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HomeMy WebLinkAboutRevisions/ CHANGE OF PRIVATE PROVIDER OFFICE USE ONLY: (�p DATE FILED: d 016 I PERMIT# 'aO REVISION FEE: RECEIPT# PLANNING&DEVELOPMENT SERVICES BUILDING&CODE REGULATION DIVISION 2300 VIRGINIA AVENUE 'AEUIVED FORT PIERCE,FL 34982-5652 (772)462-1553 2 5 loll APPLICATION FOR BUILDING PERMIT REVISIONS P 'kti ��etsr��r� PROJECT INFORMATION �'�' LOCATION/SITE ADDRESS: —7 Co O —7 ✓Yl rcx mCLr`Ay-t, DETAILED DESCRIPTION OF PROJECT REVISIONS: 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: 9/23/09 1 m-1"EV I zoo 1 '0 U" ON Revised 06/30117 WEINTRAUB INSPECTIONS&FORENSIC,INC. Notice to Building Official of Use of Private Provider Project Name: E)_ LC-C) Z Lo 02 m)r�r��y,— AyF2 Parcel Tax ID: -QG 000 Services to be provided: Plans Review InspectionsZ[Buildinzpool—Other I 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 fy) QS=4;t 7)014 LPi the fee owner,affirm I have red into a cDAtract 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:813464-M Email Address(Optional):jwolfersberger(c.,weintraubinspections.com Florida License,Registration or Certificate:Professional Engineer 30033 I ha ve elected to use one or more privateproviders p 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 -LIT 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 Corporation Name Print Partnership Name By. By: (signature) L(signature) (signature) Print PrintPrintName: Nam l Name: Address: Its: W Its: Address: Address: Telephone 3rA I No.: JV l�f"GYU 55 &Zb 7.I Tel hone I Telephone No. ) ?� W� R No.: Please use appropriate notary block. STATE OF COUNTY OF� ( Individual Corporation Partnership Before me,this day of Before me,this 4� day of Before me,this day i 20 ,personally 1/q r— ,20 of ,20_,personally appeared personally appear appeared who executed the foregoing instrument, !'1(l !7 of partner/agent on behalf of and acknowledged before me that same [��. 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. Personally known_;or Produced identification Type of identification produced Signature of Notary Print Name Notary Public:NOTARY STAhV BELOW My commission expires: ply PubGo> ri of FUNM MM pZpp10 3868 Sun City Center Blvd.Sun 2 of 2 Phone: 813-633-8000 City Center.FL 33573 Fa,,:813-4648026 FORM # 9B-3.053-2005-01 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: 32.1-474-1459 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 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 AC o® CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDIYYYY) 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 n ADDITIONAL a T ONAL 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 HCNIV Ezt: (407)843-1120 a/c,No: (407)643-5772 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: Bridgefield 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: CL20111214948 REVISION NUMBER: THIS 15 TO CERTIFY THAT THE 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 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 AULJL b1JtJK1 POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER MMIDDIYYYY