
M Commercial
M Other:
Lowest Floor Elevation: ot
Required As Built FIFE
The follauming must be completed befom issuing Cert(ftcate of Occupancy:
_T__
-6e—partment _Uate—Notified Date Approved pproved By
FT,W—Dept.
Public Works yS�l n-
Public Utilities
Building
Planning
tTree_Mit:ig�afi:o_n
atistf
1
Satisfied tA C_ 1 VaD r+
Final Survey with FFE Yes _ No
All Re-Inspect Fees Paid — Yes — No
Termite Treatment __ZYes — No
M1
HomeTem
POST DErtust.
New Construction Subterranean Termite Treatment
This report is submitted for information purposes to the builder on (new)construction cases where treatment for prevention of
subterranean termite infestation is required by the Florida Building Code, Section 104.2.6.
All contracts for services are between the Pest Control Operator and builder, unless stated otherwise.
Section 1: Hometeam Pest Defense
Company Address:6694 Columbia Park Drive _City: Jacksonville State: FIL
Zip: 32258- o.: 904-730-2522 Business License No.: 1640370000
2409 Company Phone N
Section 2: Builder Information
Company Name: Toll Brothers Inc
Phone No.:
Section 3: Property Information
Building Permit No.:
Location of Structure(s)Treated:601 Coastal Oak Lane, Atlantic
Type of Construction: N Slab [7) rl Crawl F1 Olin W.
Approximate Depth of Footing: Outside: Inside Type Fill:
Section 4: Treatment Information
Date(s)of Treatment(s): 10121116 —EPA Registration No.:64405-1-AA
Brand Name of Product(s) Used: Bora-Care
Final Mix Solution: 23% Treatment Area Sq. FL:4719
Linear Ft. Linear Ft. of Masonry Voids:_
JQW Gallons of Termiticide Applied: 4
Service Agreement Available? E Yes El No This building has received a complete treatment for the
Liquid treatment: 71,Yes Z No prevention of subterranean termites.Treatment is in
Liquid Final exterior treatment: El Yes 9 No accordance with the rules and laws established by the
BorateTmatment: 0 Yes El No Florida Department of Agricultural and Consumer
Bait in lieu of Pretreat: 7 Yes ONO Services. Initial 7PS
Note: Some State laws require service agreements to be issued. This form does not preempt State law.
Attachments(List)
Comments
Name of Applicator(s): CASEY BATTE Certification No.: JF198942
Authorized Signature C11T Date 10121/16
RH-W9/05
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