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HomeMy WebLinkAboutRevisions/ change of private provider OFFICE USE ONLY: DATE FILED: �i aG I PERMIT# REVISION FEE: RECEIPT# PLANNING& DEVELOPMENT SERVICES BUILDING&CODE REGULATION DIVISION 2300 VIRGINIA AVENUE FORT PIERCE,FL 34982-5652 (772)462-1553 RECEIVED APPLICATION FOR BUILDING PERMIT REVISIONS FEB 2 5 2021 PROJECT INFORMATION LOCATION/SITE Permitting Cent Counbl Sr.Lucie County ADDRESS: -1 � o uP-en L r,k DETAILED DESCRIPTION OF PROJECT REVISIONS: r u CONTRACTOR INFORMATION: STATE of FL REG./CERT.#: CGC1517458 ST. LUCIE CO CERT. #: 31830 BUSINESS NAME: WJH FL LLC QUALIFIERS NAME: MOREY DOYLE ADDRESS: 3091 Govenors Lake Drive,Suite 300 CITY: Norcross STATE: GA ZIP: 30071 PHONE(DAYTIME): (321)270-6629 FAX: NA OWNER/BUILDER INFORMATION: NAME: WJH FL LLC-Morey Doyle ADDRESS:3091 Govenors Lake Drive,Suite 300 CITY: Norcross STATE: GA ZIP: 30071 PHONE(DAYTIME: (321)270-6629 FAX: NA ARCHITECT/ENGINEER INFORMATION: NAME: Mulhem&Kulp ADDRESS: 300 Brookside Ave CITY: Ambler STATE: PA ZIP: 19002 PHONE(DAYTIME): (215)646-8001 FAX: NA SLCCC. 9123109 Revised 06/30/17 RE Ulm 1 WEINTRAUB INSPECTIONS&FORENSIC,INC. Notice to Building Official of Use of Private Provider Project Name: L1-9�,-TV—A L- L I fJ - 7t0 C}L ego ma Loll,, mil/ Parcel Tax ID: (00 • 0W(I> G Services to be provided: Plans Review Inspections_[Buildin Pool Other_] Note: If the notice applies to either private plan review or private inspection services the Building Official may require, at his or her discretion,the private provider be used for both services pursuant to Section 553.791(2)Florida Statute. I M C;�—-P_c n 10 ri 1 4 the fee owner,affirm I have entere o a contract with the Private Provider indicated below to conduct the services indicated above. Private Provider Firm: Weintraub inspections&Forensics Private Provider: Jerry M Weintraub Address: 3868 Sun City Center Blvd.,Sun City Center,FL 33573 Telephone:813-633-8000 Fax:813-464-8026 Email Address(Optional):jwolfersberger@weintraubinspections.com Florida License,Registration or Certificate:Professional Engineer 30033 I have elected to use one or more private providers to provide building code plans review and/or inspection services on the building that is the subject of the enclosed permit application, as authorized by s. 553.791, Florida Statutes. I understand that the local building official may not review the plans submitted or perform the required building inspections to determine compliance with the applicable codes, except to the extent specified in said law. Instead, plans review and/or required building inspections will be performed by licensed or certified personnel identified in the application. The law requires minimum insurance requirements for such personnel, but I understand that I may require more insurance to protect my interests. By executing this form, I acknowledge that I have made inquiry regarding the competence of the licensed or certified personnel and the level of their insurance and am satisfied that my interests are adequately protected. I agree to indemnify, defend, and hold harmless the local government, the local building official, and their building code enforcement personnel from any and all claims arising from my use of these licensed or certified personnel to perform building code inspection services with respect to the building that is the subject of the enclosed permit application. I understand the ,Building Official retains authority to review plans, make required inspections, and enforce the applicable codes within his or her charge pursuant to the standards established by s. 553.791, Florida Statutes. If I make any changes to the listed private providers or the services to be provided by those private providers, I shall, within I business day after any change, update this notice to reflect such changes. The building plans review and/or inspection services provided by the private provider is limited to building code compliance and does not include review for fire code, land use. environmental or other codes. 