1840 Atlantic Beach Dr certificate of occupancy CERTIFICATE OF OCCUPANCY
# PERMANENT
Issue Date: 02/17/2017
RE Number: 169505-1590
Address: 1840 ATLANTIC BEACH DR
Zoning: SPA
Owner: BRIGGS GARRETT L
Contractor: RIVERSIDE HOMES OF N FL
(904) 503 - 7055
Application Number: 16-SFR-152
Description of Work: New single-family home
Construction Type: R-3
Occupancy Type: VB
Approved: a:>i 4�
Building Official
VOID UNLESS SIGNED BY BUILDING OFFICIAL
CITY OF ATLANTIC BEACH
CERTIFICATE OF OCCUPANCY WORKSHEET
Date Requested: CW to�6ul
Contractor Name: tAo&,-c-, cR tj eL
Permit #: I & (z,- 15-a
Property Address: 1310 mkantr &�kD�.
Legal Description: 6-7- 6,q M-AS-O�E,31
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: ET'-Single-Family Residence
ED Commercial
E:j Other:
Lowest Floor Elevation: V3.51
_7We_quimd As Built FFE
The JbMudng ntust he completed before tssuing Certifleate of Occupancy:
Department Date Notified Date Approved Approved By
Fire Dept.
Public Works
Public Utilities
Building
Zoning
Tree Mitigation
Satisfied
Backflow
Final Survey with FFE V<Yes — No
All Re-Inspect Fees Paid V/ Yes — No
Termite Treatment V/ Yes No
Updated 9/15116
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=-' Turner
M. PeA
MControl
Whats Bugglng You?
CERTIFICATE OF COMPLIANCE
FOR TERMITE PROTECTION
INFORMATION REQUIRED AS PER FLORIDA BLDG CODES I
CONTRACTOR: Riverside Homes
PERMrF* 158srf-158
SITE LOCATION: 1 w Aflantic Beach dr
Lot 59
Allantic Beach,FL 32233
DATE OF TREATMENT: 01123/2017 TIME OF TREATMENT: j)3:42:00 PM
AREATREATED: SQUAREFOOTAGE 4119 LINEAR FOOT. 421
IDENTITY OF APPLICATOR: SVEHLASHAWN
PRODUCT NAME: BORA-CARE, PREMISE PRO TERMITICIDE, PREMISE PRO.1%
CHEMICAL NAME: DISODIUM OCTABORATE TETRAHYDRATE, IMIDACLOPRID
(DIFFERENTFIRMPRODUCI)
(FOR BWSYS�S�IST MEWAL NAME�TWUL M USED IF TERMITIES ARE
PERCENT CONCENTRATION: 40.00%,0.05%,0.10%
(PORBMTSYSTEMS-IF YOU DOW RAVETHE%-TELL��STATIONS PER FOOT)
NUMBER OF GALLONS: 6.00GA,67.00GA,542.00GA
(FOR BWSYMFMS-WTER#OFSIrAMONS USED)
FINAL STATEMENT:
THE BUILDING HAS RECEIVED A COMPLETE TREATMENT FOR THE PREVENTION OF SUBTERRANEAN
TERMITES. TREATMENT IS IN ACCORDANCE WITH THE RULES AND LAWS ESTABUSHED BY THE
FLORIDA DEPARTMENT OF AGRIGULTURE AND CONSUMER SERVICES.
I AGREE THAT THE ABOVE INFORMATION IS CORRECT AND REFERS TO THE ADDRESS LISTED ABOVE:
MICHAEL LITSEY/JF190027_
CERTIFIED PEST CONTROL OP R
TURNER PEST CONTROL,LLC.
MAIN OFFICE
480 EDGENOOD AVENUE SOUTH
JACKSONVILLE,FIL 32205
PHONE:904-355-5300
FAX:904-353-1488
MTurner Jacksonville,Florida Main Office
480 Edgewood Avenue,South Jacksonville, Funds 32205-904-355-5300-9D4-353-1488(Facsimile)
""Pest 11.Marys,on.-912�576-1300 Daytona Beach,Fla.-386-788-8303-Melbourne, Fla.-321-95W325
rXiControl Onto, Fla.352-351-4386 Pod St.Lucie,Fla.-772-621-7905-Tampa,Fla.-813-681-6381
WhaVs Bugging You? Tell Free:800-225-5305-www.humerpest.com
Pre-Construction Home Termite Servicing Agreement
Property Owners Name: BrODUs- Garrett sonable costs of rapers subject to the above limitation.Turner Is msponsi-
hie tor rapairs only It It has been given the opportunity to inspect the cov-
Covered Premises Address: 1 W Atlantic Reach (it— ered premises,in the area requiring repair PRIOR TO THE START OF ANY
City,State,Zip Code: Atlantic Beach EL 32214 REPAIRS. In the event that damage is discovered by parries other than
Turner,the owner agrees to notify Turner of such damage within 48 hours of
Billing Address(If different): discovery of such damage.