MM/DDfYYYY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE S 1,000,000 �/ AMAG o 100,000 CLAIMS-MADE OCCUR PREMISES Ea occurrence $ MED EXP(Any one person) $ 10,000 A Y Y GL100063261 11/15/2020 11/15/2021 PERSONAL&ADV INJURY $ 1,000.000 GEN'LAGGREGATE LIMITAPPLIES PER: GENERALAGGREGATE S 2,000,000 POLICY ❑X JE LOC 2,000,000T OTHER: Employee Benefits $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 Ea accident Ix ANY AUTO BODILY INJURY(Per person) S AOWNED SCHEDULED Y Y CA 100063259 11/15/2020 11115/2021 BODILY INJURY(Per accident) S AUTOS ONLY AUTOS HIRED Ix NON-OWNED PROPERTY DAMAGE S AUTOS ONLY AUTOS ONLY Per accdent Drive other car S X UMBRELLALIAB X OCCUR EACH OCCURRENCE $ 5,000,000 A EXCESSLIIAB CLAIMS MADE UMB100063260 11/15/2020 11/15/2021 AGGREGATE $ X 5,000,000 DED RETENTION$ 10,000 S WORKERS COMPENSATION X1 STATUTE ER AND EMPLOYERS'LIABILITY YIN B ANY PROPRIETORIPARTNER/EXECUTIVE FN] NIA Y 0196-51752 10/15/2020 10/15/202, E.L.EACH ACCIDENT $ 1,000,000 OFFICERWEMBER EXCLUDED? (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE S 1,000,000 If yes,describe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 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 I 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 �O ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD i� 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 MVUVUNI IVU. 2020 -2021 HILLSBOROUGH COUNTY BUSINESS TAX RECEIPT EXPIRES SEPTEMBER 30,2021 271253 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. SUN CITY CTR BL SUN 220 0 2 0'b2l) 1 SUN CITY CTR,FL 33573 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 APRIVILEGE TAX TO ENGAGE 813.635.5200 IN BUSINESS,PROFESSION,OR OCCUPATION SPECIFIED HEREON THIS BECOMES A TAX RECEIPT WHEN VALIDATED. 1 p4T Ron DeSantis Governor ' Halsey .Beshears;Secretary Flonda jar :STATE Of FLORIDA DEPARTMENT-OF BUSINESAND=P ;OFESSIONAL"REGULATION "BOA ES INEERS R A - THE ENGINEERING, �St1yESS �fER4kAEIN;tSAUTH RI►•,D UNDERTHE Y — - �a PROVIS O�NSOF GHAPTER, T1 F�ORtLDI�STAti Ul"ES , " WEFNT . UB hNSPECTin:N�S .& F : ENSIC INC. . #-ra-,��_:•�.r:cry 3860 Sq. jTY EEN B �. RUN R•-• -, fir-: Y• _ - - CENSE NUMBER:,CrA283'S EXPIRATIOPPQA.,,E:EB`RU 'RY 28;2021 Always verify`.icenses online at MyFloridaLicense.com Do not alter-this document in a'ny.form, . This is your license.-It is unlawful for anyone other than the licensee to use thisAocuinent. pFT _ Ron DeSantls Governor FBPE ' 'FLORIDA BOARD OF PROFESSIONALENGINEERS STATE OF FLORIDA • COD WE'C" 'BOARD`OF_P OFESS,IO AL ENGINEERS; THE PROFESSIO !AL.EN EE T RE1N4 S.LIC. SED UND:ER THE ' PROVISIONS{OF�C M.M.� R 471�FL3 DA S�ATUTES ` �` 4. ElIAU1ERR, LAIR I 386 SN CI_T � TER BD: LICEN7S0146M$ER:PI 3q 33 EXPIRATION DATE: FEBRUARY 28,2023 `Always verify'licenses online.at MyFloridaL'icense.com Do not alterahis:document in any'form.. �� Thi's is your.license.It is unlawful-for anyone'.other'than:the'licensee to use this document. p4 _ Ron DeSantis,Governor FBPE FLORIDA BOARD OF PROFESSIONAL ENGINEERS STATE OF FLORIDA • COD R'e • ,. - - , BOARD OF PROFE'SSMINAL ENGINEERS THE