3868 Sun City Center Blvd. Phone: 813-633-8000 Sun City Center,FL 33573 Fax:813-4648026 WEINTRAUB INSPECTIONS&FORENSIC,INC. The following attachments are provided as required: 1. Qualification statements and/or resumes of the private provider and all duly authorized representatives. 2. Proof of insurance for professional and comprehensive liability in the amount of$1 million per occurrence relating to all services performed as a private provider, including tail coverage for a minimum of 5 years subsequent to the performance of building code inspection services. Individual Corporation Partnership Print Corporatio Name Print Partnership Name By: (signature) Print (signature) (signature) Print Print Name: Name- . Address: Its;A 1 Address: Address: I Telephone No.: fv 0 �'0 5 b i G•� �oc /1 Telephone Telephone No o2)Da70 ��a� No.: Please use appropriate notary block. STATE OFlCC�� COUNTY OF Y� Individual Corporation Partnership Before me,this day of Before me,this dayof Before me,this day ,20 personally �,1p1r1![3•r[� ,2 � of ,20__,personally appeared personally appeared- appeared i who executed the foregoing instrument, o -partner/agent on behalf of j and acknowledged before me that same C �l , ,a j was executed for the purposes therein corporation,on a partnership,who executed the expressed, behalf,of the state corporation,who foregoing instrument and acknowledged executed the foregoing instrument and before me that same was executed for acknowledged before me that same was the purposes therein expressed. executed for the purposes therein expressed. i i Personally known ;or Produced identification Type of identification produced 1 Signature of Notary Print Name Notary Public:NOTARY STAhQ BELOW V1M of My commission expires: a o(� � MH 02�10 3868 Sun Cite Center Blvd.Sun 2 of 2 Phonc: 813-633-8000 City Center.FL 33573 Fax:813-4648026 FORM # 9B-3o053-2005-0I JOB SITE PRIVATE PROVIDER IDENTIFICATION FORM Florida Building Commission Effective February 1,2006 PROVIDER NO. 1 -Primary Contact: Jon Wolfersber er Email address jwolfersberger@weintraubinspections.com Telephone Number-: 321-474-1459 Fax Number: 813-464-8026' License number PE 300033 Company: Weintraub Engineering and Inspections, Inc. Address: 3868 Sun Citv Center Blvd, Ruskin FL,33573 Job address Specific project on job site Pei rnit number Type of Service Being Performed_: Building Inspections Insurance policy GL 10006 number Signed rovider PROVIDER NO.2 Primary Contact: Email address Telephone Number: Fax Number: License number Company: Address: Job address Specific project on job site Permit number Type of Service Being _ Performed: Insurance policy number Signed by Provider ,�coRo® CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/YYYY) 11/30/2020 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Erin Condlin NAME: Johnson&Company PHONE (407)643-1120 FAX (407)843-5772 A/C No Ext: A/C,No 801 N Orange Avenue E-MAIL ADDRESS: Suite 510 INSURER(S)AFFORDING COVERAGE NAIC a Orlando FL 32801 INSURERA: FCC[Insurance Company 10178 INSURED INSURER B: Brig d efield Casualty Insurance 10335 Weintraub Engineering and Inspections,Inc. INSURER C: Continental Casualty Company 20443 Weintraub Inspections&Forensics INSURER D: 3868 Sun City Center Blvd INSURER