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223 OCEAN BLVD - BATH RENO ' CITY OF ATLANTIC BEACH SS1 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 RESIDENTIAL - ALTERATION RESIDENTIAL MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 PERMIT INFORMATION: PERMIT NO: RES18-0243 Description: Bathroom Renovation Estimated Value: 40000 Issue Date: 8/22/2018 Expiration Date: 2/18/2019 PROPERTY ADDRESS: Address: 223 OCEAN BLVD RE Number: 170194 0000 PROPERTY OWNER: Name: **CONFIDENTIAL ** Address: **CONFIDENTIAL ****CONFIDENTIAL ** **CONF **, XX##### GENERAL CONTRACTOR INFORMATION: Name: Address: Phone: Name: SOUTHERN CONCEPTS CONTRACTING Address: 2825 Treasure Cove LN 4063 GRANE BLVD JACKSONVILLE, FL 32224 Phone: PERMIT INFORMATION: Please see attached conditions of approval. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOU 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. 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. * A notice of Commencement is only required for work exceeding an estimated value of $2,500. For HVAC work, a Notice of Commencement is only required when HVAC work exceeds and estimated value of$7,500. Sy !l City of Atlantic Beach APPLICATION NUMBER Js /*`- ` --%:\ Building Department (To be assigned by the Building Department.) C .t. :1,,,-. , 800 Seminole Road RES/R-- bZ _� Atlantic Beach, Florida 32233-5445 ^ V Phone (904)247-5826 • Fax(904)247-5845 / \-��"(-orals)%' E-mail: building-dept@coab.us Date routed: 7//�/le City web-site: http://www.coab.us jj APPLICATION REVIEW AND TRACKING FORM Property Address: 223 COEDA13l Id D- • - . ent review required YeJ� No Building v Applicant: SOViAer Con CPp7 Planning &Zoning Ecd-h. ,� �jTree Administrator Project: room teen 6 Valon o/ tn 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: ❑Approved. krifienied. [iNot applicable (Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed by: 1 Date: 7' 3°-lir i TREE ADMIN. 0 Second Review: Approved as revised. ❑Denied. ❑Not applicable PUBLIC WORKS Comments: A. x /� PUBLIC UTILITIES C (�- PUBLIC SAFETY Reviewed by: Date: U� 7 r FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied. ['Not applicable Comments: Reviewed by: Date: Revised 05/19/2017 NOTICE OF COMMENCEMENT State of ELS A Tax Folio No. County of "--1;)v V 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: 5-69 ATLANTIC BEACH LOTS 1,2,3 BLK 28 Address of property being improved: 223 OCEAN BLVD ATLANTIC BEACH, FL 32233 General description of improvements: Bathroom Renovation Owner: Peter Trofimenko Address: 223 OCEAN BLVD ATLANTIC BEACH, FL 32233 Owner's interest in site of the improvement: Residence Fee Simple Titleholder(if other than owner): Doc#2018191628,OR BK 18491 Page 2481, Number Pages: 1 Name: Recorded 08/14/2018 03:32 PM, RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL Contractor: Southern Concepts Contracting COUNTY RECORDING $10.00 Address: 2825 Treasure Cove Ln Jacksonville, FL 32224 Telephone No.: 904-470-0282 Fax No: Surety(if any) Address: Amount of Bond$ Telephone No: Fax No: Name and address of any person making a loan for the construction of the improvements Name: 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: Address: Telephone No: Fax No: In addition to himself; owner designates the following person to receive a copy of the Lienor's Notice as provided in Section 713.06(2)(b),Florida Statues. (Fill in at Owner's option) Name: Address: 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 -- EYE LOFTIS Signed: ii1/4-*/ "t"� " Date:1/12) 2-0 �� .‹. ''v ~s MY COMMISSICId#OG128861 , Before me ' y day `7'u t_�/ in the County of Duval,State _t_.. ':�- August 15,2021 Of Florida,has personally appe l �' = EXPIRES:A g »►'._ Nosy pubii urdets Notary Public at Large,State of Florida,County of Duval. Boded Thai My commission expires: gt/t>;// Zi Personally Known: or Produced Identification: f[ —t i''(--- V� 'r1 I.