42 11TH ST - CERTIFICATE OF OCCUPANCY ''' CERTIFICATE OF OCCUPANCY
eJ fVr
;j19,_ PERMANENT
Issue Date: 06/16/2017
RE Number: 170269-0000
Address: 42 11TH ST
Zoning: RG-M
Owner: Beliles Gregory
Contractor: INSPIRED HOMES LLC
2215 3RD ST
JACKSONVILLE BEACH, FL 32250
Permit Number: 16-SFR-685-05
Description of Work: NEW SFR
Construction Type: VB
Occupancy Type: DETACHED SINGLE-FAMILY DWELLING
1 Approved: '.kb.‘
Building Official
VOID UNLESS SIGNED BY BUILDING OFFICIAL
0
CITY OF ATLANTIC BEACH
CERTIFICATE OF pCCUPANCY WORKSHEET
Date Requested: 6/G/l
7
Contractor Name: 1 N)S p 1 R E. '-k OGS L Le
I Co SFR - c85 .S t rr,
Permit #: S45- B9 .7.5
Property Address: 4z_ I
Legal Description:
Improvements tothe 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. IQ/A 10 / N bA
Public Works CP (� CP(o� ( i (L7 (A...)5 t
Public Utilities (v h A' .643
,
Building rnn- (9 ,) ! ,f 141
Planning 1
CPtc /I -1 tc
Tree Mitigation /
Satisfied l0 (14( 7 b (?
BF C, A./17./17 ie l)ti.lt-)- ML
Final Survey with FFE VY-es No - Np,,) ( NI?
All Re-Inspect Fees Paid Yes No
Termite Treatment Yes No
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.NOL'inli's
(L-4.."
..-„' -.-- ,, -) 0.Sentricof
Colony Elimination System ERMIDOR° liECEIIVE0
Complete
,.gg, �q ,g ,p { g �o Z
�1p Complete Pest Cy nBrol Service 7
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44
►��,� �� MAY 2 4 2017
,4�� !
ST RA.10j ....,
Certificate of Compliance
•
Location of Property: L2 11-)or --'sYeG\-.
Street Name: \\kh Scvec
City and State: 'fit\Qn\- c C FL
•
Lot# Block# Unit#
•
bate of Treatment: 5-21-1 '119 5 - 15 . 1--
Chemical'Used: e,mk e
The above-referred property has received a complete treatment
for the prevention of subterranean termites. This treatment is
in accordance with rules and laws established by the Florida
®apartment of Agriculture and Consumer Services. •
Certified Operator 5igngturg P9.4
Randal P. Nader
President
Nader's Pest Raiders, Inc.
1
P.O. Box 3399 o Polite Vectra Beach, FL 32004-3399
• 10066 Sawgrass Drive West G Polite Vedra Beach, FL 32082 o(904) 285-0091 0 Fax(904)273-0682
2167 Sadler Road o Fernandina Beach, FL 32034 0 (904)277-0090 0 Fax(904)277-3733
St.Augustine(904)940-PEST(7378)U Jacksonville.(904)223-4255
Toll Freo (866)4NADERS/(866) 462-3377
• www.naderspestraiders.com .
.0 11 3. E Pit IS
p. ®� ntricono pppppp ryp
0 1:.''.._''))
� Colony Elimination System O�RMlUWI�
j' n' Cornbete Pest Control Service
�l� I' fIli
44'#.411 ROO
Certificate of Compliance
Location of Property: L). \ \-11- SA Yea
Street Name: I\'W S-Yec,-}- . ,
City and State: fit,\Car=\c -.JxGh FL
Lot# Block# Unit#
bate of Treatment: 5-21-4 -\p 5 . 15 . t---
Chemical.Used: IYC,mlSC. •
.
The above-referred property has received a complete treatment
for the prevention of subterranean termites. This treatment is
in accordance with rules and laws established by the Florida .
bepartment of Agriculture and Consumer Services. .
Certified Operator ignottArq PCIt'
Randal P. Nader
President
Nader's Pest Raiders, Inc.
P O. Box 3399 0 Ponte Vedra Beach, FL 32004-3399
• 10066 Sawgrass Drive West 4 Ponte Vedra Beach, FL 32082 0(904) 285-0091 0 Fax(904)273-0682
2167 Sadler Road G Fernandina Beach, FL 32034 0(904)277-0090 G Fax(904)277-3733
St.Augustine(904)940-PEST(7378)G Jacksonville.(904)223-4255
Toll Free (866)4NADERS/(866)462-3377 •
www.naclerspestraiders.com ,
BUILDING PHOTOGRAPHS OMB No. 1660-0008
ELEVATION CERTIFICATE Continuation Page Expiration Date: November 30, 2018
IMPORTANT: In these spaces, copy the corresponding information from Section A. FOR INSURANCE COMPANY USE
Building Street Address (including Apt., Unit,Suite, and/or Bldg. No.)or P.O. Route and Box No. Policy Number:
42 11TH STREET
City State ZIP Code Company NAIC Number
ATLANTIC BEACH Florida 32233
If submitting more photographs than will fit on the preceding page, affix the additional photographs below. Identify all photographs
with: date taken; "Front View" and "Rear View"; and, if required, "Right Side View" and "Left Side View." When applicable,
photographs must show the foundation with representative examples of the flood openings or vents,as indicated in Section A8.
•
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Photo One Caption RIGHT SIDE VIEW
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Photo Two Caption LEFT SIDE VIEW
FEMA Form 086-0-33(7/15) Replaces all previous editions. Form Page 6 of 6