E: Sun City Center FL 33573 INSURER F: COVERAGES CERTIFICATE NUMBER: CL2D111214948 REVISION NUMBER: THIS IS TO CERTIFYTHATTHE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDLISUBRIPOLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER MMIDD MM/DD LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE S 1,000,000 DAMAUET05 R 100,000 CLAIMS-MADE Fx—]OCCUR PREMISES Ea occurrence S MED EXP(Any one person) s 10,000 A Y Y GL100063261 11/15/2020 11/15/2021 PERSONAL&ADVINJURY S 1,000,000 GEN'LAGGREGATE LIMITAPPLIES PER: GENERAL AGGREGATE S 2,000,000 .POLICY®JET LOC PRODUCTS-COMPlOPAGG g 2,000,000 OTHER: Employee Benefits S AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT S 1,000,000 Ea accident Ix ANYAUTO BODILY INJURY(Per person) S AOWNED SCHEDULED Y Y CA 100063259 11/15/2020 11/15/2021 BODILY INJURY(Per accident) S AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE S AUTOS ONLY AUTOS ONLY Per accident Drive other car S X UMBRELLA LIAB X OCCUR EACH OCCURRENCE S 5,000,000 A EXCESS LIAR CLAIMS-MADE UMB100063260 11/15/2020 11/15/2021 AGGREGATE S 5,000,000 DED I X1 RETENTIONS 10,000 S WORKERS COMPENSATION X1 SPER TATUTE ER EMPLOYERS'LIABILITY Y/N 1,000,000 ANY PROPRIETORIPARTNER/EXECUTIVE E.L.EACH ACCIDENT S B OFFICERIMEMBER EXCLUDED? N/A Y 0196 51752 10/15/2020 10/15/2021 (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE S 1,000,000 If yes,desvibe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT I S 1,000,000 Professional Liability Limit Per Claim $2,000,000 C Y MCH591943348 10/01/2020 10/01/2021 Aggregate $2,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLE D BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN St Lucie County,Building Division ACCORDANCE WITH THE POLICY PROVISIONS. 2300 Virginia Avenue AUTHORIZED REPRESENTATIVE Fort Pierce FL 34982 /70 ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD y .y WEINTRAUB INSPECTIONS & FORENSIC, INC. 3868 Sun City Center Boulevard Sun City Center, FL 33573 Phone: 813.633.8000 Fax: 813.464.8026 QUALIFICATION PACKAGE FOR PRIVATE PROVIDER Weintraub Inspectors and License Numbers: 1. Jerry Mark Weintraub PE30033 2. Usha Ramachandran PE73119 3. Jon Wolfersberger BN4874 4. Bobby J. McKinney BN983, PX2292 5. Henry Steven Bass BN5641, PX2964 6. Raymond Allen Will BN2651, PX1804 7. Steve Campbell BN6056 8. Jerome(Jerry) M. Schroeder BN7347 9. David Salmon BN7384 10. David Vines BU1409, BN4842, PX2504, SPF167 11. Allen A. Gillette. BN6803, PX3777 12. Craig Baldinger BN7561 13. Eric McAfee BN7565 14. Michael Todoroff BN4856, PX2568 15. Mathew Hodges. BN6730 16. James D Lloyd BN5101, PX3102 17. Orlando Wright BN461 rw rvu. 2020 '-2021 HILLSBOROUGH COUNTY BUSINESS TAX RECEIPT EXPIRES SEPTEMBER 30,2021 271253wry i OCC.CODE RENEWAL 280.052005 CONSTRUCTION CONSULTANTS 10 Employees Receipt Fee 54.00 Hazardous Waste Surcharge 0.00 Law Library Fee 0.00 WEINTRAUB INSPECTIONS&FORENSIC, BUSINESS INC. _ 3868 SUN CITY BL SUN CITY CTR, FLR 33573ff WEINTRAUB INSPECTIONS&FORENSIC, INC. NAME 3868 SUN CITY CENTER BLVD MAILING SUN CITY CENTER,FL 33573 ADDRESS Paid 19-0-407771 07/24/2020 54.00 BUSINESS TAX RECEIPT DOUG BELDEN,TAX COLLECTOR HAS HEREBY PAID A PRIVILEGE TAX TO ENGAGE 813-635-5200 IN BUSINESS,PROFESSION,OR OCCUPATION SPECIFIED HEREON THIS BECOMES A TAX RECEIPT WHEN VALIDATED. 9 Ron DeSantis Governor Aro Halsey Beshears Secretary, .� r Florida u� r STATE OFIFLO'RIDA. Cl i-.,,d DEPARTMENT OF BUStNESS7A�:`E FESSIONAL REGULATION 4 BOARD61 INFERS THE ENGINEER N �IiS fiFEl KITH Rl < D UNDER THE PRO.V O � ME _4 T F RI- 7UTES WEINT �UfB SP & SIC INC ` Cri - .[.