-L`J rjJ, OFF mss -410'. CITY OF ATLANTIC BEACH '�41 800 Seminole Road 75 �r ICE !a� COPY Atlantic Beach,Florida 32233 REVISION REQUEST/CORRECTIONS TO PLAN REVIEW COMM TS Date (( // evision to Issued Permit Corrections to Comments Permit #KES(E"0243 Project Address L Z 0 ceR,I 8/' Contractor/Contact Name ,ihi (A----. Phone 97) LI- 70 - O(�U L Email 2.42-C 6 3 Do-'{i"crn C-...et`API<3"co+'-fr4`l': Description of Proposed Revision/Corrections: Permit Fee e $ 50-CJ —ID C—Ivii4 ki."-Q.A 45 Additional Increase in e. :Wing Value $ Additional S.F. il By signing below I ��/ ��_� affirm the Revision is inc usive of the proposed changes. YP ✓/ (printed name) c14 fr.Signature . Con . - . Agent(Contractor must sign if increase in valuation) Date (Office Use Only) Approved Denied Not Applicable to Department Revision/Plan Review Comments De•artment Review Required: Buildin. 7/1 Planning & Zoning Reviewed By Tree Administrator Public Works Public Utilities _ , -K-/ 8'' Public Safety Date Fire Services �" ° 'S, CITY OF ATLANTIC BEACH �y '' 800 SEMINOLE ROAD �" ATLANTIC BEACH, FL 32233 (904) 247-5800 �J;319` BUILDING REVIEW COMMENTS Date: 7/30/2018 Permit#: RES18-0243 Site Address: 223 OCEAN BLVD Review Status: DENIED RE#: 170194 0000 Applicant: SOUTHERN CONCEPTS CONTRACTING Property Owner: ** CONFIDENTIAL ** Email: Email: petertro365@gmail.com ZEKE@SOUTHERNCONCEPTSCONTRACTIONG.COM Phone: 3863343622 Phone: THIS REVIEW IS ONE OF MULTIPLE DEPARTMENT REVIEWS. Revisions may not be submitted until ALL departments have completed their respective reviews. Revisions submitted MUST respond to EACH department review. Submittals that respond to only one or a few correction items will not be accepted. Correction_Comments: 2 1. em the FBC-Existing Building 6th Edition, 2017, Chapter 3 & Chapter 5, choose a method of construction compliance/alteration level. Place this information on page A-1, under BUILDING CODE SUMMARY. 2 copies. 2. Verify and confirm in writing that the glazing bottom edge in the window adjacent to the new come b and existing window that will now be in the shower, is less than 60 inches measured vertically a.. e any standing or walking surface. FBC-Residential R308.4.5. If not the windows will have to :-- tempered safety glass. . All new exhaust vans in bathrooms shall adhere to M1501.1, OUTDOOR DIS - • 'GE. R-ec- g-G-vizill Building Mike Jones Building Inspector/Plans Examiner City of Atlantic Beach 800 Seminole Road Atlantic Beach, FL 32233 904.247.5844 Email:mjones@coab.us m // Resubmittal Notes: e/Ttt ;I. P-11/if w (_.Uv✓1 wt40n.'fi' 7 . 3000/61- All revisions and changes shall clearly stand out from the rest of the drawing on the sheet as a revision by way of completely encircling the change with "clouding". The revision shall also be identified as to the sequence of revision by indicating a triangle with the revision sequence number within it and located adjacent to the cloud.The revision date Building Permit Application Updated 12/8/17 •i ti.. V 1 City of Atlantic Beach JUL 1 E r 'J 800 Seminole Road,Atlantic Beach,FL 32233 Phone:(904)247-5826 Fax:(904)247-5845 ‘---- Q� L.� Job Address: 223 Ocean Blvd Atlantic Beach, FL Permit Number: l &5II O - 02- 13 Legal Description 5-69 ATLANTIC BEACH LOTS 1,2,3 BLK 28 RE# 170194-0000 Valuation of Work(Replacement Cost)$ $40k Heated/Cooled SF Non-Heated/Cooled • Class of Work(Circle one): New Addition Alteration Repair Move Demo Pool Window/Door • Use of existing/proposed structure(s)(Circle one): Commercial Residential • If an existing structure,is a fire sprinkler system installed?(Circle one): Yes No N A • Submit a Tree Removal Permit Application if any trees are to be removed or Affidavit of No Tree Removal Describe in detail the type of work to be performed: Florida Product Approval# for multiple products use product approval form Property Owner Information Name: TROFIMENKO, PETER Address: 223 OCEAN BLVD City ATLANTIC BEACH, FL 32233 State Zip Phone 904-244-3091 E-Mail Peter Trofimenko<petertro365@gmail.com> Owner or Agent(If Agent, Power of Attorney or Agency Letter Required) Contractor Information Name of Company: Southern Concepts Contracting Qualifying Agent: Ezekiel Stewart Address 2825 Treasure Cove Ln City Jacksonville State Fl Zip 32224 Office Phone 904-470-0282 Job Site/Contact Number 904-470-0282 State Certification/Registration# CBC1259345 E-Mail zeke@southernconceptscontracting.com Architect Name&Phone# Engineer's Name&Phone# Workers Compensation Exempt 8/2019 Exempt/Insurer/Lease Employees/Expiration Date 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 regulationg 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 NOTICE OF COMMENCEMENT. (Signatu f Owner or Agent) (Signature of Contractor) (including contractor) Signed and sworn to(or affirm94) efore me this )Z day of Si ned and sworn to(or affirmed)before me this I n d y of N_ 41_ y 2CY t SS ,by A l w. ti�F(vM FN�a ci �� , , by 6 ems` Q) Q0.J . <Q,W' .,.