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HomeMy WebLinkAboutRevisions/ change of private provider i OFFICE USE ONLY: /] DATE FILED: OS ' p 1 PERMIT# Q ( 1 - 03 a REVISION FEE: RECEIPT# PLANNING&DEVELOPMENT SERVICES BUILDING&CODE REGULATION DIVISION 2300 VIRGINIA AVENUE FORT PIERCE,FL 34982.5652 (772)462.1553 #2ECEIVE� APPLICATION FOR BUILDING PERMIT REVISIONS FEB 2 5.2021 PROJECT INFORMATION rErn� �.3L.'L:ucie Cou�j LOCATION/SITE ADDRESS: DETAILED DESCRIPTION OF PROJECT REVISIONS: P C701 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 06130/17 LWEINTRAUB IT INSPECTIONS&FORENSIC,INC. Notice to Building Official of Use of Private Provider Project Name: LSkJ U -RL L( r) —7 S©) J arf-CP g Parcel Tax ID: Y 3 O 1 - �D®3 ' 0(02�,D ' ' 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 or-c,�J T)a W L-e-�- the fee owner,a I have entered' o a contract wW 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-M Email Address(Optional):jwolfersbergeraweintraubinspections.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 1 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 )ITWEINTRAUB 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 Lo d" -n _LLC-) P ' -or-- Name Print Partnership Name By: (signature) gnature) (signature) Print Print Name: Name!Y)ft-e— ► i�0---� Name: Address: ts' Address: Address: Telephone 5* ?f No.: 1vcrr_ v 5 j j C-,:3' 00-1 Te phon Telephone No.- Please use appropriate notary block. i STATE OF COUNTY OFARIM Individual Corporation } Partnership j Before me,this day of Before me,this day of Before me,this day 20 ,personally 20,'_j,j of ,20_,personally appeared personally appeared appeared who executed the foregoing instrument, of -partner/agent on behalf of and acknowledged before me that same 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. i executed for the purposes therein expressed. i Personally kno or Produced identification Type of identification produced LAQgt' Ey- D 041 L in Signature of Notary Print Name Notary Public:NOTARY STAMP BELOW Nowy pubk Sam of My commission expires: Hea#W C Dd►Yn *cal nriion HH 0MIG � �'�`terosrzae. i 3868 Sun Cin 2 of 2 Center Blvd.Sun Phone: 813-633-8000r City Center.FL 33573 Fax:813-4648026 IEORI`yI[# 9B-3o053-2005-01 JOB SITE PRIVATE PROVIDED 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 Permit number Type of Service Being. Building Inspections Performed: 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 Perinit number Type of Service Being _ Performed: Insurance policy number Signed by Provider CERTIFICATE OF LIABILITY INSURANCE DATE(MM/ 11/30/2020 Y) D20 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 terns 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 a/cNN Ext: (407)843-1120 FAX No): (407)843-5772 801 N Orange Avenue E-MAIL ADDRESS: Suite 510 INSURER(S)AFFORDING COVERAGE NAIC# Orlando FL 32801 INSURERA: FCCI Insurance Company 10178 INSURED INSURER B: 9 Casualty Brid efield Casual Insurance 10335 Weintraub Engineering and Inspections,Inc. INSURER C: Continental Casualty Company 20443 Weintraub Inspections&Forensics INSURER D: 386E Sun City Center Blvd INSURER E: Sun City Center FL 33573 INSURER F: COVERAGES CERTIFICATE NUMBER: CL20111214948 REVISION NUMBER: THIS IS TO CERTIFY THATTHE 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 CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BYTHE POLICIES DESCRIBED HEREIN IS SUBJECTTO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDL SUBRI POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD VIVID POLICY NUMBER MM/DD MM/DD/YYYY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE S 1,000,000 �/ AG o 100,000 CLAIMS-MADE OCCUR PREMISES Ea occurrence S MED EXP(Arty 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 ® TLOC PRODUCTS- SPOLICY JE 2,000,000 OTHER: Employee Benefits S AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT S 1,000,000 Ea acadent Ix ANY AUTO 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 AUTOS ONLY AUTOS ONLY Pera.ZI $ 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 X RETENTION S 101000 S WORKERS COMPENSATION X1 PER STATUTE ERH- AND EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNERIEXECUTIVE YIN E.L.EACH ACCIDENT S 1,000,000 B OFFICERIMEMBER EXCLUDED? N/A Y 0196-51752 10/15J2020 10/15/2021 (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE S 1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT 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 I 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 CANCELLED 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 /I?Q ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD 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 r. 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 B. 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 Nwvurvi rvv. 2020 -2021 HILLSBOROUGH COUNTY BUSINESS TAX RECEIPT EXPIRES SEPTEMBER 30,2021 271253 OCC.CODE IRENEWAL 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. SUN SUN CITY FL 33 2 r 0 2 1 SUN CITY CTR, FL 33573 2 '� 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.k00 IN BUSINESS,PROFESSION,OR OCCUPATION SPECIFIED HEREON THIS BECOMES A TAX'RECEIPT WHEN VALIDATED. Ron DeSantis Governor Halsey Beshears Secretary. I ., 14 1 if STATE OF FLORIDA DEPARTMENT OF BUSIN SSA aR,+OFESSIONAL REGULATION I BOARD ; RFES+i A GINEERS. THE ENOINEERINC �5 "¢.]�R � N �J :SS HE EI'N", SA�IJTH UNDER THEE P,ROVIS ONS EH TERM 71.FI=ORG==A; T 47WES _ WEINTRAl1,B_t S Ti'f� + SSE" SIC ANC = = ti 'Utll� l CL'N L L CENWSE�1�U"MBER. A�18 EXPIRATION?DATEU RY2$,2021 Always verify licenses onhneat My,FlondaLicense com Do not alterthis-document m anyform This is your license It is unlawful foranyone other than the:licensee to use this document 0 . yi } 1 p4` gA Ron DeSantls Governor F FBPE FLORIDA BOARD OF ` PROFESS,O ALENGINEERS , STATE OF FLO'RIDA r: +: BOARD OF P .( I~L� t4 ENGINEERS THE PROFESSIO ESN ! Q- Su ISIP101-IE"ISED UNDER THfY I RR -MMO,�/ISfODA TOTES I T , M�NTE RBL 1 LICEIS�E�N`IIM�ER=P 3fl 33 EXPIRATION:DATE :FEBRUARY:28,2023 = Always ve FlgridaLlcense com Do not alter this document_m anyvform �16 This isyour1icense.It is unlawful for anyone other,than the°licensee to use_this document tpkti � �' Ron Desantls Governor ;I B:RE f� x FLORIDA BOARD OF � � RROFESSIONAL ENGI�JEERS-_� STATE Of FLORIDA" { BOARD OF P OFESStO ENGINEERS THE OFESSION L E'N EE�R 'R � ti ., ,. IL� R�� I�C SEQ UNDER THE PROVISIO SaFCl/�PTER 4'1 rOR TUTES `I S'- q v , t }� SOU_ Mr 7 I - I . 41, i t LICE S NUMR 19 EXPIRATION DATE FEBRUARY 28,2023 F '' f /tIways verify Ilcenses on6ne:at MyFlondaLlcense com , NMI o �. Do not alteF thls,document m any form Thls is'your license It is unlawful for.