City,State,Zip Code: INITIAL INSPECTION:This Agreement calls for an Inifial Inspection of the
Primary Telephone: Covered Premises upon transfer of the property from the Builder to the
Homeowner.All charges and fees for the Inital Inspection are included in the
Afternate Telephone: price of the pro-construction treatment and are the responsibility of the
Builder.
Type of Structure: Rinqlp Family FlAqirlpn�A
Detached Structures Included: NONE This Agreement contains all the lemns and conditions of the Agreement and
no other representations of statements will be binding upon the parties. No
Warranty Start Date: 17)5>001901 7 alterations of oraddffionsto this Agreement(offierthan informationto fill in
the blanks) are effecrtive or enforceable unless the afteration or addition is
Tamer Pest Control, LLC (herein 'Turner")is authorized to provide the signed by a corporate officer of Tumor,
treatment for the prevention and central of subterranean termites to the
Structure and Detached Structures listed at the above Covered Premises
Address (herein 'Covered Promisee) on behalf of the Property Owner's Turner Repress
Name(herein'Owner)listed above. - 7.
INITIAL TREATMENT This Agreement will became effective upon fall pay- Date: 02/1 017
ment for the label Pre-treatment by the Builder.Confirmation of the termite
protection is subject to payment of the annual renewal fees by the Owner,or
Builder if unsold after twelve months after the initial pre-constructlon trust-
ment,and general terms and conditions on the reverse side hereof.
ANNUAL RENEWAL FEE: This Agreement is renewable from
year-to-year, upon re-inspection of the covered premises by
Turner and upon payment of the annual renewal fee of
$A21LO— due and payable in full on or before the
Renewal Date of the Agreement. The Renewal Date is
defined as each one year anniversary starting with the
"Warranty Start Date."
Turner reserves the righito adjustiffie annual ronewalfee as
of the second (2nd) renewal year, or any year thereafter.
Following expiration of the 4 year renewal, Turner
reserves the right to require the covered premises to be
completely retreated, at a rate to be determined by Turner,
subject to Turner and owner entering into a new termite
service agreement.
COVERAQE: This Agreement parevides for the re-treatement and rapairs;for
damage to the Covered Premises limited to an aggmgale of
$_1,0jDD_00D__.For an long as this Agreement remains in affect,Turner
will perform any further re treatment it finds necessary,free of charge,sub-
ject to the terms and comfifions;of this Agreement.
REPAIRS:If subterranean termite damage occurs to the Covered Promises
while this Agreement is in effect,then Tumor Wil be responsible for the rea- (Mastercard) IVZ
nonessentials
V
Pre-Construction Home Termite Servicing Agreement
General Terms and Warranty Conditions
1)This Agreement provides for Turner to perform an initial pre-con- minimum of four inhw above the outside gracle level.This may
struction treatment and any subsequent treatments as deemed also include the removal of floor covering material such as wood,
necessary by Turner to the structure K a live infestation of the marble,ceramic tile,vinyl or any other floor covering pieced over
specified subterranean termites; is found in the structure during the concrete slab flours.This may also include the removal of
the effective period of the Agreement. Turner will make such planter boxes,cabinets,bathtub enclosures,or other obstacles to
repairs as necessary to correct damage with Infestation subject to allow Turner to gain access to the area requiring treatment.The
the following conditions: customer agrees to pay all expenses to make all non-accessible
•Damage was caused by specified subterranean termites areas accessuble for treatment andlor inspection as deemed nw,
weary by Turner.
• Turner personnel verifies the evidence before N is aftered or 4)The Omer agrees to notify Turner of any addidom and/or after-
destroyed. ations to the Covered Premises.This may require the Omer to
•All repair work will be performed Or supervised by Turner per- pay for additional treatment service charge ancitor adjustment to
sonnel only unless otherwise agreed in writing by both parties. the nanowal fee. Failure to notify Turner Will terminate this
•I damage is discovered to be a result of conditions other than Agreement automatically as of the date the structural charge(s)
subterranean termites or when conducive conditions have win- is made.
tributed to the presence of subterranean termites, the cus- 6) In the went the property is sold, Turner will transfer the
tomer agrees to accept responsibility in such cases for the cost Agreement to the New Owner The Agreement is assignable at
of repairs. the sole discretion of-Furner.