� • a MMIC pN S Signature of Notary) .i�,uf Notary RES,q G'Ci fy tiJY' •JENNIFERJOHNSTON St 1 X61 •, ' - MY COMMISSION#GG 042984 a [ ' ••t' 7 Ifu21 [ ]Personally Known OR 14: EXPIRES:October 27,2020 [t,}1 roduced I. �;;; ., �' [ ] roduced Identification •. RdF„p• . Bonded TlttylNotary Public underwriters Type of Identification: Type of Identification: rt. dr ' �� PRODUCT APPROVAL INFORMATION SHEET FOR THE CITY OF ATLANTIC BEACH, FLORIDA Project Name: Trofimenko Bathroom Permit # RES/S—v2`17 Project Address: 223 Ocean Blvd Atlantic Beach FL 32233 As required by Florida Statute 553.842 and Florida Administrative Code Rule 9B-72, please provide the information and product approval number(s) for the building components listed below as applicable to the building construction project for the permit number listed above. You should contact your product supplier if you do not know the product approval number for any of the applicable listed products. Information regarding statewide product approval may be obtained at: www.floridabuilding.orti Category/Subcategory Manufacturer 'Product Description J Limitation of Use State# Local# A. EXTERIOR DOORS 1. Swinging 2. Sliding 3. Sectional 4. Roll up 5. Automatic 6. Other B. WINDOWS • I. Single hung 2. Horizontal slider 3. Casement 4. Double hung 5. Fixed Silverline V1 Series/70 Series ;2950/4950) 14918,5 6. Awning 7. Pass-through 8. Projected 9. Mullion 10. Wind breaker 11. Dual action 12. Other Category/Subcategory Manufacturer Product Description (Limitation of Use State# Local# C. PANEL WALL 1. Sidinn 2. Soffits 3. EIFS 4. Storefronts 5. Curtain walls 6. Wall louvers 7. Glass block 8. Membrane 9. Greenhouse 10. Synthetic stucco 11. Other _ D. ROOFING PRODUCTS 1. Asphalt shingles 2. Underlayments 3. Roofing fasteners 4.Nonstructural metal roof 5. Built-up roofing 6. Modified bitumen 7. Single ply roofing 8. Roofing tiles 9. Roofmg insulation 10. Waterproofmg 11. Wood shingles/shakes 12. Roofmg slate 13.Liquid applied roofing 14. Cement-adhesive coats 15.Roof tile adhesive 16. Spray applied polyurethane roof 17. Other Category/Subcategory Manufacturer Product Description Limitation of Use State # Local # E. SHUTTERS 1. Accordion 2. Bahama 3. Storm panels 4. Colonial 5. Roll-up • 6. Equipment 7. Other F. STRUCTURAL COMPONENTS 1. Wood connector/anchor 2. Truss plates 3. Engineered lumber 4. Railing 5. Coolers-freezers 6. Concrete admixtures 7. Material 8. Insulation forms 9.Plastics 10.Deck-roof 11. Wall 12. Sheds 13. Other G. SKYLIGHTS 1. Skylight 2. Other , Category/Subcategory Manufacturer Product Description Limitation of Use State# Local# H. NEW EXTERIOR ENVELOPE PRODUCTS 1. 2. In addition to completing the above list of manufacturers, product description and State approval number for the products used on this project, the Contractor shall maintain on the job site and available to the Inspector, a legible copy of each manufacturer's printed specifications and installation instructions along with this Product Approval Sheet. I certify that this product approval list is true and correct to the best of my knowledge. I further certify that use of different components other than the ones listed in this document must be approved by the Building Official. (Contractor Name) (Print Name) (Signature) Company Name: Southern Concepts Contracting Mailing Address: 2825 Treasure Cove Ln City: Jacksonville State: FL Zip Code: 32224 Telephone Number: ( ) 904-470-0282 Fax Number: ( ) Cell Phone Number: ( ) E-mail Address: zeke@southernconceptscontracting.com