60 BEACH COTTAGE LN RES22-0074 C= Building Permit Application Updotedl0/9/18
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; City •of Atlantic •Beach Building Department **ALL INFORMATION
HIGHLIGHTED IN GRAY
800 Seminole Road, Atlantic Beach, FL 32233
—toll IS REQUIRED.
Phone: (904) 247-5826 Email: Building-Dept@coab.us ?
Job Address: 60 Beach Cottage Ln.Atlantic Beach.FL 32233 Permit Number: I 2`ES Z- `ED.
4-
09-2S-29E THE COTTAGES AT ATLATIC BEACH CONDOMINIUMSUNIT 203 BLDG 21/7 INT COMMON ELEMENT O/R 12036-1109
Legal Description RE# 169700-0135
Valuation of Work (Replacement Cost) $ 7,274.00 Heated/Cooled SF 2850 Non- Heated/Cooled 2850
• Class of Work: ❑New ❑Addition ❑Alteration ❑Repair ❑Move Demo ❑Pool ❑Window/Door
• Use of existing/proposed structure(s): ❑Commercial 13/Residential
• If an existing structure, is a fire sprinkler system installed?: ❑Yes ®No
• Will tree(s) be removed in association with proposed project? ❑Yes(must submit separate Tree Removal Permit) iNo
Describe in detail the type of work to be performed: Remove approx.50-100 SF of vinyl siding,inspect wall for leaks,and install waterproofing/window
flashing as nessesary
Florida Product Approval# for multiple products use product approval form
Property Owner Information
Name Nancy Southerland Address 60 Beach Cottage Ln.
City Atlantic Beach State FL Zip 32233 Phone 904-673-9746
E-Mail roy.solutions51@gmail.com
Owner or Agent (If Agent, Power of Attorney or Agency Letter Required)
Contractor Information
Name of Company Halbert Contracting Co.Inc. Qualifying Agent Larry Halbert
Address 524 Herman Street City Jacksonville State FL Zip 32254
Office Phone 904-381-8905 Job Site Contact Number 904-861-8318
State Certification/Registration# CGC1528854 E-Mail Tripp(ahalbertcontracting,com
Architect Name& Phone# N/a
Engineer's Name& Phone# N/a
Workers Compensation Insurer StarStoneNational Insurance Company OR Exempt❑ Expiration Date 1/1/2023
Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has
commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all the laws regulating
construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING,SIGNS,
WELLS, POOLS, FURNACES, BOILERS, HEATERS,TANKS, and AIR CONDITIONERS, etc. NOTICE: In addition to the requirements of this
permit,there may be additional restrictions applicable to this property that may be found in the public records of this county,and
there may be additional permits required from other governmental entities such as water management districts,state agencies, or
federal agencies.
OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all
applicable laws regulating construction and zoning.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND
TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE
RECORDING YOUR NOTI E OF( OM NCEMENT.
� � 6 . � �' �a � '�!
;J(Signature of Owner or Agent) / (Signature of Con`o.N( �..• Fs III
��:. N0TARy•..••o.i
i ned and sworn to(or affirmed) before m- this d•y of Signed and sworn to (or affirmed) b pie this 7t day iSf
, VIZ, , b I/ U . . 1 Lf. g rid�h a� by c,/,n 1• hlil�:.•� xpires N
�*:14R 2024 D —
r,.. �/ ' / , - �', •-7374
►a �''.. TERRY HtrtrtY
� �`' Notary Public State of Flor-g lature• Notary) t (Si1 -.–°0v-i'
9,p ,N• ry)
Commission 4 NH 188544 I °i J` •'•.......G..• Q .
My Comm.Expires Nov 30,2025 ( Q`
4' P1r�,aj+y Yiioll��ii--_�'� [ j Per Wally Known OR III//,`OF ';Ot -
roduced Identification �1 roduced Identifications ��
Type of Identification: Pt– J 2AU{15 �-tL Type of Identification: r t IV�� °f'1(eN3t
NOTICE OF COMMENCEMENT
State of Florida Tax Folio No. 169700-0135
County of Duval
To Whom It May Concern:
The undersigned hereby informs you that improvements will be made to certain real property, and in accordance with Section 713
of the Florida Statutes,the following information is stated in this NOTICE OF COMMENCEMENT.
Legal Description of property being improved: 09-2S-29E THE COTTAGES AT �� /���i1 R cc',
CONDOMINIUMSUNIT 203 BLDG 21/7 INT COMMON ELEMENT O/R 12036-1109
Address of property being improved: 60 Beach Cottage Ln.Atlantic Beach FL
General description of improvements: Remove siding and repair waterproofing
Owner: Nancy Southerland Address: 60 Beach Cottage Ln.Atlantic Beach FL
Owner's interest in site of the improvement: primary
Fee Simple Titleholder(if other than owner): n/a
Name:
Contractor: Halbert Contracting Co.Inc.
Address: 524 Herman Street Jacksonville FL 32254
Telephone No.: (904)391-8905 Fax No:
Surety(if any) n/a
Address: Amount of Bond$ _
Telephone No: Fax No:
Name and address of any person making a loan for the construction of the improvements
Name: n/a
Address:
Phone No: Fax No:
Name of person within the State of Florida,other than himself,designated by owner upon whom notices or other documents may
be served: Name: n/a
Address:
Telephone No: Fax No:
In addition to himself, owner designates the following person to rec Doc#2022060641,OR BK 20173 Page 408,
713.06(2) (b), Florida Statues. (Fill in at Owner's option) Number Pages:1
Recorded 03/07/2022 01:00 PM,
Name: n/a JODY PHILLIPS CLERK CIRCUIT COURT DUVAL
COUNTY
Address: RECORDING $10.00
Telephone No: Fax No:_
Expiration date of Notice of Commencement(the expiration date is one(1)year from the date of recording unless a different date is
specified): _
THIS SPACE FOR RECORDER'S USE ONLY OWNER �II(�1y )I
,:':►�"kF.. TERRY HENDRY ( Signed: t 6-'47° Ail ' 10 4 Date: s3/4k0
4 'F �': Notary Public•State of Florida Before me this� t ,�
' xN ;
Commission HH t885aa `A day of AiLkl— 2 in the County of Duval,State
My Comm.Expires Nov 30,2025 ( Of Florida,has personally appeared CAPM.L.LAC SeJA-hQi/ (4k-inD
Notary Public at Large,State of Florida,CountrOf Duval.
My commission expires: 1 l- 3o•�.`j
Personally Known: or
Produced Identification: Fl- 0 s L.1