` r BENS UMB R A . ti, EXPIRATIOMD E� U Rr 28,2023 Always verify hcertses online at MyFlondaLicense com Do riot alter this document m any form . This is your license It is unlawful for anyone:other than the, icensee to use this document = j ''p4�'�r'�TFc Ron Desantls Governor i FBPE FLORIDABOARDOF.' STATE OF FLORIDA PROFESS�O4ALEN6�NEERS BOARD F P E #� ENGINEERS' ; -THE PROFESSIO f ¢E - R LI,G ED UNDER THE =� PRO/IS'IQ- SjP rf R' ,TUTES I Ow K LIC SNlJNr�B .P� $f350 t. fXPIRATION`DATE =xFEBRUARY 28,2023 - f ,4lways verify licenses onhneaat My,Flonda-icense Do not alter_ this document m any;,form i This is your license It is unlawful for:anyone other than the"licensee to use his t document wI r 1� , Yi pf� t on DeSands Governor FLORIDA BOARD OF i r RROFE5510`IAL ENGINEERS , STATE Of., FLORIDA 'BOARD OF P Q�CaS0�1 ENGINEERS f i S 1 THE_PROFESSIO L E I a R 1 I LIC SED UNDER THE PEtOV15f0 5 - f P7` ��;, A T TUTES •9 Ws LI Et N ' r 6PIRl1TI6N=DATE FEBRUARY28,2023 -` Always verify Iledrises onhne,at MVF16ndaLicense com r Do=_nof alter thls,document m an,00im:; Thisis:your license It is unlawful for`anyone_other than the•hcensee to use thls document FEB] y`p4� � r Ron Desantis Governor Halsey @e5hears Secretary Flonda `.. �MWE D;EPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION -' ...� BUILDING CODE S ORS& INSPECTOR 4 �I THE STANDARD - G OR' R�. D UNDER THE h yL� PROVISIQ S�"E3 Apt ER £� ORIiA TUTES SLICE SE�f lU_NI$�R 4874 EXPIRATION DATE NOVEMBER30,2021 Always venfy licenses online.at MyFiondaL`ieense com 1 0 ❑■ r?: Do not alter this document m anyform This is--your license It is unlawful for anyone'other than the licensee to use this document I{ 4ti ° r Ron DeSaritts Governor Halsey Beshears Secretary. Flonda 3 STATE OF FLO'RIQA r r DEPARTMENT:OF BUSINESS AND'PROFESSIONAL'REG_ULATION -BUILDING CODE D � tS ORS & INSPECTOR THE STANDARD 5PE= 4 R 1 Cf;R D-UNDER THE PROVISfOPp.JSOF APTER 4c� C1R1 /�, TUTES 133d IOU,Tk �•-� F 347 Y - if I a. 'LICI( SrE GI�MBER� 3 EXPIRATION=DATE :NOVEMBER30,2021 Always veniy licenses online,at MyFlondaLicense com41 Do not alte"r this document m any' form This isyouur license lt. s unlawful foranyone other than theaicensee to use this,,document I �pF } TRr Ron DeSanbs Governor Halsey Beshears Secretary Flonda STATE Of FLORIDA WE` DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION `BUILDING CODE AQM1S 1 ORS & FNSPECTOR THE STANDARD P �' I$ IFIED UNDER THE :I PROVISfQ S 0 Ct A°TE 4 �ORF� TUTES M' r �O�E. F 3476= r \' tfC SE NUMBER_ 92 EXPIRATION:;DATE �NOVEM9&46," 0 .. M Always verify hcen5es onhne:at N1yFlondaLicense corrm.. � ❑� ;0 4f Do;not,alter this document in any form r r:This rs your license It is unlawful for anvonerother than the-licensee to rise this document r Ron DeSantis,Governor Halsey Beshears,Secretary duFlorida pr STATE OF FLORIDA ISM DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION BUILDING CODE ADMIN'fSTRATORS & INSPECTOR THE STANDARD PLANS EXAMINER. HEREhN IS CERTIFIED UNDER THE _ S r PROVISIONS'OF CHAPTER, LORIDASS,TATUTES = } $LDG 4 Yte •i .e F a BASS; H EN RY STEU, t� �.• {� `��,3,��,,=POBQX45221: � � aY 'SUN�CIT1(CENTER {FL 33572 LICEi�lSE ILUMBER:PaC29`64 EXPIRATION DATE NOVEMBER 30,2021 Always verify licenses online at MyFloridalicensexom Do not alter this document in any form. This is your license.It is unlawful for anyone other than the licensee to use this document. mp4'^ t Ron Desantis,Governor Halsey Beshears,Secretary bpri a ` STATE OF FLORIDA . DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION BUILDING CODE ADMINISTRATORS&INSPECTOR THE STANDARD=INSPECTOR HE�ZEIN IS CER71FIrED UNDER THE PItOVISIOI�S`OFCkIA Ttk!