•Turner will repair only the specified areas damaged by the sub- 6)In the event of non-payment of the Initial Treatment,renewral fees,
temanean termites; according to the conditions stated herein. coal of repairs performed by Turner caused by conducive condi-
Turner is not responsible for costs incurred to match mating tions contributing to infestation, or any other fees due to Turner
wall coverings,floor coverings,moldings,paneling,tile or other under this Agreement, Turner has the right to terminate this
cosmetic Work. Agreement effective the due date of the unpaid fees.
2)Title Agreement does not cover, and Turner will not be responsi- 7) in the event of a change in the existing law as it relates to this
ble for re-treatment or repairs to any of the following: Agreement,Turner reserves the right to adjust the Renewal Fee,
•Wood declus,wood steps,wood fences,Wooden walk-ways, or amend the terms of this Agreement and/or terminate this
other wooden structures outside the foundation perimeter of Agreement.The State listed in Service Address cmdrols opera-
the covered promises, or any oracle) of the structure where tion of this Agreement.
wood members are in direct contact with the ground. 8)Any claim or complaint of chowfisfaction under the terms of this
•Arw(s)where stucco,coquina,Styroloarn and any other mate- Agreement must be made in writing to Tumor.Turner is only obli-
rial is applied in a manner conducive to infestation or is in gated to perform under this Agreement provided the customer
direct contact with the ground. allows Turner access to the structure for my purposes contem-
• Area(s) where moisture conditions conducive to Infestation plated by this Agreement, including but not limited to reinspec-
exist,such as but not limited to faulty plumbing met leaks ele- tion, whether the inspection Was requested by the Owner or
th
wrions above slab levels such as planter b�.or ary. or deemed necessary by Turner.
conditions that supply Water to tormites allowing them to sur- 9) The Omer and Turner agree that any controversy or claim
vivo above ground. between them arising out of,or relating to,the interpretation,per-
•Infestation$resulting from moisture conditions including but not formanCe,or breach of any provisions of this agreement,shall be
limited to fungus. settled exclusively by arbitration administered by the American
Arbitration Association, under its commercial arbitration rules,
•Damage to plants,new,flowers, and/or shrubs adjacent to the and judgement on the award rendered by the arbitrator(s)may be
structure. entered into any court having jurisdiction.In no event shall either
• Personal expenses including but not limited to lodging. meals, party be liable to the other for inchnscit,special,or consequential
transportation, loss of use incurred as a result of treatment, damages or low of anticipated profits.
and/or re-treatment,or damages therein.
•Any other indirect expenses or consequential damages relating
to the existence of families or termite damage.
• Areas where Turner has documented conditions conducive to
infestation that have not been carrected in a timely manner lyy
the customer.
• Damages or losses mused by War,fire, earthquake,floods, or
other causes beyond the control of Turner.
3) Customer warrants full cooperation with Turner during the
Agreement period and any renewal period and agrees to maintain
the structure free from any factors or conditions contributing to re-
infestation by specified termites. It is the customet's responsibili- r2Turner
ty to correct any conditions that may inhibit proper inspeaion 7"Pest
ancifor treatment deemed necessary by Turner.This may include F—AControl
removal of stucco,coquina or other exterior siding materials to a What'S BU99M9 YOU?
Subterranean Termite Protection Builder's Guarantee 01ABApproadal No.2502-0525
This founiff is completed by the builder. (a*.050Y2018)
Public porting budlen forthis collection of Information Is estimated to average 5 minutes per response,including Me time far reviewing instructions,searching
eadeffing data sources,gathering and maintaining the,data needed,and completing and mvieveing the collection of Informal This information is required to
obtain Moral HUD may not collect this information,and you are not required to complete this to=,unless it displays a currently valid 010113 conduct number.
Section 24 CFR 2DO,926d(b)(3)requires Mat the aces for HUD insured structures must the freer of tannite hacands.This information collection requires a
licensed Pest Control company to peovide the builder a mount of sxicific Imatiment Information in these coures when if any method Other Man use of pressure
"All lumber is used for prevention of subterranean burnt inf�on.Men applical forrin HUD�Nlpltibi must accompany the form HUD-NPIAA-99-A.
Buildem,pest will connotes,mortgage tandem,homebuyem,and HUD as a pecord!of treartment far specific homes will use the information collsoled.
