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HomeMy WebLinkAboutRevisions/CHANGE OF PRIVATE PROVIDER OFFICE USE ONLY: DATE FILED: _L ',� PERMIT# DO REVISION FEE: RECEIPT# PLANNING& DEVELOPMENT SERVICES BUILDING&CODE REGULATION DIVISION 2300 VIRGINIA AVENUE RECErVED FORT PIERCE,FL 34982.5652 FE9 2 5 202, (772)462-1553 Permitting D-apartment APPLICATION FOR BUILDING PERMIT REVISIONS St, Lucie County PROJECT INFORMATION LOCATION/SITE ADDRESS: �7 t 0 Co Pc S0 DETAILED DESCRIPTION OF PROJECT REVISIONS: I 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 r-`� EVIA00410N Revised 06130117 1• ) WEINTRAUB INSPECTIONS&FORENSIC,INC. Notice to Building Official of Use of Private Provider Project Name: W3 0 P L- LLJ l/-71 CHIP PQbt2 WOM5 6,Ad Parcel Tax ID: 13 0 1 ` l -1 D , 0 00 Services to be provided: Plans Review_ Inspections-z-;uildinl/Pool_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 CC�I 'DG14l the fee owner,affirm I have enterkd into a cot ct 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:813464-8026 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 Llyi 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 Corporation Name Print Partnership Name By: By: (signature) . ature) (signature) Print Print Print Name: Name: . Name: Address: Its Q Its: Address: Address: Telephone No.: �V O�GdrCI Tele hone Telephone No. � No.- Please use appropriate notary block. STATE OF j COUNTY OF Individual Corporation Partnership Before me,this day of Befo a me,this 4+h day Before me,this day 20�personally 20_, of ,20_,personally appeared personally appeared appeared who executed the foregoing instrument, m u-) of partner/agent on behalf of and acknowledged before me that same Wd�A VL,.M) ,a 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 k kkC r U CVh l I n Signature of Notary Print Name Notary Public:NOTARY STAMP BELOW My commission expires: r �Q � O of Florrae l Haiftw C DaMin my a MM 0&U nCmmrwm►1H 0Q6010 i i 3868 Sun City Ccntcr Blvd.Sun 2 of 2 Plionc: 813-63 3-8000 City Center.FL 33573 Fax:813-4648026 1 1 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: 321-474-1459 Fax Number: 813-464-8026 License number PE 300033 Company: Weintraub Enciin3ering and Inspections, Inc. Address: 3868 Sun City 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 r 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 ACC?R"® CERTIFICATE OF LIABILITY INSURANCE DATE(MMlDDryyyY) 02/03/2021 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 8 Company PHONE (407)843-1120 FAX (407)843-5772 AIC No Ext: AIC,No 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 IS 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 AUUL1bUt5K1 POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER MM/DDIYYYY MMIDD/YYYY LIMITS X COMMERCIAL GENERAL LIABILITY CCURRENCE $ 1,000,000 EACH O CLAIMS-MADE �OCCUR PREMISES Ea occurrence $ 100,000 MED EXP(Any one person) $ 10,000 A GL100063261 11/15/2020 11/15/2021 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMITAPPLIES.PER: GENERAL AGGREGATE $ 2,000,000 �J ECT LOC PRODUCTS-COMP/OP AGG $POLICY PRO 2,000,000 OTHER: Employee Benefits S AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 Ea accident X ANYAUTO BODILY INJURY(Per person) $ A OWNED SCHEDULED CA100063259 11/15/2020 11/15/2021 BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS X HIRED Ix NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident Drive other car $ X UMBRELLA LIAB X OCCUR EACH OCCURRENCE S 5,000,000 A EXCESS LIAB CLAIMS-MADE UMB100063260 11/15/2020 11/15/2021 AGGREGATE $ 5,000,000 DED I X1 RETENTION S 10,000 $ WORKERS COMPENSATION X1 SPER TATUTE EORH AND EMPLOYERS'LIABILITY Y/N 1,000,000 B ANY PROPRIETOR/PARTNER/EXECUTIVE N N/A 0196-51752 10/15/2020 10/15/202, E.L.EACH ACCIDENT $ OFFICER/M EM BER,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 S Professional Liability Limit Per Claim $2,000,000 C 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 CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN Port St.Lucie Building Department ACCORDANCE WITH THE POLICY PROVISIONS. 