# -fWRRIDAST-ATUTES BLDG; &2 :. , t g, ay BASSsHEtRI( TEUEN, 112h-,,A N k EE AVENUEWI=ST° BRAD�NTOIVy r EL 34205 � ` l a y 'n LICEI+ISE NUtvBER:BN5641 EXPIRATION DATE: NOVEMBER 30,2021 + Always verify licenses online at MyFloridal-icense.com a a Do not alter this document in any form. This is your license.It is unlawful for anyone other than the licensee to use this document. .c8* � Ron DeSantis Governor Halsey Beshears Secretary Flonda +ram STATE OF FLO-RIDA" D1�4 DEPARTMENT OF.BUSIN.ESS"AND PROFESSIONAL REGULATION -' F r BUILDING CODE -` t�(tTiAL-ORS&`INSPECTOR 1 THE STANDARD a CWR �4D UNDER THE. ;) , PROVISI'Q 56A O' AS`� TUTES d r 3 u f r LIC S - EXPIRATION DATE. NOVEMBER"30,2021 ' Always verify licenses onime at MyFlonda Acense com 'SI Do not alter this document in any p6m :this is.your Lcense It.is unlawful for anyone`other lhahlh6 licensee to rise this document 4 NMI { + Ron Desanti5 Governor ��tit At Halsey Besfiears Secretary I Flonaa �$� F STATE OF FLO_RIDA 77 r Ri DEPARTMENT OF'BU,SINESS AND PROFESSIONAL REGULATION ; BUILDING CODS ADI�i ,f_ OR5 & INSPECTOR THE.STANDARD15 =.OR`° t DER{ IED UNDER THE _ - PROUISfO S°�FlA� TlR'4'6 >~ORI� ATUTE . LICE SENUIIBER.B 761 +, EXPIRATION DATE :NOVEMBER'30,2021 n Always venfy licenses onhne.at MyFlondaLicense corrm, Do riot alter this document,in any;form i This isgour incense It is unlawful for:any other than the licensee to use thrs document F� q Ron I e5antis Govrnor e Halsey Beshears Secretary - °.� Flonda ; s ;STATE Of FLORIDA: DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION ¢. BUILDING CODE OfftISTt ORS & INSPECTOR KEE - I THE STANDARD _ _-x�3R (1= CR IED UNDER THE : =4 PRgvjSl, S f F G Skl'PjT#R`4 ftf 1 ORI°tQA t TUTES f } IR LICE N N1BER B,1�173�8.4 ` EXPIRATION.bATE`'NOVEMBER-30,2021 - ^` r.. Alway s verify licenses onhne,at MyFloridaL'i¢ense Do riot alter this document m anyform :This isyour license It is unlawful for anyone'other than the,licensee to use this document i ' I Ron DeSantts Governor Halsey Beshears Secretary I 9 0,, d F'0nc j : STATE OF FLORIDA AT ty DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION sf BUILDING CODE ADI ( ;tS�TiQt ORS & INSPECTOR E THE STANDARD Ng FR 1 D UNDER THE` 1 R.ROUISIQ 57 �Iy'P�FE 40Ai ATUTES SC_IR�• Di ,,j. RtN d RUG C L33'S J LIG I Sf liJIvIBESL 47 - -E,k 4—ION':DATE %NOVEMBER 30,2021 ` Always verify licenses onhne<at MyFlondaGcense com } r., a f Do notalter this document m anyform This tsyour license It is unlawful for"anyone:other than the.licensee to use this document z� i Ron DeSanUs Governor .Halsey .Beshears SecretaryA. Flonda *;► �� <. STATE Of FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION f BUILDING CODE fvC MST ORS & INSPECTOR THE STANDARD 't` !={j F ED UfVDER THE PROVI'SI01�1SE�) G1A`PTEd 46 � ibAfATUTES i B'[�G ! . .w . F f 1 Vy 1 f ;_B DENTO I` 32.Q ► ` 1 ae .,ate =LICE SE 11 Jf�BER`B 6 r EXPIRATION DATE "NOVEMBERr30,2021 ; t Always verify Incenses onhne;at MyFlondaLicense com Do not alter this document�n an `form J Y,. This is your license It is unlawful for.anyone'othertban the licensee to use this document `:I i 7 � Ron DeSantis,Governor Halsey Beshears,Secretary Florida pr STATE OF FLORIDA ti DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION BUILDING CODE ADMINIST - YTORS & INSPECTOR �1 :z , THE STANDARDsINSPEC�zO��F�'ERE1�d�lS;CE1tT'[�I�D UNDER THE PROVISIOI4SV�FhCHAP DER 468;FLO�2ID STATUTES :Y - nir A i Lu ' <44� ibr' RLG °- 1,{ RLAIDO SARS t 5�'�7 ;�i a '� t ,f 333-OEDOLPkIfiN 5HOESURz } IOIZOM S FL 4L 5N LICENSE�RiUAABER:�BN4�1 a EXPIRATION DATE: NOVEMBER 30,2021 Always verify licenses online at MyFloridaLicense.com Do not alter this document in any form. This is your license.It is unlawful for anyone other than the licensee to use this document. ■ 1 • r Ron