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2025 SEMINOLE RD #103 - SIDING AND TRIM ' f.S1��f`lff� , CITY OF ATLANTIC BEACH \S 1 • 800 SEMINOLE ROAD j ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 Nj.71 0 11>r RESIDENTIAL ALT/OTHER MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 JOB INFORMATION: Job ID: 16-RAAR-1462 Job Type: RESIDENTIAL ALTERATION Description: REPLACE AND REPAIR LAP SIDING AND TRIM, REPAIR CHIMNEY AND EXTERIOR SHEATHING Estimated Value: $5,913.00 Issue Date: 7/5/2016 Expiration Date: 1/1/2017 PROPERTY ADDRESS: Address: 2025 SEMINOLE RD 103 RE Number: 169723-0206 PROPERTY OWNER: Name: DECKER, NANCY K Address: 2025 SEMINOLE RD APT 103 GENERAL CONTRACTOR INFORMATION: Name: LANG'S GENERAL CONTRACTING LLC Address: 2201 SAWGRASS VILLAGE DR QA JOHN R. LANG Phone: - - PERMIT INFORMATION: FEES: PLAN CHECK FEES $39.78 BUILDING PERMIT FEE $79.57 STATE DCA SURCHARGE $2.00 STATE DBPR SURCHARGE $2.00 Total Payments: $123.35 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. rSy� �r City of Atlantic Beach APPLICATION NUMBER t- fr- Building Department (To be assigned by the Building Department.) 800 Seminole Road 1•C O ,.AR_f 4 f \Jv ' -' Atlantic Beach, Florida 32233-5445 l (p ~ Phone(904)247-5826 • Fax(904)247-5845 '‘443;219'f- E-mail: building-dept@coab.us Date routed: o/Z4/I 6, City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: ZOZS SLmitonL2t ICZ Die art e t review required Ye No Building ) ► Applicant: 1---(4/LD c��—�14 C_ Colo -`Kanning&Zoning Tree Administrator Project: CA�/��--�� L � (�t •{�S Public Works Public Utilities Public Safety Fire Services Review fee $ Dept Signature Other Agency Review or Permit Required Review or Receipt Date of Permit Verified By Florida Dept. of Environmental Protection Florida Dept. of Transportation St.Johns River Water Management District Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APPLICATION STATUS Reviewing Department First Review: V Approved. ❑Denied. (Circle one.) Comments: : BUILDING PERMIT APPLICATION FILE COPY CITY OF ATLANTIC BEACH 800 Seminole Road, Atlantic Beach, FL 32233 Office (904)247-5826 Fax (904)247-5845 [ Lo-RA R-1 46,,a Job Address: 2025 Seminole Road#103 Permit Number: Legal Description 09-2S-29E North shore Condominium Dwelling Unit B-1 Parcel# 169723-0206 Floor Area of Sq.Ft. Sq.Ft Valuation of Work$5,913 Proposed Work heated/cooled non-heated/cooled Class of Work(circle one): New Addition Alteration Re,. Move Demolition pool/spa window/door Use of existing/proposed structure(s)(circle one): Commercial ,e,¢3L If an existing structure,is a fire sprinkler system installed?(Circle one): 'e : N/A Florida Product Approval# /7 4 • / — r i Qc- S t D i N GG For multiple products use product approval form Describe in detail the type of work to be performed: Pressure wash exterior forpainting Paint 2 coats Sherwin Williams super paint R&R approximately 108sf of lap siding on back upper roof line R&Karae door bucks R&R band & cap trim left& right of garage door R&R approximately 211f of band & cap trim on left garage wall R&R approximately 161f left outside corner trim R&R approximately 351f of left wall band & cap trim R&R approximately 5sf of lap siding on right chimney R&R approximately 121f of outside corner of chimney Repair inside corner of chimney kemove and re-flash chimney Remove and re trim chimney corners from roof up Remove and install new lap siding on chimney R&R any damaged sheathing and or framing found behind siding& trim Property Owner Information: Name: Karen S Keresztes Address: 2025 Seminole Road#102 City Atlantic Beach State FL Zip 32233 Phone 323-896-3589 E-Mail or Fax# (Optional) Contractor Information: Company Name: Lang's General Contracting& Renovation,LLC Qualifying Agent: John R. Lang Address:13653 Macapa Road City Jacksonville State FL. Zip 32246 NOTICE OF co FILE COPY Permit No. /6 ie/9/TR R-' I y!,)- ' i NCEMENT Tax Folio No. State:of Florida, County of Duval THE UNDERSIGNED hereby give notice that the improvement will be made to certain real property in accordance Chapter 713,Florida Statutes,the following information is provided in this Notice of Commencement. with 1. Description of property(legal