PROFESSIONAL ENGLIEER.HEREIN IStiLICENSED UNDER THE /Z, �4 �-yam f -= Z e e PROVISIONS-Of CH'APTER�4-7t,'FLORIDA STATUTES yRAMA ,�l HANDRAN, USHAI a�,5.0519�IgSI�1;lJTHAMPTON CIRCLE FL3364-Z-- • L'ICENSE NUMBER:PE73119 , ' EXPIRATION DATE: FEBRUARY 28,2023 Always verify licenses online at MyFloridaLicense.com ❑ ❑ Do not alter this document in any form. This is your license.It is unlawful for.nyone other than the licensee to use this document: 0 b. 4 _ Ron DeSantis,Governor ' Halsey Beshears,Secretary - Florida STATE OF FLORIDA va DEPARTMENT OF BUSINESS AND PR F O ESSIONAL REGULATfON i "BUILDING CODE DM1:NISTiFAtTORS & INSPECTOR THE STANDARD SPE TORzIS CERtT1�lED UNDER THE PROVISIONS OF CH`APTER,468:7 ORIDA STATUTES W -LEERSBIERG: R ,�_p E-� = I VE Err IF RA�NNI,BI . ,: ' FL`32907 Y 1 LICESENUMBER:BN4874 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 unlawfulfor"anyone other than the licensee to'use this.document p4 ART Ron DeSantis,'Governor Halsey Beshears,Secretary, , �.� Florida STATE'OF FLORIDA . DEPARTMENT OF BUSINESS AND'PROFESSIONAL REGULATION BUILDING CODE ADMINISTWA QRS & INSPECTOR THE STANDARD NSPECTOR E I CERTIFIED UNDER THE , -'_IS-' PROM SIONSOF. CHAR TER 4'4$uFLORIDASTATUT ES' x MC� IIN,N`EYB`QkB Y ldp �QI�OiY_Y.SO �OCUEE F '34b76ti1' LICE SE�NUw1BEI a. 5 3 EXPIRATION"DATE: 'NOVEMBER 30 2021 .Always verify.licenses online at MyFloridaLicense.com . Do not alter this document in any form: i• This is your license. It is unlawful for-anyone other than,the-licensee to,use this document:: pF Ron Mantis Governor — a Halsey Beshears,Secretary A Florida . ��- o r STATE OF FLORIDA. DEPARTMENT OF BUSINESS AND PROFESSIONAL;REGULATION BUILDING CODE. 'DM(M'ISTRATORS:& INSPECTOR THE STANDARD PLANS RX-A. N�ER HER I$CR �TIFIED UNDER THE : PROVIS100OF C I�APTEA�R MS, ATUTES art ,. MCKINNEY BQBBY 33LO�WS®NC®U T - MCA .FL 3476 EXPIRATION DATE: NOVEMBER30;2021 Always verify;licenses online.at MyFloridaLicense.com,,. Ell Do not alter;this.document in.any form. I• This is yourlicense.It is,unlawful for anyone ofhet than the licensee to use this document.- ❑� r Ron DeSantis,Govemor Halsey Beshears,Secretary L��] _ .r STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION BUILDING CODE ADMINISTRATORS & INSPECTOR ;4. THE STANDARD PLANS EXAMINER�HEREIN IS CERTIFIED UNDER THE PROVISIONS=Ql;CHAPTER,468 'FLORIDA STATUTES BL'DG72 BASS; HENIR STEVEN PO BOX 5221 SUN,CITY CENTER :FL 33571 a LICENSE NUMBER PX2964 EXPIRATION DATE:-NOVEMBER 30,2021 Always verify licenses online at MyFloridaLicense_com 0 x�0 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. p4 _ Ron DeSantis,Governor Halsey Beshears,Secretary a dbljo-"%, r, STATE OF FLORIDA �oD DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION BUILDING CODE ADMINISTRATORS & INSPECTOR THE STANDARD.INSPECTOR HEREIN IS CERTIFIED UNDER THE PROVISIONS OF,_GHAFTER:468,.FLORIOA'STATUTES BLDG, 1&2_ BASS;.H EN_RY_STEVEN 1112 MANATEE AVENUE._WES_T:: BRADENTON 171_34205,' =' . F LICENSE NUMBER:BN5641 EXPIRATION DATE: NOVEMBER 30,' 2021 Always verify licenses online at MyFloridaLicense.