DeSantis Governor *dE �, Halsey Beshears Secretary �?yy tom FIondajj STATE Of F LO RI DA DEPARTMENT 4F BUSINESS AND PROFESSIONAL REGU'LATI,ON `BUILDING CODE AQNI� ,'.s ORS & INSPECTOR THE STANDARD Ns �@ ly R D UNDER THE _ PROvI810 S APT RS�6CU T4TUTES l $r _ LICE N�JNTBER 60 6 EXPIRATION DATE NOVEMBER 3Q 2021 Always verify licenses online at MyF16HdaLrcense com Do:not alter this document.m anyform ■ .This is your license !t is unlawful for anyone-other than the licensee to use this document °{ t prr Ron DeSantis,Governor Halsey Beshears,Secretary o FI nda rDpr STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION BUILDING CODE AD ORS & INSPECTOR THE STANDARD PLC0StEX=Ah+ k) i6 4050E TIFIED UNDER THE PROVISIOdK7S` FPF TE DAQTUTES I a�9'a2-FYf tea. 47,. ' LICE UfEit: 7 EXPIRATION DATE:NOVEMBER 30,2021 Always verify licenses online at MyFloridaLicense.com ; i Do not alter this document in any form. ■ This is your license.It is unlawful for anyone other than the licensee to use this document. ate Ron DeSantls,Governor Halsey Beshears,Secretary _ c Florida pt> STATE OF FLORIDA dor ; i " DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION BUILDING CODEtSTO-.RS & INSPECTOR THE STANDARD-1,05PECTM-PED UNDER THE j PROVISIONS'VFdf*,-, ;R CE::F DPa C�TUTES .s .t L ^—a LBIV --e, ,°-}.�ai^- 1`LAR 14 4P LICES)�UfBE�itBD3 EXPIRATION DATE: NOVEMBER 30,2021 ` I Always verify licenses online at MyFloridaLicense.com Do not alter this document in any form. This is your license.It is unlawful for anyone other than the licensee to use this document. t s Rao�ua.�ls.Gwecrrcar Hakes esatr�3.5c�rc>csa� dbpr STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION l3ULLD(NC C I E I NifiTRAT.OR r-&INSPECTOR i 761E STANDARD PLATES WM.I hl f`1 t�K WIFE)UNDER THE PR0VlS101 FCHAvT.eR-, 61�iTrID- RID STATUTES Zw 1f p P r ze Ns NUMB y64 5/l IRA F ON RATE: [+1;6]V G„8HER 30y LVL1 Ahvayysven7yGcEnse�sorilneatMVffbdd3Ucenwx m Ob nat alter this document is1 w fcx `6h5s.is your liceme It is UnLwlfvl for anyGne other than the Iiicensce to[!SC this,da4umea i litxa� 1i9 Gvmrar HAVYE45&-9Mk-etwr dbprSs� STATE OF FLORIDA. DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION BUILDMG CODE ADMINISTRATQRS 6i INSPECTOR THE TAht#3ARE?I SP ilR E1 C 9ED UNDER THE PROVISIONS 0 C i P,T �fti+6�/;FCQtt1DA'S'T'TU.TE5 e 1 ' i 't re j W1100 M. iML- .YY A4 v� 1 � ucl�is�'Iwc,+�►�i��s�iae��� >XPIRA7(ON REFt 0;2021 Aluvo vivify lkeas�oriline at MyRoridaUmnsecom Do not alter ails document in;my foam This is your 6eeme.It Is unhimful for anyono other t{mm the license to use this.document_ *' Ron DeSantis,Governor Halsey Beshears,Secretary F rdu pr ,h ,E STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION BUILDING CODE ADMINISTRATORS & INSPECTOR THE STANDARD.)NSPECTOR HEREIN JS CERTIFIED UNDER THE i PROV[SIDNS OF CHAPTER.468,FLORIDA STATUTES ; y �CCf BLDG,1&2 PLUM;MECHS ar1825 i 0XBAY Q.iU MEEBOURNE 32934 A I u r . n, 1 try t j LICENSE NUMBER BN4842 EXPIRATION DATE: NOVEMBER 30,2021 s Always verify licenses online at MyFloridal-icerise.corn I ED tiY Do not alter this document in any form_ This is your license.It is unlawful for anyone other than the licensee to use this document i i ii n i+ '3 Ran DeSantis,Governor Halsey Beshears,Secretary bGib pr ; STATE OF FLORIDA Ve DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION BUILDING CODE ADMINISTRATORS & INSPECTOR 12 THE STANDARD I&2 FAMILY DWftdNG.."PILA'NS EXAMINER HEREIN 15 CERTIFIED UNDER THE PR0VISI0NSQF.'CHAPTER 468,-FLORIDAITATUTES -Z5;P.0K BAY D 7,0 �,7 --Zi I DSI�, q, 16 LICENSEUJIMBER:SFP167 6 EXPIRATION DATE: NOVEMBER 30,2021 Always verify licenses online at MyRoridaLicense.com Do not