The Information is net considered confeentmir therefore no assurance of confidentiality,is provided.
Thiessen Is submitted for imposed mead coastal cresser when"wertion a sublearranden toroft interval is specrual by Me builder or provided by the We .Me
ancifte,FiVi
Thriven is se be oampleffirel by Me thel Thraguandintsehisessed N be a anuff of,or In pace of,am legal riMm
or rennuffies that ft buyer on,he.soared the Whose
FIHAA#k�ello:
1840illitlanfic Beach dr
Lot S9
Atlantic Bcbcch FL32233
Maine.No.: BriggS Garrett
flubles is to chadds,and computer either bia,1 or bee 2�
I.FX] Paid Cartel�Mppvmy Applied Tendered(See HU D-N PRIA 99B for�Information)
Thai undersigned builder hadery center deal a name licensed or asserted Amended pest earned company(where desired!by Stals,al was contacted M bred Me
propere M the location suspended a toove to prevent aftervidean riamince.The toolde r further deffer,Met the demand wish the past dantal company mourned H a
treatment materials and methods used to be in confival with all applicable Sure and Fedeml Ad were nerourned by Me contract has base completed
unless noted on HUD-N PMA N B.Affirem not predicted by applicable guide redifirandeau.Me buyer far an isfifidenal he payable to Me part control company,my
anded!the probaction against summands,tornmes.Contact Me Past conard company I brad on Me revertant for server Information.
The builder heraby Meanness Mat if intermarried trends infiestudon should occur withen one year been Me data of dosing Me builder Wit ensure Met a licensed or
UpereflandbirState Im,.the sithe Inner'sWerem,with a pentantedcompanyto inspidthemperly opirpervoclumareand Use
EPA regishers!products to dontral are infiestation.The builder will not as responsible for guarambecing such contradeel mk The builder further agrees W repair all
"mmus by subterranean Rearriffies mudi the ondsffa builders seventy aided.This guarantee does net so*to ralifirkins or idefortions Mat am made by Mar buyer
whicith affiects the original don onere or rendersent,arimplew Ind!ude,but am not inued!W.landscape and mulch emotions.which artu Is the hadval inver am dead.
new,subterranean Needs face rds,or interver,with Me earned diseases.If with in Me guam rise Period Me Inu Ider quireakes Me validity of a claim by Me buff,the
claim add the investgated by an u diverad Wen mutually agreeable 0 Me buff end ba]Her,The will of Me Wed we as accepted as Me basis it terminal 0
t�me.�anon��ilingpr"ll�yMemstOeWimp�onsm�Oin�dga��e�im For father elooddlon.ovessetycer Stne structural pest cal
Mulater,le,en,r,All sondes must he In compliance with Me International Residential Code.
Type of Serms� Onsets,ned s,-w- [X] Paul Applied About Treatment Ej WIT�.t Insualled!Physical Farrair Systrad
2.r-1 Ingda learned!Suiplarnmervin Terms,Formation using Praised Treated Luarlow
The bidder canifice that sulutchanden came Prommon was Installed ussin,pressure traftel lumber only and ofelffirs Mat use aft pressure heated lumber be In
compliance wit applicable building codes and HUD requirements including Mortgages Letter 2001-04.Note,Using premium twortal adds as a sets Mod 0
handles puremention W NOT acceptable and Houses Me proofreaders of Mortgages better 2001-M
must a Builder �w
Attachments:NPMA-9c)-B
fbikers�PasNalow, R"Versitl Horructs Phone No: CN34-SOR-70,95
Buriders sgralare, cars F7
Consumer NlamNfi5mm Advisory,re,anding Integrated!Past therseement for Prespother of1shand Header.Information hushing proventon of wave dmMwng
inved!infortution 6 helpful her mr,property owner Intereved!in protessM,the structure Men destaffics.Any sevesse can e seltandeed by mod doell maractrPeraffid middle
Factors which may lead to internal Morm wood deepening Inside Inches"in
insuartlen at foundation,mrs-wood central,faulty grace,rimmed!against stri insufficandit vardlinflon.mature.mod sales in crowl aimed,mad!mulch,tme Inandiver
trusehing ormetures,miniseries stripe,wit wood rot Should Mesa or other such erections exia,connotes monde should bar taken by the owder In enter to oviner Me
charier,of rifiestal by wood destroying Infects,and Me need far Issament