description ofproperty 09-2S-29-E North Shore Condominium Dwllin t B-1-d 025 Seminole Road#103 2. General Description of improvements: wood rot repair and painting 3. Owner Information: a)Name and Address: Nancy K Decker 2025 Seminole Road#103, Atlantic Beach, FL. 32233 b)Interest in property:Residence c)Name and address of simple titleholder(if other than owner): kq 4. Contractor Information: � / a)Name and Address: John R Lang 13653 Macapa Road, Jacksonville, FL. 32246 In_�1 b)Phone Number:904-422-6690 5. Surety Information: a)Name and Address: Doc#2016143096,OR BK 17608 Page 2399, Number Pages:1 b)Phone Number: Recorded 06/23/2016 at 09:39 AM, C)Amount of Bond: $ Ronnie Fussell CLERK CIRCUIT COURT DUVAL COUNTY 6. Lender Information: RECORDING$10.00 a)Name and Address: b)Phone Number: 7. Person within the State of Florida designated by owner upon whom notices or other documents may be served as provided by 713.13 (1)(a)7,Florida Statutes: a)Name and Address: b)Phone Numbers of Designated Person: 8. In addition to himself/herself, Owner designates of to receive a copy of the Lienor's Notice as provided in Section 713.13 (1)(b),Florida Statutes. a)Name and Address: b)Phone Number of person or entity cleci ollatpri 1,�..,.,..,.. NOTICE OF c FILE COPY Permit No. /6 4R- I yG,)- COMMENCEMENT Tax Folio No. State:of Florida, County of Duval THE UNDERSIGNED hereby give notice that the improvement will be made to certain real property in accordance with Chapter 713,Florida Statutes,the following information is provided in this Notice of Commencement. 1. Description of property(legal description of property and address if available)_ 09-2S-29-E North Shore Condominium Dwelling Unit B-1-2025 Seminole Road#103 2. General Description of improvements: wood rot repair and painting 3. Owner Information: •a)Name and Address: Nancy K Decker 2025 Seminole Road#103, Atlantic Beach, FL. 32233 b)Interest in property:Residence ec)Name and address of simple titleholder(if other than owner): k4. 4. Contractor Information: oya)Name and.Address: John R Lang 13653 Macapa Road, Jacksonville, FL. 32246 b)Phone Number:904-422-6690 5. Surety Information: a)Name and Address: Doc#2016143096,OR BK 17608 Page 2399, Number Pages:1 b)Phone Number: Recorded 06/23/2016 at 09:39 AM, c)Amount of Bond: $ Ronnie Fussell CLERK CIRCUIT COURT DUVAL COUNTY 6, Lender Information: RECORDING$10.00 a)Name and Address: b)Phone Number: • 7. Person within the State of Florida designated by owner upon whom notices or other documents may be served as provided by 713.13 (1)(a)7,Florida Statutes: a)Name and Address: b)Phone Numbers of Designated Person: 8. In addition to himself/herself, Owner designates of to receive a copy of the Lienor's Notice as provided in Section 713.13 (1)(b),Florida Statutes. a)Name and Address: b)Phone Number of person or entity designated by owner: 9. Expiration date of Notice of Commencement(the expiration date may not be before the completion of construction and final payment to the contractor,but will be one (1) year from the date of recording unless a different date is specified: WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER 'THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713,PART I, SECTION 713.13, FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING. TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE. COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. Under penalty of perjury,I declare that I have read the foregoing notice of commencement and that the facts stated therein are true to the best of my knowledge and belief. Nancy K Decker-owner Signature/of Owner r Owner's Authorized Officer/Director/Partner/Manager Signatory's Printed Name&Title/Office The foregoing instrument was acknowledged before me this .3 day of -, `'n 4._ ,2016 ,by Nancy K Decker as owner for Nancy K Decker . D (Name of Person) (Type of Authority,i.e.Officer/Attorney) (Name of Party Instrument was Executed for) 1:veNR.►IArINA►N 7c ..� . STEVEN '�ocary PubGo,Surto of RaidsNOTARY PUBLIC, STATE OF FLORIDA +ly Comm.Expires Juno 11,2017 Print Name: S'��tzz--\ R t4 .'- '-i a,i Commission No.FF 28335 'Personally Known. 0 Identifi cation/Type: Revised 10/1/2010