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1793 Atlantic Beach Dr certificate of occupancy CITY OF ATLANTIC BEACH CERTIFICATE OF OCCUPANCY WORKSHEET Date Requested: 3 a I l Contractor Name: 7-6 Permit #: Property Address: A-- a.rosc Nektcv\ 0( 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 Dept. Public Works \ Public Utilities 3 ' a 3\\-1- Building 75.01 /7 (� Zoning '3 \3b\ Tree Mitigation \- 0\ �Satisfied Backflow 31 3-0 MC Final Survey with FFE ✓ Yes No All Re-Inspect Fees Paid v Yes No Termite Treatment ✓ Yes No Updated 9/15/16 . 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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:FL Zip:2409 32258- Company Phone No.:904-730-2522 Business License No.: 1640370000 Section 2: Builder Information Company Name:Toll Brothers Inc Phone No.: Section 3: Property Information Building Permit No.: Location of Structures)Treated:1793 Atlantic Beach Dr,Atlantic Type of Construction: ®Slab ❑Basement ❑Crawl ❑Other Approximate Depth of Footing: Outside: Inside: Type Fill: Section 4: Treatment Information Date(s)of Treatment(s):11/2/16 EPA Registration No.:64405-1-AA Brand Name of Product(s)Used:Bora-Care Final Mix Solution:23 Treatment Area Sq.Ft.:3814 Linear Ft.208 Linear Ft.of Masonry Voids: Total Gallons of Termiticide Applied: 3.5 Service Agreement Available? ®Yes ❑No This building has received a complete treatment for the Liquid treatment: CI Yes ®No prevention of subterranean termites.Treatment is in Liquid Final exterior treatment: ❑Yes ®No accordance with the rules and laws established by the Borate treatment: ®Yes El No Florida Department of Agricultural pd Consumer Bait in lieu of Pretreat: 0 Yes ®No Services. Initial 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 �v/TT4// C/ /// / Date 11/02/16 RH-NT9/05