2025 SEMINOLE RD - #101 - SIDING & TRIM ,J. , CITY OF ATLANTIC BEACH
4 • _ f
800 SEMINOLE ROAD
"ate/r ATLANTIC BEACH, FL 32233
s / INSPECTION PHONE LINE 247-5814
RESIDENTIAL ALT/OTHER
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 16-RAAR-1465
Job Type: RESIDENTIAL ALTERATION
Description: REMOVE AND REPLACE SHEATHING, FRAMING. SIDING
AND TRIM
Estimated Value: $5,158.00
Issue Date: 7/5/2016
Expiration Date: 1/1/2017
PROPERTY ADDRESS:
Address: 2025 SEMINOLE RD 101
RE Number: 169723-0202
PROPERTY OWNER:
Name: HALL, RANDALL
Address: 2025 SEMINOLE RD APT 101
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 $37.90
BUILDING PERMIT FEE $75.79
STATE DCA SURCHARGE $2.00
STATE DBPR SURCHARGE $2.00
Total Payments: $117.69
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
r'`',� , City of Atlantic Beach APPLICATION NUMBER
�s1 Building Department (To be assigned by the Building Department.)
800 Seminole Road f/ RAO
si Atlantic Beach, Florida 32233-5445 I t c —1 \An R - 14-60.5
Phone(904)247-5826 • Fax(904)247-5845
-::',%o;jjj: E-mail: building-dept@coab.us Date routed: Z ( i
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
D # ICDI
Property Address: ZOZS SEmi1oL€ kD De artment review required Yes No
, uilding J V
Applicant: LRN.j(1 S (----- E II)&421 L e0 (�
P arming &Zoning
Tree Administrator
Project: 7EacL R_EPA-t 22 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: roved. ['Denied.
(Circle one.) Comments:
:UILDINC
PLANNING &ZONING Reviewed by: rn Date: 91'/6
TREE ADMIN. Second Review: ['Approved as revised. ❑Denie .
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: ['Approved as revised. ['Denied.
Comments:
Reviewed by: Date:
Revised 05/14/09
.;BUILDING PERMIT APPLICATION FILE 'OF
CITY OF ATLANTIC BEACH
800 Seminole Road, Atlantic Beach, FL 32233
Office (904)247-5826 Fax (904)247-5845 i (o —R A A R— 4(5
Job Address: 2025 Seminole Road#101 Permit Number:
Legal Description 04043 North shore Condominium Dwelling Unit A-1 Parcel 51 9723-0202
Floor Area of Sq.Ft. q
Valuation of Work$5,158 Proposed Work heated/cooled non-heated/cooled
Class of Work(circle one): New Addition Alteration ' - Move Demolition pool/spa window/door
Use of existing/proposed structure(s)(circle one): Commercial is e
rilo
If an existing structure,is a fire sprinklesystem installed?(Circle one): Yes toe N/A
Florida Product Approval# /p/R2.-./
For multiple products use proct approval form
Describe in detail the type of work to be performed:
Pressure wash exterior
Paint walls and trim 2 coats Sherwin Williams Super paint
R&R right wall lower band & cap, approx. 14'
R&R band & cap trim right of garage door approx.3'
R&R left garage door buck
R&R left side corner trim
R&R siding at left side roof line approx.36sf
R&R outside corner trim of bay window
Install rear deck support
R&R any damaged sheathing and or framing found behind removed siding& trim
l roperty Owner Information:
Name: Marilyn Hall Address: 2025 Seminole Road#101
City Atlantic Beach State FL Zip 32233 Phone 904-246-6331
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 JacksonvilleState
Site/tate FL.
Contact Number 904-626p 32246
Fax#na
Office Phone 904-422-6690
State Certification/Registration#CGC 062543
Architect Name&Phone# na r=+'��ljj���� �J,� i
Engineer's Name&Phone# nes
Fee Simple Title Holder Name and Address na
Bonding Company Name and Address na
Mortgage Lender Name and Address na
Application is hereby made to obtain a permit to do the work and installations as indicated. l certify that no work or installation has commenced prior to the
null
issuance void work is not commenced withinl be
(6)�months, oormed to r1if constructioeet the n or wds ork is susplaws ended or abandonlating ed for a pon in this
eri�od of six f6)risdiction. This
mori hs at any time after
andifElectrical Work, Plumbing,Signs, Wells,Pools, Furnaces, Boilers,Heaters,
work is commenced. 1 understand that separate permits must be secured for
Tanks and Air Conditioners,etc.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMENT MAY RESULT IN YOTO OBTAIN FINANCING, CON UR PAYING TWICE FOR S EMENTS
L WITH
TO YOUR PROPERTY. IF YOU INTEND
YOUR LENDER OR AN ATTORNEY
BEFORE
IERECORDING YOUR NOTICE OF
COMMB
his
type
oyywork wthat 1 have read arid ill be complied with whetherhis ltherein on r and know
The granting of to be true o permit doesct. All not prsume provisions give auth s rity to v olateces gor cancel the
provisions'p J
of any other federal,state, or local law regulating construction or the performance of construction. /
Signature of Owner
- -Z- Signature of Contracts i1 ✓
df
Print Name 127 ,(.�/.p Print Name .jc/�N , - •�1��
S • „ • . d subsc '• . before;e _ _
Sworn�o and subscr' d before me 20 Gi ay of _ • _ ,la
thi Day of pp � , �
(.. j ` Noz� •ublic ' 0
Notary ub* #FF 149686 Revised 01.26.10
f EXPIRES:August 11,2018
saner` Bonded Nu Budget Nobly Semites
7f TONI GIND.ESPERGER
'' t;r ::
MY COMMISSION t FF 924951
;; EXPIRES:October 6,2019
?;if, :4.' Bonded Thru Notary Public Undene,itern