121 SW Port St.Lucie Blvd AUTHORIZED REPRESENTATIVE Building B Port St.Lucie FL 34984 ©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 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 � : • w 1020--2021 HILLSBOROUGH COUNTY BUSINESS TAX RECEIPT EXPIRES SEPTEMBER 30,2021 271253n �urvi rvv. 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 SUN2" "� SUN CITY'CTR, FL 33573 42 0 2 0 A"'O 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. e f p4 _ Ron DeSantis,Governor Halsey Beshears,Secretary. . = o� Florida STATE OF. FLORIDA DEPARTMENT OF BUSIN SSA-ND-R ky�O' FESSIONAL REGULATION- BOARD F PROFESSIONAL�EN. INEERS' THE ENGINEER NGYB'S1IyESS�fiEREI'N,IS/ UTH. RIZb D UNDER THE PROVIS OWN OF�CFf/1PTER 47ltRORIDA 51 UTES WEINTRAUBI_NySPE�CIC�N�S &4FOR`ENSIC INC E 3868 UM C TY CENTERrB1=\/..t3� , - < ri dllutia�i ��-,F m ;�I C [ TER¢,tiFL 33:r7 `LICENS.E NUMBERCA28` 3 EXPIRATION45 `T�q E� RIJARY28,2021 Always verify"licenses online A 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. G p4,TIM � Ron DeSantis,Governor FBPE FLORIDA BOARD OF_ STATE-OF F.LORIDA: IRGFESSIGNACENGINEER6 BOARD OF-P OFESSIONAL•EN.GINEERS � x THE PROFESSIONAL 1GH, ER HEREIN IS-LICENSED UNDER THE PROVISIOCHAPTERI:4a7,1;FLORI- A S,T TUTES WEINTRAUB AJERt�YqMAIR�K �! art IP1N � � � VdY—� 7 38 8 Ssl Nr'C1TYiCENTER<BLVD C1-f CEN�TE,R 5 FL 3357 �'; � •ter `s"w a.,�.r `,. .--•a •e,st wry - - LICENSENUMBER:PE30033'."" 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 anyone other than the licensee to-use this document: p4T Ron Mantis,Governor _--° FBPE. FLORIDA BOARD OF: -,�•' •"i - PROFESSIONAL'ENGINEERS STATE OFF ORIDA BOARD OF PR:OFESStON L:ENGINEERS THE PROFESSIO AL EN.G{�11:�ERRE1N;1�-L►�h'CyEN\USED UNDER THE PROVISIQ "S�6FAPTER`491_wFLORkDAT TUTES`'. _ - — - —_ 1 40 R41VlA �• N� F�AN- Al Tif N / MPTO CiRCL LICENSE NUMBERi PE7.-3 19. EXPIRATION,DATE FEBRUARY 28,2023 - Always vefify licen's'es online at'MyFloridaLicense:com Do not alter this document in any form._. -� This is your license:It N unlawful for anyone:other than the licensee to use thN document L pF _ Ron DeSantis Governor Halsey Beshears,Secretary ' o� Florida STATE OF FLORIDA DEPARTMENT OF BUSINESS AND:PROFESSIONAL".REGULATION-.`. BUILDING CODE DMU�MSTMA- ORS &"INSPECTOR THE STANDARD t SPE ' C�3R H1fR t MS(SR 1ED UNDER THE .' PROVISIONS}CFfCAhTE4'6$;.FL TATUTES WOF�RSE , GAR;=JOt E uEL��GE-T�T`�/. - P,A -BA L 32907 2233 - _ - LICE t SL NU WE B 4874 EXPIRATION DATE: NOVEMBEK30;2021 Always verify licenses online at MyFloridaCicense.com Do not alter this. ocument in any-fo d rm: ■ This.is your.license.'It is unlawful for anyone other than:.the licensee to•use this documerit.s . � A Ron DeSantis Governor Halsey Beshears Secretary STATE OF FLORIDA DEPARTMENT OF BUSINESS ANDPROFESSIONAL REGULATLON ,BUILDING CODE ADM IfISR'A4TOR5 & INSPECTOR THESTANDARD NGaR}1}-11NNCRT_ tl D UNDER.THE PROVISIONSOTATER�4'6�YFEORIDAT' TUTES IN 3��CLO,���50`N,00012x� - _ COE FL 3476 :; • a' f G EE S UMBER:Bel. 83 EXPIRATION.DATE:� NOVEMBER 30;2021 Always verify licenses onhne,k MyFloridkkense:com; Do,not alter this`document m any form • This is your license I :is unlawful for,anyone other than the,licensee to use this document pF Ron DeSantis,Governor Halsey Beshears,Secretary Florida Dr STATE OF FLORIDA:, DEPARTMENT OF BUSINESS AND PROFESSIONAL:REGULATION BUILDING CODE ADMINISTRAtit- 115& INSPECTOR VIC THE STANDARD PLAN S�EXAM(NER HEREI 1$CERTIFIED UNDER THE PROVISIO„N.S I, CHAPTER 46`8��FEOR1'DArS.TATUTES �MC66 K1,NNE-,' W SON COURT,- + r FL347- e�. vr. •�r„ �_ ..