alter this document in any form. This is your license.It is unlawful for anyone other than the lic nsee to use this document. ■ e S '-RE STATE OF FLORIDA ° DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION BUILDING CODE ADMINISTRATORS&INSPECTOR (850)487-1395 r 2601 BLAIR STONE ROAD TALLAHASSEE FL 32399 con w�ia`" Congratulations!With this license you become one of the nearly one million Floridians licensed by the Department of Business and Professional Regulation. Our professionals and businesses range from architects to yacht brokers,from boxers to barbeque restaurants, STATE OF FLORIDA DEPARTMENT and they keep Florida's economy strong. db3YT-%r�;, OF BUSINESS AND PROFESSIONAL REGULATION I Every day we work to improve the way we do business } PX2504 ISSUED:1!/16/2019 ! in order to,serve you better.For information about our STANDARD PLANS EXAMINER services,please log onto www.myfloridalicense.com. VINES,DAVID L There you can find more information about our divisions and the regulations that impact you,subscribe to department newsletters and learn more about the Department's initiatives. Signature LICENSED UNDER CHAPTER 468,FLORIDA STATUTES Our mission at the Department is: License Efficiently, EXPIRATION DATE: NOVEMBER 30,2021 Regulate Fairly.We constantly strive to serve you better so that you can serve your customers.Thank you for doing business in Florida,and congratulations on your new license! I ------------------------------------------------------------------------ Ron DeSantis,Governor Halsey Beshears,Secretary STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION BUILDING CODE.ADMINISTRATORS&INSPECTOR LICENSE NUMBER:PX2504 EXPIRATION DATE: NOVEMBER 30,2021 THE STANDARD PLANS EXAMINER HEREIN IS CERTIFIED UNDER THE PROVISIONS OF CHAPTER 468 FLORIDA STATUTES BLDG 1 VINES, DAVID L . 1825 FOX BAY DRIVE MELBOURNE FL 32934 z Always verify licenses online at M FloridaLicense.com ISSUED:11 y /16/2019 Do not alter this document in-an form. This is your license.It is unlawful for anyone other than the licensee to use this document. t b e�t t i 7 5 STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION BUILDING CODE ADMINISTRATORS& INSPECTOR (850)487-1395 2601 BLAIR STONE ROAD c TALLAHASSEE FL 32399 Congratulations! With this license you become one of the nearly one million Floridians licensed by the Department of Business and Professional Regulation. Our professionals and businesses range from architects n to yacht brokers,from boxers to barbeque restaurants, STATE OF FLORIDA DEPARTMENT ' x and they keep Florida's economy strong. OF BUSINESS AND PROFESSIONAL REGULATION Every day we work to improve the way we do business in order to serve you better. For information about our BU ISSUED:11/16/2019 BUILDILDING CODE ADMINISTRATOR y services, please log onto www.myfloridalicense.com. VINES,DAVID L 4 There you can find more information about our divisions and the regulations that impact you, subscribe to department newsletters and learn more about the Department's initiatives. signature' LICENSED UNDER CHAPTER 468;FLORIDA STATUTES Our mission at the Department is: License Efficiently, EXPIRATION DATE: NOVEMBER 30,2021 P Regulate Fairly.We constantly strive to serve you better so that you can serve your customers.Thank you E for doing business in Florida, and congratulations on your new license! a ------------------------------------------------------------ G 3 Ron DeSantis,Governor Halsey Beshears,Secretary y. STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL.REGULATION } s BUILDING_ CODE ADMINISTRATORS&.INSPECTOR i LICENSE NUMBER: BU1409 EXPIRATION DATE: NOVEMBER 30,2021. ' THE BUILDING CODE