�anyone�other than the-licensee to use thls document p4m $ Ron esantis Governor D Halsey Beshears Secretary r Florida 1 WE :STATE OF FLORIDAU :=I D' DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION j :BUILDING CODE AQIISIz ORS & INSPECTOR THE STANDARD IrISP•G ER w LED UNDER THE­ PROVISIQ :Ssf<3FiA'�• 43F� F ORk 'A- S.,- Ta `TOTES 3r g .E .: PA �B � F 3?9SS07- •2�3 rLICE.SC��LU1�8�R.B 48`74 _ EXPIRATION DATE-,N iMBER 30,2621 Always venfy:lrcenses online at MyFlondaLicense�com 0. 0 Do not alterahis`document m any form r`This is your license It is unlawful for anyone other than the licensee to use:ahis document: 1"a r I . Ron DeS,antis Governor Halsey Beshears Secretary l s s bndb STATE OF FLORIDA;` _ ! DEPARTM:ENT OF BUSINESS AND`PROFESSIONAL REGULATION I BUILDING CODE ADA�fil �'Fi ORS& LNSPECTOR THE STANDARD IN`a�P�; �R '_` DER . t l D�UNDER THE PROVISIO SA_APT 4 ORTUTES -11MN Q� CEE_ F 47 . _- _ :UC�E E UBER , V 3 EXARA, .104DATE" NOVEMBER;`30,2021 = r Always venfy licenses onhne.at MVFlondAbcense com �• Do not alter this document m any form This Is your license It is unlawful,for".anyone"other than the licensee to use this documerif ! ' on 136antis Governor Halsey Beshears Secretary I J G' b a. Li pr, ��a STATE Of, FLORIDA f DEPARTMENT OF BUSINESS AND PROFESSIONAL' REGULATION t BUILDING CODE AQM1:141 - ORS &`FNSPECTOR t . THE STANDARD PLfNS TNE; IS � FfED UNDER THE PROVISCOhIS C T.� 460zI—LG A's TUTES T No i@ . COEE - FL 3476ti 4.. y 1 t LICE Sf=CUMBER:P *2' 2 EXPIRATION DATE ;NOVEMBER 30,2021 l Always verify licenses onhne:at MyFlondaLicense com t ' I 1 i Y' to not alter this document m any form j This is your license It is unlawful for anyone other than the licenseefto use this document_ { Ron DeSantis,Governor Halsey Beshears,Secretary bIa pr ; mt a M STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION BUILDING CODE ADMINISTRATORS& INSPECTOR THE STANDARD PLANS EXAMINER HEREIN IS CERTIFIED UNDER THE PROVISIONS QF CHAPTER 4b8,FLORfDA°STATUTES BA_SS;'HENRY ST M.E.N� J71 {1_ 3r c k a iFPO BQ 221 SUN'CITY CENTERr -FL M,!. 1 { d i LICENSE'_NUtviBER_PX29`64 EXPIRATION DATE: NOVEMBER 30,2021 Always verify licenses online at MyFlbridalicense.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. ° Ron DeSantis,Governor Halsey Beshears,Secretary ' Fbdda dOpmr . , { STATE OF FLORIDA �atnett� DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION BUILDING CODE ADMINISTRATORS&INSPECTOR THE STANDARD:INSPECTOR HEREIN 15 CER fIFIED UNDER THE PROVISIONS{OF CHAPTER 4b8,-FLOt,z *STATUTES 3; BASS 1,HENRY SEUE[� ti :! f :3f �k a rf iy 1212 MANATEEsAVENUE WEST JI -A NTONY71 ' a FL 34205 r-F -> � t'-'+ r; r?- x.�r'zs�-i5�y�.�,z`-- a 3V''• K 3, - LICENSE NUMBER.BN564�1 EXPIRATION DATE: NOVEMBER 30,2021 Always verify licenses online at MyFloddal-icense.com i 0 Do not alter this document in any form. 0■� This is your license.It is unlawful for anyone other than the licensee to use this document. Ron Desandt Governor po Halsey Be'shears 5ecce6 " Flonda a STATE OF FLORIDA' DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION F F { BUILDING CODE AQSA -ORS & INSPECTOR VT , ° - =i THE STANDARDoN56 Oh k'HE EI CERT I D UNDER THE RROVISI'O S,OF G ,APTEFlt 