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. pF Ron DeSantis Governor Halsey Beshears,Secretary -bor ' : STATE OF FLORIDA DEPARTMENT OF:BUSINESS AND`PROFESS,IONALREGULATION :.". ,'.: BUILDING CODE DM1 'IS`TIFAzTORS &INSPECTOR :" . THE,STANDARD .NSyPECTi9R L IEt_CIS Cl=RT FIED UNDER THE. . P'ROVISIO. SOF CHAPl R`�6$��FLORk ASTATUTES MC�4M, RCDUP WAY 2 7PRSFNIAL S EFF LICE k SE'IJMBER:BN7565 EXPIRATION DATE; NOVEMBER30;2021 Always ve'rifyaicenses onlirie.at MyFlorndaLi,cense.com . Do•.not alter this"document in anV''form. -This'll-your.licenseAt is unlawful,for anyone other than-thelicensee to use this document. FRIY. - - p4 ROn DeSantiS Governor Halsey Secretary ' o� y B ry b a a�' STATE OF FLORIDA DEPARTMENT-OF BUSINESS AND.PROFESSIONAL REGULATION-' 'BUILDING CODE AD.M(41STRAbT.0 S & INSPECTOR THE STANDARD I40f R WERE IS CERT ,LED UNDER THE , -= . . PROVISIO S OF CHAP 'Elm 14'6$�F (ORC[�A �ATUTES BiAD'I" 1 C - - � 52 O �RTO' •DR �� {{ EWE ORTk2ICH Y FL 3A6S2 LICE;.St •I(UMBER:BN 61 EXPIRATION DATE: NOVEMBEF00;.2021 Always verifylicenses online at'MyFlondaLicense.tom. Do not alter this document m ariy form:, This�is your licegse:Itis unlawful for.anyone other than the licensee to use this document �` - Ron DeSantis Governor Halsey Beshears,Secretary oQ Flonda .`STATE OF FLORIDA WE DEPARTMENT OF BUSINESS AND PROFESSIONAL-REGULATION BUILDING CODE AD 11;4 4RS &i INSPECTOR ��.' E EI' ' IWe12 TfFI D UNDER THE C TH E STAN DARDI rS-Pt-(,T R 1=i _ PROVISIONS�tOF'CkIA' TER�46`$ FORCDA*STATUTES LICE[SE NUMBER:BN7384' . EXPIRATION DATE: N0VEMBER'30;2021 . 'Always verify-licenses online at'MyFlorid'aLicense.com � ❑� Do not alter this,document in any form �� Thisis.your license.It is.unlawful for anyone other than the-kensee.to use this document p4 �, Ron DeSands,Governor Halsey Beshears;Secretary Florida i STATE OF FLORIDA; DEPARTMENT OF BUSINESS AND PROFESSIONAL,REGULATION BUILDING CODE ADMI, ST ZA�T-_ORS &INSPECTOR THE STANDARD NSPECTOR ERE�L�LIS C MIFIED'UNDER THE -1 PROVISION -UTES 7 fi s L =BLDG; 1fi � '� SCHR�OE�S �ER; JE t OM,E /tARN 5025i� RRI�NGF�A--MOCK Q _ N11-1 T CIT17"'= x FU<3�3566 �y � e glz ' 'lR �iy.J e71 .•�.... LICENSE N�JMBRR:BN�347; EXPIRATION DATE: NOVEMBER 36,Z21 : Always verify licenses online at MyFloridaLicense.com Do not alter.this.document in any-form. This is your license.It is unlawful"for anyone otlierthan-the licensee to use this.document:_ . pF T►�E Ron DeSantis,Governor Halsey Beshears,Secretary- oA Florida. '. . STATE OFF FLORIDA # WE DEPARTMENT OF'BUSINESS AND PROFESSIONAL REGULATION BUILDING CODE ADMiI,ISTR'AT-OR$'&INSPECTOR THE STANDARD jNSPE �ORHE EI :1 CERT 'IED UNDER THE . PROVISIO• S OFCiAPTER.4'6$.FLORIDASTATUTES 7BDG - — n � D �1� ROFF1-f'A4 Bpi - ��a = 1 4042 NDAVf=NU:E`WES `BRA DENTON: - .Fl-34209 t• a,f r" LLCE�SE''NUhiBER:BN4856 EXPIRATION DATE: NOVEMBEW30,2021': Always verify licenses online.at MyFloridaCicense: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: 4 Ron DeSantis,Governor Halsey Beshears,Secretary o� bIa pr b STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION BUILDING CODE ADMINISTRATORS & INSPECTOR THE STANDARD.] SPECTOR�H'EREIN 1S CERTIFIED UNDER THE PROVISIONS'OF&NAPTER,468;.FLORIDA STATUTES WRIGHT,'ORLANDO SEARS; '�' ���.320'DOLPHI�ISHORES1CIR �'�'' NOKOMIS -" FL 34275 y •' .i�" _ _-t"fir.:• �i.r•i�. .f .p-,.. > .. . 