ADMINISTRATOR HEREIN IS CERTIFIED UNDER THE PROVISIONS OF CHAPTER 468,FLORIDA-STATUTES VINES, DAVID L �` 1825 FOX BAY DRIVE MELBOURNE FL 32934 R1 ISSUED:11/ib/2019 Always verify licenses online at MyFloridaLicense.com E Do not alter this document in an form. This is your license.It is unlawful for anyone other than the licensee to use this document. h 1/11/2021 DBPR-HODGES,MATTHEW STERLING,Standard Inspector 12:26:46 PM 111112021 Licensee Details Licensee Information Name: HODGES, MATTHEW STERLING (Primary Name) Main Address: *Private Address* *Private Address* *Private Address* *Private Address* *Private Address* License Mailing: License Location: License Information License Type: Standard Inspector Rank: Inspector License Number: BN6730 Status: Current,Active Licensure Date: 09/18/2015 Expires: 11/30/2021 Special Qualifications Qualification Effective Building 09/18/2015 .Residential 02/02/2018 Alternate Names View Related License Information View License Complaint 2601 Blair Stone Road,Tallahassee FL 32399 :: Email: Customer Contact Center:: Customer Contact Center: 850.487.139E The State of Florida is an AA/EEO employer.Copyright 2007-2010 State of Florida.Privacy Statement Under Florida law,email addresses are public records.If you do not want your email address released in response to a public-records request, do not send electronic mail to this entity.Instead,contact the office by phone or by traditional mail.If you have any questions,please contact 850.487.1395. *Pursuant to Section 455.275(1),Florida Statutes,effective October 1,2012,licensees licensed under Chapter 455,F.S.must provide the Department with an email address if they have one.The emails provided may be used for official communication with the licensee. However email addresses are public record.If you do not wish to supply a personal address,please provide the Department with an email address which can be made available to the public. https://www.myfloridalicense.com/LicenseDetaii.asp?SID=&id=FOOEEB9BO3Cl3941 E47AFABD74E34B8E 1/1 1/11/2021 DBPR-LLOYD,JAMES DEAN,Standard Inspector 12:25:55 PM 111112021 Licensee Details Licensee Information Name: LLOYD, JAMES DEAN (Primary Name) Main Address: *Private Address* *Private Address* *Private Address* *Private Address* *Private Address* License Mailing: License Location: License Information License Type: Standard Inspector Rank: Inspector License Number: BN5101 Status: Current,Active Licensure Date: 09/27/2005 Expires: 11/30/2021 Special Qualifications Qualification Effective Building 09/27/2005 Alternate Names View Related License Information View License Complaint 2601 Blair Stone Road,Tallahassee FL 32399 :: Email: Customer Contact Center:: Customer Contact Center: 850.487.1395 The State of Florida is an AA/EEO employer.Copyright 2007-2010 State of Florida.Privacy Statement Under Florida law,email addresses are public records.If you do not want your email address released in response to a public-records request, do not send electronic mail to this entity.Instead,contact the office by phone or by traditional mail.If you have any questions,please contact 850.487.1395.*Pursuant to Section 455.275(1),Florida Statutes,effective October 1,2012,licensees licensed under Chapter 455,F.S.must provide the Department with an email address it they have one.The emails provided may be used for official communication with the licensee. However email addresses are public record.If you do not wish to supply a personal address,please provide the Department with an email address which can be made available to the public. https://www.myfloridalicense.com/LicenseDetaii.asp?SID=&id=FBF81 D8634A8B2D70C07FAA05E27E08C 1/1