An"Trial and one co,,,ofthis guarantee are tor be prepared by Me leader and send to Me il The lander pastures one copy to Us buyer at dosing and includes a cany In Me
VA HiM pardiage or HUD mannes case Nader."a builder mands one copy to this licensed pest control company which parliament Me sediment
Adsorbed is a mW a Me name attracted Past cental andowdy's New Contraction Subtramereed Termits Servie,Needed,HUD-Nlohal
Islarding:HUD will fift,resume and Conviction may wasult In credinal sister evil preside..U 8 Ul I 001,1010,1012:31 U.S.C.3729.34302)
farm HUD�PM49-A UIIMMI�
New Construction Subterranean Termite CIAB Approval No.250241525
Service Record (.P.05=018)
Tlbs�clm�sled
re 'Z'p.lo
anby the licensed Pest Control Company
forMi.onflectig,of informadon is estimated to average 15 minutes per restionse,Including the does for randeading ammuctions,
searching exisling data sources,gathering and maintaining Me data needed,and completing and reviewing the ddlection of information,This information
its required to obtain benefits.HUD may net coiled this Information,and you am nor required to complete this form,unless It displays a currently valid OMB
control number,
Section 24 CFR 2M.92W(b)(3)requires that Me goes for HUD insured strunclums mug be free ofternifte haourds.nis infghation cdection requires the
builder in certiffy Met an aufforboad!Past Control company performed all required treatment for termites,and Met the buiker guarendless;the treated area
against infestation for one War.Budders,pest control companies,mortgage endgs,homebuyars,and HUD as a rec�dl of treatment for specific homes will
use Me Information collected.The information is not considered confidenual,Mergers,no as�umrce of confidernality is provided.
-hus hapent is submitted for informational purposes 0 Me builder on proposed(new)consurchon otims when treatment for prevention of subtamensen termike
Infestation is specified by the builder,ardiftect,or required by Me tender,anchitact,FHA,or VA-
All contracts for services am between Me Pest Control cempany and builder,unless stated otherwise.
Section 1:General Information(Peng Control Company Information)
CompanyName Tumpr PeSt Control I I r
CompanyAddayes F1400 Rgymenringpq Way Sultys 19 city_jaQkSQGyd6_stds F1 p 399511
Company Business;License No. JR119,3511 Company phone No. 904-355--�IOQ
FHArJA Case No.(if a")
Section 2:Builder Information
Company Name Raverside Homes -Phorks No 904-503-701if;
Section 3:property Infionsuation
Lembon ofStructure(s)Tneated! or Legal Desorption,City,State and Zip) 184DAtlanficBeachdr AflanticBeach FL32233
Secdon 4:Service Information
DgggofSgvicgg 01123Z2017 12/13=16, 11/04/2016 05104/2016 03124/2016
Type of Construction(Mom Man one box may W standard) FA] Slab E] Basement [:] Cranat E] other
Check all Met apply:
NJ A Soil Applied Liquid Termificide
Brand Name of Tegrifficid.: EPA Ragistration No. PA40fl-1 4,q9-14451
Appm Gibbon(%): ���aa,al�Apprea.Toml Gallons Mix Applied: �- Treatment completed on center:[g] Ye.E] No
nX B.11%knoulApplieg!Lic.id-rianygicicks
Brand Nam of-rennificide:-�-m EFARegistrationNe. 644OS-1 41,19-144511
Approx.Gibbon(%): Approx.Total Gallons MixApplied:
F-1 C.Bell system Installed!
Na..fSp PA Registration No.-Number of Stations installed-
F-1 D.Physical Being System Installed!
Name of System Attach ingslagon information(required)
ServosAgreamentAvailable?FX1 YesF� No
Note Some stahe laws recuin,service agreements to be issued.This to=does not preempt state law
Attachments(Lid) Pre-Construction Home T�prnite Sendana Aureament
Comments The buildina has received a complem treatment for%floterran cordance with the rules and lam
established by the Elorida Department of Agdcliltura and consumer Sew Ces(Per the Elonda Building Code)
Nmr.ofApp1kgor(.) SVEHLA SHAWN Certification No.(ifrequired by State law) 211935S
The applicator has used a product in acourclance with Me pro uct an a requirement.At materials and methods used comply with state and federal
regulations,
Authontred Signature Dge OP/1412017
)D
C v ,
Waming:Ht wiIpnaexaIsfgse1aI..d.11� n an�y reamit In criffinal and/or ovit panabse.(18 U.S.C.1001,1010.1012;31 U.S.C.372%3802)
foun HU"PINA99-11(OW2008)