610ENSE-N_UMBER:_BN461 I 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 4 _ Ron DeSantis,Governor Halsey Beshears,Secretary, ' Florida r:T� STATE OF FLORIDA WE DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION BUILDING CODE D"M[, ISfiR'AzTORS & INSPECTOR." " ; THE STANDARD�INSPEC OR HER ENzIS`CAQ'IiFI D UNDER THE PROVISIONSROF HAPTER 4E�`8;�F�ORI,A-STATUTES CASTD A EN . a �(IP.'I�RH. iEN`STrN A LICE,SE NUMBER:.BN(i06 EXPIRATION DATE: "NOVEMBER 30;2021 Always verifji;licenses online at MyFloridaLicense:com ' Do not alter this documentiri ahy form. This N"your license:It is,unlawful for anyone other than.the licensee to use this document: �r Ron DeSantis,Governor Halsey Beshears,Secretary 'oI Florida i opr } STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION i , BUILDING CODE AD1ORS & INSPECTOR THE STANDARD PL-l'o E MINER L Et'�IS CERTIFIED UNDER THE L A ATUTESPR0VISI0,1eq3F'��F,$ffKj a t- r h,iVU.A'_.:,. Win' !,. 5 € ip _ - 4-�--�"Cam. IALIiT�3` "- k,3421' �° 54 ����yr-a--mod �rr�q����''�y`✓. - " I.ICC �ISJ%77 ! I EXPIRATION DATE: NOVEMBER 30,2021 Always verify licenses online at MyFloridaLicense.com j ❑� �10 Do not alter this document in any form. This is your license.It is unlawful for anyone other than the licensee to use this document. i dF, Ron DeSantis,Governor Halsey Beshears,Secretary Florida pr I STATE OF FLORIDA j DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION BUILDING CODE1kTORS & INSPECTOR THE STANDARD SPECtt H 1 DIEDUNDERTHE PROVISIONSVfa�Mi �/ Sl"ATUTE$ a ^ytt�a-Via, -�P,...zr^ ,n- ` .'. t 3 IBC 'Ir 374 LI CIS �IL1(BRi[68�3 EXPIRATION DATE: 30,2021 Always verify licenses online at MyFloridaLicense.com 0 1 Do not alter this document in any form. Rol This is your license.It is unlawful for anyone other than the licensee to use this document. Raft 005.1"11,tiovcrmr Hai—,FCibeam Seaewy STATE OF FLORIDA s DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION r a C BUILDING CODE.AD,MINISTRATURS&INSPECTOR THE STANDARD PLA,CIS;EXAM I N ER'HEREIN'IS'EER-TIFIEb UNDER THE I PROVISIO, QF'CHAPTEf A68 FLOR9DA'STiATUTES VIIILI' AVhu�IaND ALL.E V_ ' - : 3I}ii;5�VlMtllfrJAY - BAYONET;PE)INT -: .FL 34biS�M --LICEPiSE•kWgER:PJ 1804 1 EXPIRATION DATE: [+6vmam3Q,2o2i- A9 m,f5 vcriiy(acmes online at fAvRe-idaLlcense.com �Q Do not alter this dr`ic umcrit in any frsrm. •` This is your licerp;=It is unlaviful for anyone dher than the licumcc to uSe this document. Rcn C7r5mlis.Gm.emm Halsey Eesbaam 3eaetary dbplr STATE OF FLORIDA i DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION BUILDING CODE ADMINISTR-AT.ORS&INSPECTOR i THE S7ANDA92a l�]SPEitTOR HERE]6�9'f5;C1 Ft IgED UNDER THE PROVI51O( S' F.CHAPl£R; 4 FL"OWDA•STAFt1TES 1lI►ILL.,RAYM'OND,ALLEN 130�1,SAVJMLLL,WAY ��, ; @i4YQN P I iT FL 34"7,,---,p UCEN—ikNUMBER:_8N2651 EXPIRATION DATE: NOVEMBER 30,2021 Al«nysverity liceases online at MyReridaUccnse.com 4"N'. y