}ems �r LICENSE IUMB-1 h P���292 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_ . . . Ron DeSantis,Governor Halsey Beshears,Secretary - Florida -F n r .aCon . STATE OF FLORIDA � DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION BUILDING CODE ADMINISTRATORS & INSPECTOR THE STANDARD PLANS,EXAMINEWHEREIN.IS CERTIFIED UNDER THE PROVISIONS'OF CHAPTER�.468-. FLORIDA"STATUTES BASS; HENRY:--STEVEN, = PQ..BOX 5221. SSUN CITY CENTER-_ '.'FL 330-1 " LICENSE NUMBER:PX2964 � EXPIRATION DATE:'IVOVEMBER 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._ pQ Ron DeSantis,Governor Halsey Beshears,Secretary Flodd p a STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION BUILDING CODE ADMINISTRATORS& INSPECTOR THE STANDARD INSPECTOR,HEREIN.IS,CERTLFIED UNDER THE PROVISION8'OF-CHAPTER468 FLORIDASTATUTES _-BLDG 1&2= B .►SS,;HENRY STEVEN 4112:MANATEE AVENUE WEST BRADENTON; fL� 4205 LICENSE'1141UM9ER:BN5641 EXPIRATION DATE: NOVEMBER 30,2021 Always verify licenses online at MyFloridal-icense.com � 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. i p4 _ Ron DeSantis Governor Halsey Beshears,Secretary o,, Florida + fl :STATE:OF FLORIDA 7. DEPARTMENT OF B.USLNESS,ANDPROFESSZONAL"•REGULATION':. f:- BUILDING CODE ADNif ISTRAtTORS & INSPECTOR JL NWRR APT,ER4 . UNDER THE .'THE,STANDARD((INS SCR PROVISI STATUTES 52I�7PRESIDkT1�l L S• ` -SEF� E t F 33584 �► .'LICE.SE' IvIBER:BN7r65J. EXPIRATION DATE: NOVEMBER'30;2021 , Always verifyaicenses online.at MyFloridaL'icense.corfi, - Do not, Iter this'document in any form. This is your license.,It is.unlawful for anyone other than the'licensee to usethis document:, pFAo Ron DeSantis,Governor Halsey Beshears,Secretary. bpr., a STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION BUILDING CODE ADMIMSTRAATORS & INSPECTOR THE STANDARD INSPECTORdHERE1Ny1S�C-E'RT[F.,IED UNDER THE . PROVISIONS�OF:�HAPT,ER646`8—:FL.ORfDA=STATUTES _ g) BLQG _tt � ��^' -� �_,r� �i ! - _ •it n �, ,- � , Bi4LDt�IGER ''CRAlG-�ST�xPHEN OVE�TOWDR"z.,r?�H ' NEW�PORTVICHEY4 FL-34652 LICENSE NUMBER:B4' 61 EXPIRATION DATE: NOVEMBER 30,2021 Always verify licenses online at MyFloridaLicense.com t - Do not alter this document in.any form.. IRE This is your license.It is unlawful'for anyone other than the licensee to use this document. p4 STRIA :Ron DeSantis,Governor Halsey Beshears,Secretary. b a pr . STATE OF FLORIDA' DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION BUILDING CODE ADM:INISTR=AX-ORS & INSPECTOR k THE STANDARD 1NSPECTOR;HERELIV [.CERTIFIED UNDER THE 4,1 PROVISIONS-O­CH -;RR; F1f0R1QA STATUTES f —BLD I< SALt�ION %DAfIDs�►—�� 1� 47TODD 82� ,r'., QRLANDOyy"yy _FL 322, n�•ems'-' :D r. � LICENSE-NUMBER:BN;7384 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: Ron Mantis Governor s Halsey Behears Secretary : _ � � ter _ -STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL;REGULATION BUILDING CODE ADMt�IS`TiA�TORS &INSPECTOR THE STANDARD NMIP 4 R} E•R�g�I Ir,RT ORE"D UNDER THE PROVISfQNS TE 4 $-,�FA iATUTES f Y e i SCHRC) D►. R, 1� QM.E _AR N. - _ LICE 4 St�NI1N1BER:B�[7r347 EXPIRATION•DATE: NOVEMBEFbo,!o2 Always verify licenses online,at'MyFloridaLicense.coin Do not alter this.:document m any form- This■ This is your license It is unlavafw for_anyone other-than the,licensee to use this document i Ron DeSantis,Governor Halsey Beshears,Secretary Florida STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION BUILDING CODE ADM r4,10 .