1786 ATLANTIC BEACH DR - CERTIFICATE OF OCCUPANCY,
fJ� ,� �Sr
CERTIFICATE OF OCCUPANCY
:_� PERMANENT
Issue Date: 06/16/2017
RE Number: 169505-1630
Address: 1786 ATLANTIC BEACH DR
Zoning: SPA
Owner: TOLL FL VI LIMITED PARTNERSHIP
Contractor: TOLL BROS.,INC
250 GIBRALTAR RD STEVEN R MERTEN
HORSHAM, PA 19044
Permit Number: 16-SFR-2299-05
Description of Work: NEW SINGLE-FAMILY HOME
Construction Type: VB
Occupancy Type: DETACHED SINGLE-FAMILY DWELLING
Approved:
1:)1 k---- ..,.keerbA
Building Official
VOID UNLESS SIGNED BY BUILDING OFFICIAL
CITY OF ATLANTIC BEACH
CERTIFICATE OF OCCUPANCY WORKSHEET
Date Requested: I I -+
Contractor Name: � b ; .S.4-4n
Permit #: 110 S�Q1 Gl -or
Property Address: 4-w144L 13-CCC Di -
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: ‘S-
Required
3"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 '((p V �j 3 S
Public Utilities k it -3W
Building 6 • Y/ ' ,i
Planning (V I1- in-
Tree
Mitigation I
Satisfied � I 1 ( (�
Backflow co 19- I 11--
Final
'-Final Survey with FFE 7 Yes No
All Re-Inspect Fees Paid v Yes No
Termite Treatment / Yes No
HomeTeam
PEST DEFENSE
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:FL
Zip:2440909 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 Structure(s)Treated:1786 Atlantic Beach Drive,Atlantic
Type of Construction: C9 Slab 0 Basement ❑Crawl 0 Other
Approximate Depth of Footing: Outside: Inside: Type Fill:
Section 4: Treatment Information
Date(s)of Treatment(s):2/1/17 EPA Registration No.:64405-1-AA
Brand Name of Product(s)Used:Bora-Care
Final Mix Solution:23 Treatment Area Sq.Ft:4442
Linear Ft. Linear Ft of Masonry Voids:
Total Gallons of Termitiode Applied: 6
Service Agreement Available? ®Yes 0 No This building has received a complete treatment for the
Liquid treatment: 0 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 ❑No Florida Department of Agricultural,ang Consumer
Bait in lieu of Pretreat: ❑Yes ®No Services. Initial 1-
Note:Some State laws require service agreements to be issued. This form does not preempt State law.
Attachments(List)
Comments
Name of Applicator(s):CRAIG MILLER Certification No.: JF198942
Authonzed Signature �?-/5'Y/2 e /e - Date 02/01/17
RH-NT9/05
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