Do notAcr this document in arty form.This isaur license.It isunlawiul far anyone other than the licensee to use this,document_19- Ron DeSantis.Governor Halsey Beshears,Secretary db' I ,n STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION BUILDING CODE ADMINISTRATORS & INSPECTOR I THE STANDARD.INSPECTOR:HEREIN IS.CERTIFIED UNDER THE PROVISIONS OFCHAPTER 468.;FLORtDA STATUTES CCI BLDG 1&2,;PLUM;ME CH 4 � ' VINfS DRUID l 1825 FOX BAY DRIVE ' ' MELBOIJRNE c J FL.32934.' _LICENSE•NUMB_ER_BN4842� EXPIRATION DATE:'NOVEMBER 30,2021 Always verify licenses online at MyFloridaLicense.com { { 0, _V 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 111 ondd- 7W, & STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION BUILDING CODE ADMINISTRATORS & INSPECTOR THE STANDARD 1&2 FAMILY D_yVELl;ING,?LANS_EXA'MINtR-HEREIN IS CERTIFIED UNDER THE PROVISIONS-OF,CHAP.TE.k,:4.'68iFLOR ibASfATUTES -Y 5 I D DAV VINES,. '1825,FbX BAY bKiVt MELSOURNE -FL 32934­ _ LICENSE EXPIRATION DATE: NOVEMBER 30,2021 Always verify licenses online at MyFloridaLicense.com 0, 91 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. ---------- STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION BUILDING CODE ADMINISTRATORS&INSPECTOR (850)487-1395 2601 BLAIR STONE ROAD 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 to yacht brokers,from boxers to barbeque restaurants, STATE OF FLORIDA DEPARTMENT dbv--%rand they keep Florida's economy strong. OF BUSINESS AND PROFESSIONAL REGULATION 1 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 9 There you can find more information about our k 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! ----------------------------------------------- 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 VINES, DAVID L ❑� . 0 1825 FOX BAY DRIVE MELBOURNE FL 32934 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. STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION BUILDING CODE ADMINISTRATORS&INSPECTOR (850)487-1395 2601 BLAIR STONE ROAD 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 to yacht brokers,from boxers to barbeque restaurants, STATE OF FLORIDA DEPARTMENT and they keep Florida's economy strong. OF BUSINESS AND PROFESSIONAL UJ dOr 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 y 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 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! ------------------------------------------------------------------------ Ron DeSantis,Governor Halsey Beshears,Secretary STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION BUILDING CODE ADMINISTRATORS•&INSPECTOR 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 a a 1825 FOX BAY DRIVE MELBOURNE FL 32934 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. 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: 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=FOOEEB9B03C13941 E47AFABD74E34B8E 1/1 1/11/2021 - DBPR-LLOYD,JAMES DEAN,Standard Inspector 1225:55 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 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=FBF81 D8634A8132D70C07FAA05E27E08C 1/1