-ATORS & INSPECTOR THE STANDARD 1NSPECZOR HERON=1S CERTIFIED UNDER THE PROVISIONS`OF CHAPTER`468�FEQR1,- STATUTES PTO i'.I,'''"�R F;�M^I�GHAE_L _ 504122NDFAUENUE WEST= J RADENTON •y,• h 342Q9 � LICENSE'NUfvIBER: BN4856 EXPIRATION DATE: NOVEMBER 30,2021 Always verify licenses online at M FIo id "L' ense com Do not alter.this document in any form. This is your license.'It is unlawful'for anyone other than.the licensee to use this document. Ron Desantis,Governor Halsey Beshears,Secretary o� a bpr ; STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION BUILDING CODE ADM fN`lSTRATORS & INSPECTOR THE STANDARD<INSPECTORr,IiERE N IS CERTIFIED UNDER THE PROVISIONS OF CHAOTER 468,_FLORGDA STATUTES ALI WRhH rORLANDO SEARS? -i s 3 S s — s,•z'''' i 3' DOLPHIN SHORES- �tOKOMIS1F( 34275"'T X-W a'(•,C Y �'c es—.� Iwara�.^.�'�}"`'�'tT.""F,�m�m..ae.+o LI CENSE NUM6ER:BN4�1 EXPIRATION DATE:"IVOVEMBER 30,2021 Always verify licenses online at MyFloridaUcense.com Do not alter this document in any form. This is your license.It is unlawful for anyone other than the licensee to use this document. • .r p4 `_ Ron DeSantis,Govemor, Halsey Beshears,Secretary bpr a STATE OF fLORIDA DEPARTMENT-OF BUSINESS AND PROFESSIONAL REGULATION BUILDING CODE. " D'MIN:ISTRAtTORS & INSPECTOR THE STANDARD N5 fiR H_ EEN�1S C RT. -,IED UNDER THE PROVISIONS+6F =RY4'E$-FCORIDA TATUTES ` RB , STVE 79r R.RH��E�ST PA� �'' `Y 'L 32907 LIC ,SC�NUIvIBER: 60' -EXPIRATION DATE: "NOVEMBER.30;2021 Always verify licenses online,at MyFloridaLicense.com ` Do not aIter.this document in any form::, _ This is your license:It is unlawful-for'anyone,other than-the licensee to usethis document.,, p4 Ron DeSantis,Governor Halsey Beshears,Secretary y i o� FI rida i pr ;, , } STATE OF FLORIDA .� DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION i 1 BUILDING CODE AD W.-S-TR#TORS & INSPECTOR THE STANDARD PLAAS E} LMi #E1EQtktS CRIFIED UNDER THE "-- 0 �� �. PROVISIOS' }f°GNTi , �QAATUTES , 'h L T -i • >y,.t,- - ,tE r[[�3Sr:t= b,� --e � ri "�. 5,t}.yvI JAB ppS pBtlfp q (^SFr / r �E�J7,�"xj��M^' IA is pa r x. far, x '^ " 49' r�•'a Ott s I LICE E UI1J$ER 3-77 I EXPIRATION DATE: /EMBER 30,2021 Always verify licenses online at MyFloridaLicense.com j ; 1 Do not alter this document in any form. I i ■ This is your license.It is unlawful for anyone other than the licensee to use this document. I : Ron DeSantis,Governor Halsey Beshears,Secretary i Florida I I } STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION BUILDING CODE.T FS ORS & INSPECTOR THE STANDARDJI(&iP, I03� CERt I.ED UNDER THE PROV ISIOG4S'OF=CRR?T,ER�b$;rF�?�i�DA�-STATUTES { �q53'Q�fi��W�#Yh`��:= nFrLC" F_T3�#22 �� n LICE�J�`S�Ui�B�it� �3 { EXPIRATION DATE: NOVEMBER 30,2021 Always verify licenses online at MyFloridaLicense.com � 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. i Finn Dticamir,Gw.eTvar Vinhc•y&�clyws.5crnta+y STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION I BUILDING CODE ADM IN,ISTRATGRS&INSPECTOR THE STANDARD PLANS EKAMINER'HERELN IS CERTIFx:D UNDER THE PROV]510. `;•PF CHAP-T,t"R7`4,63 FL,bRlDA'STATUTES ��' „6;�''-i` .-_- `fir —• _ - _ - _'� { -- _`':134�15lkWMILL-tNAY,•:::�=.: ' - , '':;�i4Y®IVE'f Pt71iti1'I' 1=L,•3;4 ?'