1823 ATLANTIC BEACH DR - CERTIFICATE OF OCCUPANCY CERTIFICATE OF OCCUPANCY
Vr
PERMANENT
Issue Date: 06/16/2017
RE Number: 169505-1520
Address: 1823 ATLANTIC BEACH DR
Zoning: SPA
Owner: MARCUS ALLEN HOMES INC
Contractor: MARCUS ALLEN HOMES
11210 Phillip Industrial BLVD E STE 13
JACKSONVILLE, FL 32256
Permit Number: 16-SFR-1013-05
Description of Work: NEW SINGLE-FAMILY RESIDENCE
Construction Type: VB
Occupancy Type: DETACHED SINGLE-FAMILY DWELLING
Approved:
Building Official
VOID UNLESS SIGNED BY BUILDING OFFICIAL
CITY OF ATLANTIC BEACH
CERTIFICATE OF OCCUPANCY WORKSHEET
Date Requested: OS ( c
Contractor Name: Cl(Cu S M- -n (Y12 S
Permit #: � — [CMI
Property Address: a� � l(.� L t-0-01\ Q4
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:
Ll-' 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 s /, ) I P)- LB
p
Building
6. / I9
Zoning S I L( I I'
Tree Mitigation SIL(� ' ()
Satisfied
Backflow \ / '"/z- /0" /" ' C-
Final Survey with FFE V Yes No
All Re-InsPect Fees Paid /Yes No
Termite Treatment /Yes No
Updated 9/15/16
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p/tA3(Y\ p'\ C A- 1TE OF COMPLIANCE
1
`.MITE PROTECTION
C,1/r ; , _
-
'ER FLORIDA BLDG CODES 104.2.6. & 1816.1
a1nor\-S. tY
-4leck .\ >'A
..vii rvA . I VK: Marcus Allen Homes
PERMIT#: 16SFR1013
SITE LOCATION: 1823 Atlantic Beach Dr
Lot 45
Atlantic Beach,FL 32233-7346
DATE OF TREATMENT: 11/03/2016 TIME OF TREATMENT: 11,05:00 AM
AREA TREATED: SQUARE FOOTAGE: 3578 LINEAR FOOT: 232
IDENTITY OF APPLICATOR: CLARK,RASHAWN
PRODUCT NAME. BORA-CARE.PREMISE PRO.1%
CHEMICAL NAME: DISODIUM OCTABORATE TETRAHYDRATE, IMIDACLOPRID
(DIFFERENT FROM PRODUCT)
(FOR BAIT SYSTEMS-LIST CHEMICAL NAME THAT WILL BE USED IF TERMITES ARE DETECTED)
PERCENT CONCENTRATION: 40.00%,0.10%
(FOR BAIT SYSTEMS-IF YOU DON'T HAVE THE%=TELL HOW MANY STATIONS PER FOOT)
NUMBER OF GALLONS: 3.50GA,2.00GA
(FOR BAIT SYSTMS-ENTER#OF STATIONS 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 ESTABLISHED 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
/o2.(
CERTIFIED PEST CONTROL OPERA/JR
TURNER PEST CONTROL, LLC. /
S 5
MAIN OFFICE
480 EDGEWOOD AVENUE SOUTH
JACKSONVILLE, FL 32205
PHONE: 904-355-5300
FAX:904-353-1488
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