60 Beach Cottage Ln Unit 203 RES22-0074 COAB Permit Form with Conditions - RenewedOWNER:ADDRESS:CITY:STATE:ZIP:
SOUTHERLAND NANCY T 60 BEACH COTTAGE LN ATLANTIC BEACH FL 32233-1985
COMPANY:ADDRESS:CITY:STATE:ZIP:
HALBERT CONTRACTING
CO 524 HERMAN ST JACKSONVILLE FL 32254
TYPE OF
CONSTRUCTION:
REAL ESTATE
NUMBER:ZONING:BUILDING USE
GROUP:SUBDIVISION:
169700 0135 COTTAGES AT ATLANTIC
BEACH
JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK:
60 BEACH COTTAGE LN 203 RESIDENTIAL SIDING
REMOVE VINYL SIDING
INSPECT FOR LEAKS
AROUND WINDOWS -
Renew
$7274.00
LIST OF CONDITIONS
Roll off container company must be on City approved list . Container cannot be placed on City right-of-way.
1 BUILDING IN-PROGRESS INSPECTION REQUIRED INFORMATIONAL
Notes:
IN-PROGRESS INSPECTIONS ARE REQUIRED FOR EXTERIOR SIDING, WINDOW, AND DOOR INSPECTIONS, AND SHOULD BE SCHEDULED FOR THE FIRST
DAY OF WORK.
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.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY 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 RECORDING YOUR NOTICE OF COMMENCEMENT.
MUST CALL INSPECTION PHONE LINE (904) 247-5814 BY 4 PM FOR NEXT DAY INSPECTION.
ALL WORK MUST CONFORM TO THE CURRENT 6TH EDITION (2017) OF THE FLORIDA BUILDING
CODE, NEC, IPMC, AND CITY OF ATLANTIC BEACH CODE OF ORDINANCES .
ALL CONDITIONS OF PERMIT APPLY, PLEASE READ CAREFULLY.
1 of 2Issued Date: 3/16/2022
PERMIT NUMBER
RES22-0074
ISSUED: 3/16/2022
EXPIRES: 5/4/2024
RESIDENTIAL PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
FEES
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
BUILDING PERMIT 455-0000-322-1000 0 $90.00
BUILDING PERMIT RENEWAL 455-0000-322-1000 0 $13.90
BUILDING PLAN CHECK 455-0000-322-1001 0 $45.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.03
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL: $152.93
2 of 2Issued Date: 3/16/2022
PERMIT NUMBER
RES22-0074
ISSUED: 3/16/2022
EXPIRES: 5/4/2024
RESIDENTIAL PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
C= Building Permit Application Updotedl0/9/18j6`
City of Atlantic Beach Building Department ALL INFORMATION
HIGHLIGHTED IN GRAY800SeminoleRoad, 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