- LlCEKSE�INU►NE�PX18(T~ EVIRATION DATE: MOVEMIBER 3d,2021 Ahmp vcrdy Ikenses online at MyRcejdallcense.com Do not alter this document inany form, w " This b your lir-er►QA-It is unbvrfui fair anyone other than Zhu kensce to use this document Fcva DeS:iitis Ga.emm HafieY�Aears-3ecartar• _ STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION BUILDING CODE ADjM NISTRATORS&INSPECTOR THE STANDARD INSPECTOR UNDER THE PROVISIONS"OF CNAPTER;.468 FLORIDA-STATUTES Mb hdif's6vMILLI�NAY. -- BAilOIV6T P4I9VT_. ` 13457 I.ICENSIE'14UMBE_-8I`i26k EXPIRATION DATE_ NOVEM BER30.2021 Ahwys vetily licenses online at Myl loridaUccnse.com PTx%s� Do not filter this docurnent in any form.This[a your license_It is unlawful far anyone other than the licensee to use this document ,✓s Ron DeSantis,Governor Halsey Beshears,Secretary db' pr . �4 STATE OF FLORIDA r l w.�NY�(�t• DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION BUILDING CODE ADMINISTRATORS & INSPECTOR i THE STANDARD)NSPECTOR,HEREiN.IS CERTIFIED UNDER THE fPROVISIONS::OF CHAPTER 468, FLQRIDA`STATUTES ' CCI,'BLDG,:1&2,,PLUM,;MECH'1_ - - i VINES, DA1/ID L w 1825.FOX,BAY DRIVE MELBOURNE 1=C~32934;� -� . ' i LICENSE-NUMBER:BN4842 EXPIRATION DATE: NOVEMBER 30,2021 Always verify licenses online at MyFlorida License.corn to 1 fDo 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. i, pE' Ron DeSantis,Governor Halsey Beshears,Secretary F;orici� f . 0 STATE OF FLORIDA ° s DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION BUILDING CODE ADMINISTRATORS & INSPECTOR THE STANDARD 1&2 FAMILY DWELLING:PLANS EXAMINER HEREIN IS CERTIFIED UNDER THE I PROVISIONS,OF CHAPTER 468,FLORIDA-STATUTES i V INES, P"I, L 1 25 F BAY. Y DRIVE c� ulz` 1 - lLBO. NE.`,``:: , FL'32934 + ~~"LICENSE NUMBER.SFP167�� ? EXPIRATION DATE: NOVEMBER 30,2021 I � Always verify licenses online at MyFloridaLicense.com RE ■❑ ; 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. t �k STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION BUILDING CODE ADMINISTRATORS&INSPECTOR 850 487-1395 < "aa 2601 BLAIR STONE ROAD TALLAHASSEE FL 32399 •��on wa • 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, Fx;nda r STATE OF FLORIDA DEPARTMENT j and they keep Florida's economy strong. 9 OF BUSINESS AND PROFESSIONAL 9 REGULATION Every day we work to improve the way we do business in order to serve you better. For information about our PX2504 ISSUED:11/16/2019 } STANDARD PLANS EXAMINER 1 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 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 QV- q 1825 FOX BAY DRIVE MELBOURNE FL32934 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. oE� F�� 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. d r ROF BUSINESS EGULATION AND PROFESSIONAL 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 y BUILDING CODE ADMINISTRATOR services, please log onto www.myfioridalicense.com. VINES,DAVID L There you can find more information about our r 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, DAV►D L 1825 FOX BAY DRIVE MELBOURNE FL 32934 M�r ISSUED:11/16/2019 Always verify licenses online at MyFlorida License.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 45S.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=&id=F00EEB9BO3Cl 3941 E47AFABD74E34B8E 1/1 * 1/11/2021 DBPR-LLOYD,JAMES DEAN,Standard Inspector 12:25:55 PM 111112021 Licensee Details Licensee Information Name: LLOYD, 3AMES 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: 850.487.139S 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. r. https://www.myfloridalicense.com/LicenseDetaii.asp?SID=&id=FBF81 D8634A8B2D70C07FAA05E27E08C 1/1