46 - RI AST TUTES i �'x n 52�y SEFFMtn 7 LICESE1 LUNt�ER. 81 �565 1 - C EXPIRATION DATE 'NOVEMBER 30,2021 Always venfy`hcenses onhne at My 166 aLicense com I Do n'bt alterdoc this umen t m any;form This is your license It is unlawful for anyone other than the licensee to use this document. � wfFro Ron DeSantis Governor Halsey Beshears Secretary _ b -f� :STATE Of FLORIDA; � '" - y DEPARTMENT OF BU�SIN-ESS AND`PROFESSIONAL'REGULATION BUILDING CODS ADNI[ SfiA= RS &INSPECTOR THE STANDARD GT�QR 'ER _; C�CR = !ED;UNDER THE RRO, DA 4 TUTES.. �ER �C L�ICl/E S (IUM6ER"B17�61' EXPIRATION:DATE :N01/EMBER 30,2021 ' Always venfy licenses online at MyFlondaLicense corgi i p . . p L _- Do'iiot alte _this document in any',form This is your license It is unlawful for anyone;other than the licensee to use this document. ■ _ rdmr I Ron DeSantis Governor Halsey Beshears Secretary �.� Flonda d' t STATE OF FLORIDA '"E` DEPARTMENT OF BUSINESS AND`PROFESSIONAL REGULATION :; BUILDING CODE DMIiSTRA� ORS & INSPECTOR THE;STANpARD '1 t CAR IED UNDER THE , , P"ROVISl S C3t RA 1, '46��1=01�f�A�STATUTES C pD. Ft 3282�2 LICE SiC� �G�BER.B -3$4 EXPIRA{ TION DATE NO�/EMBER 30,2021 Always venfy licenses online at MyFlgndaLicense cam _❑� � Rl �. gi Do not alter this document in any';form { :This is your license It is unlawful for anyone:other fhan the licensee to use^this document. f ❑!fr - J f f TSA Ron DeSantas Governor Halsey Beshears Secretary b a , t da `STATE OF`FLORIDA' ' DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION = 1 :BUILDING CODE ADNCf :S4x ORS & INSPECTOR I THE STANDARD Ns�P �� OR ", .JCERT1 D UNDER THE: Rf20VISC0 SA�PTH1= 1A ATUTES F r SC `RO �Q�R,�J� "�I' �Q►�R,Tt N ` P 1'�`CfyTlr` F :5 LICE SE EJ'NIBER B 3]4✓7 EXPIRATION DATE 'NOVEMBER 30,2021 F Always verify licenses online:at MyFl6ri&License com a Do not alter this document in any'.form T` This is.your license It is unlawful for anyone•other than thdIiC6hs&'to.Us&this.dOcUntht a r t Ron Desantis Governor Halsey Beshears Secretary. dFM- da WE STATE Of.FLORIDA 44- ' � D,'EPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION - BUILDINGCODE DM- 1 1STiA-TORS & INSPECTOR THE STANDARD ;NEE ®R t 5 C�R�, lEp'UNDER THE:_ j PROVISIO SROA'Pl"ER 46`$;, �ORI'iJAS�':TUTES - TOD � RO , r UCE.SE���IMBER..B„4$56 _ EXPIRATION DATE NOUEMBER 30,2021 Always ve ifj licenses online at MyfbridaL"icense com � 1 0 0 I Do riot alter this document m any;form 1 ■ This is your Ilcense Ifis unlawful for'anyone other than the,11cemsde to use_this document: i Fp Ron DeSantis,Governor Halsey Beshears,Secretary Florida ��. W dupr . STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION BUILDING CODE ADM- I!+ STRp►TORS & INSPECTOR s �.? THE STANDARD-,INS`PECTOR;HEREM-15�GERTI. IED UNDER THE PROVISIODJS'O HAPTLRJ468, FLORIi?AISTATUTES Ff OR! X 4D Ski R "r 1320`DO PH N"A 1 , 5}{ORfS,1 tR; f ' i � f f; L`IC��SE'NULyIBER:BN4d1 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. ■ j Ron Desantis Governo r Halsey Beshears secretary ° Flonda �( STATE OF FLORIDA Y I f DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION - i :BUILDING CODE ADt> S ORS & IrISPECTOR THE STANDARD NSP ,i _`IE �tS �Rfb D-UNDER THE ' RRO�/IS10[15i '` A'f t "4C�D ` TUTES r P f _ f EXPIRATION DATE ;N MBER 30,2021 f Always venfy Incenses online at MyFlondaL�cense com F I Do not alter this document in any'#orm I This Is your license Itis unlawful foranyone other than the°licensee to use this document 5 i 1I O I , e� Ron DeSantis,Governor Halsey Beshears,Secretary c� Florida i d pr STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION l I ; BUILDING CODE A'Q T TQRS & INSPECTOR THE STANDARD PLA1�(5 `'C-R- FIED UNDER THE pip PROVISIO,t�TSP� T14? TUTES a 'rC o 2".F,Fi � . \ t(`}:ti, -a ^`�.r l g, ♦ 'c.YJYyc Pyf, ;oil R G WA RR ! � � I pry ., LI UKWOER: 77 EXPIRATION DATE: NOVEMBER 30,2021 Always verify licenses online at MyFloridaLicense.com ❑i 0 Do not alter this document in any form. i �d This is your license.It is unlawful for anyone other than the licensee to use this document. pk Ron DeSantis,Governor Halsey Beshears,Secretary - Florida dop r -_ STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION I BUILDING CODE AQ1ORS & INSPECTOR THE STANDARDSp-iwCItGERtTfFiED UNDER THE PROVISIM4.1 G �4, O tID/ ATUTES g. 3z7wt t"r ' gsft� t .:v I LICES��d�11Jfv�8�R�B,f�bBD3 EXPIRATION DATE: NOVEMBER 30,2021 I 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. Elanry�bm�Gouetmr liuhv}'E+':stssus.Si'illEta7Ygt L STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION. BUILDING CODE ADM N&RATORS&INSPECTOR THE STANDARD 1S cam[[J 1ED UNDER THE f PEtC4�1SIUt!1S`CFAPTt $a FL1f2� AtlATUTES _ v "ate•$'`'" `�-a. � �.t s "_"�' --{. .ff 1Y4R'rA VY. bl MONET A `ICENS jH�E44�lA�R, EXPIRATION DATE [+101lt`MSM aA 2021 - Alw "verily liteme ii6edine at MyI Mcfal-kens>ccm Q Do rot alter this document In anv fofm. -�� This.Is yaur lkerw it 6 urdavrful for anyone other than the lie,=nsce to us--this da6mea { F6.664.Ifs.Gvecrimr Ha"Resix-am 5caetsr/ � , Dpr STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION BUILDING CODE ADMINfS RATgRS&INSPECTOR THE STiANDARa';W PEI 4W iA6t }G>`kTiFliO W4D€P.THE PROv1S10Of CHAPT�R4b�.F1QfASYd�7u �S i,^up F g"`� S4 GIB 'd k �ySb q-s•+"'.�. 1 �ck^��}y�"yyy�yy(�xq�x S -,EN��/�� r�' yyyy, YO ET-,P A, Fl34b1i7' r, s � LIC Always.vtdfy licenses online at MyF?widAiccnsc.wm Do.not.alter thls document in,any form. �6 This is your license ft is unlawful for anyone other than the licensee to use Ws.document. C , yE Ran DeSantis,Governor Halsey Seshears,Secretary Firrd�; I _ STATE OF FLORIDA nwz � DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION 4 BUILDING CODE ADMINISTRATORS & INSPECTOR tit THE STANDARD-INSPECTOR HEREIN IS CERTIFIED UNDER THE f PROVISIONS"OF CHAPTER468;FLORtDAS`TATUTES T. CCl BLDG,1�x2,PLUM',MECH,�- f � y 1�INES,,�D_AVID L 4 2825 FOX BAY DRIVE T 1 �MELBOURNE",tFL32934; ,...w s LICENSE NUMBER BN4842 l EXPIRATION DATE: NOVEMBER 30,2021 jAlways verify licenses online at MyFloridal-icense:com Do not alter this document in any form_ s I This is your license.It is unlawful for anyone other than the licensee to use this document. s �N l 7 4 V't r " Ron Des ntis,Governor Halsey Beshears,Secretary dbpr .,. G l 3� STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION f ` BUILDING CODE ADMINISTRATORS & INSPECTOR THE STANDARD 1&2 FAMILY DWELLING PLANS EXAMINER=HEREIN IS CERTIFIED UNDER THE f PROVISIONS OF CHAPTER 468, FCORIDA STATUTES ' u_ 4 r+ y } I S 4 Y A r• k �.VINES,DA_VID L� I -825 FOX BAY DRIVE - C � M)tLOURNE `FL 32934{ 1 LICENSE NUMBER:SFPl`b7 '` � ; f EXPIRATION DATE: NOVEMBER 30,2021 Always verify licenses online at MyFloridaLicense.com Do not alter this document in any farm. I ' i f � � . • This is your license.it i5 unlawful for anyone other than the licensee to use this document. - - -- — -- - '1 fe i a i Y t 1 L STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION BUILDING CODE ADMINISTRATORS&INSPECTOR (850)487-1395 2601 BLAIR STONE ROAD ` '+ TALLAHASSEE FL 32399 Gov eye i� 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. dDP ��- OF BUSINESS AND PROFESSIONAL � REGULATION Every day we work to improve the way we do business PX2504 ISSUED:11/16/2019 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 I 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 s 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! ------------------------------------------------------------------------ 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 i THE STANDARD PLANS EXAMINER HEREIN IS CERTIFIED UNDER THE PROVISIONS OF CHAPTER 468,FLORIDA STATUTES BLDG 'i ' � 1 VINES, DAVID L 1825 FOX BAY DRIVE ' MELBOURNE FL 32934 S ISSUED:li/16/2019 Always verify licenses online at MyFlarldaLicense.com 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. ; r 4 ~yE �, STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION BUILDING CODE ADMINISTRATORS& INSPECTOR (850)487-1395 2601 BLAIR STONE ROAD r`ea�w w � 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 - t to yacht brokers, from boxers to barbeque restaurants, STATE OF FLORIDA DEPARTMENT 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 BU1409 ISSUED:11/16/2019 BUILDING CODE ADMINISTRATOR 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 f to department newsletters and learn more about the Department's initiatives. , signature LICENSED UNDER CHAPTER 466,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! ------------------------------------------------------------------------- A q Ron DeSantis,Governor Halsey Beshears,Secretary ;STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION BUILDING CODE ADMINISTRATORS&.INSPECTOR ' x LICENSE NUMBER: BU1409 EXPIRATION DATE: NOVEMBER 30,2021 THE BUILDING.CODE ADMINISTRATOR HEREIN IS CERTIFIED UNDER THE. a PROVISIONS OF CHAPTER 468,FLORIDA STATUTES TAME VINES, DAVID L 1825 FOX BAY DRIVE MELBOURNE FL 32934 s ISSUED:11/16/2019 Always verify licenses online at MyFloridaLicense.com 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. z 1/11/2021 DBPR-HODGES,MATTHEW STERLING,Standard Inspector 92:26:46 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: LicenseLocation: 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: 850.487.1395 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 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/LicenseDetail.asp?SID=&id=FOOEEB9B03CI3941 E47AFABD74E34B8E 1/1 1/11/2021 DBPR-LLOYD,JAMES DEAN,Standard Inspector 12:25:55 PM 111112021 Licensee Details Licensee Information Name: LLOYD, ]AMES DEAN (Primary Name) Main Address: *Private Address* *Private Address* *Private Address* *Private Address* *Private Address* License Mailing: LicenseLocation: 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 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.myflaridalicense.com/LicenseDetail.asp?SID=Bid=FBF81 D8634A8B2D70C07FAA05E27E08C 1/1