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HomeMy WebLinkAboutRevisions/ CHANGE OF PRIVATE PROVIDER OFFICE USE ONLY: / DATE FILED: I // 'U�p-�` PERNUT# I REVISION FEE: (. �j RECEIPT# , PLANNING&DEVELOPMENT SERVICES BUILDING&CODE REGULATION DIVISION ��� ® 2300 VIRGINIA AVENUE FORT PIERCE, FL 34982-5652 FEB 2 5 2021 (772)462.1553 +gjowt q mpartment APPLICATION FOR BUILDING PERMIT REVISIONS .4� i Cau,r� PROJECT.INFORMATION LOCATION/SITE ADDRESS: � �r� DETAILED DESCRIPTION OF PROJECT REVISIONS: / 'yair (i pOV id c 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 06130117REVISIWIM WEINTRAUB INSPECTIONS&FORENSIC,INC. Notice to Building Official of Use of Private Provider ProjectName: �j�U� Cl rus Pack L V O W:T ! 1 L I L C Parcel Tax ID: U 1 6 /— O'L 6 C1 —oonr( Services to be provided: Plans Review_ InspectionsJ- EBuildin 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 no o `C the fee ov$n6r,affirm I hate ntered into Uontract 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:813A61-807.6 Email Address(Optional):jwolfersberger@weintraubinspections.com Florida License,Registration or Certificate:Professional Engineer 30033 I have elected to use one or more private providers to provide building code plans review and/or inspection services on the building that is the subject of the enclosed permit application, as authorized by s. 553.791, Florida Statutes. I understand that the local building official may not review the plans submitted or perform the required building inspections to determine compliance with the applicable codes, except to the extent specified in said law. Instead, plans review and/or required building inspections will be performed by licensed or certified personnel identified in the application. The law requires minimum insurance requirements for such personnel, but I understand that I may require more insurance to protect my interests. By executing this form, I acknowledge that I have made inquiry regarding the competence of the licensed or certified personnel and the level of their insurance and am satisfied that my interests are adequately protected. I agree to indemnify, defend, and hold harmless the local government, the local building official, and their building code enforcement personnel from any and all claims arising from my use of these licensed or certified personnel to perform building code inspection services with respect to the building that is the subject of the enclosed permit application. I understand the Building Official retains authority to review plans, make required inspections, and enforce the applicable codes within his or her charge pursuant to the standards established by s. 553.791, Florida Statutes. If I make any changes to the listed private providers or the services to be provided by those private providers, I shall, within I business day after any change, update this notice to reflect such changes. The building plans review and/or inspection services provided by the private provider is limited to building code compliance and does not include review for fire code, land use, environmental or other codes. 3868 Sun City Center Blvd. Phone: 813-633-8000 Sun City Center, FL 33573 Fax:813-4648026 WEINTRAUB INSPECTIONS&FORENSIC,INC. The following attachments are provided as required: 1. Qualification statements and/or resumes of the private provider and all duly authorized representatives• 2. Proof of insurance for professional and comprehensive liability in the amount of$1 million per occurrence relating to all services performed as a private provider, including tail coverage for a minimum of 5 years subsequent to the performance of building code inspection services. Individual Corporation Partnership Print Corporation a Print Partnership Name B By: (signature) ignature) (signature) Print Print Print Name: N e• Name: Address: Its: C e( Its: Address: / Address: Telephone (SrY1Y)S6-A No. Telephone Telephone No.1'3.)- W70-- 669A No.: Please use appropriate notary block. STATE OF I COUNTY OF Individual Corporation Partnership Before me,this day of Before me,this " day of Before me,this day ,20____,personally 20_, of ,20_,personally appeared personally app ared appeared who executed the foregoing instrument, M6rej4 MiAbe, of -partner/agent on behalf of and acknowledged before me that same U,0 EL (, 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 V ;or Produced identification Type of identification produced i Signature of Notary Print Name Notary Public:NOTARY L=Cps f my Co�mn MM 029010 My commission expires: . E'er o6loerto2a 3868 Sun City Center Blvd.Sun 2 of2 Phone: 813-633-8000 City Center.FL 33573 Fax:813-4648026 FORM # 9B-3o053-2005-01 JOB STI'E 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 CiW 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 Permit number Type of Service Being _ Performed: Insurance policy number Signed by Provider CERTIFICATE OF LIABILITY INSURANCE DATE(MM/2020 Y) A 11/30/ 020�O THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Erin Condlin NAME: Johnson&Company PHONE (407)B43-1120 FAX (407)843 5772 A/C No Ent): A/C,No B01 N Orange Avenue E-MAIL ADDRESS: Suite 510 INSURER(S)AFFORDING COVERAGE NAIC# Orlando FL 32801 INSURERA: FCCI Insurance Company 1017E INSURED INSURERB: Bridgefield Casualty Insurance 10335 Weintraub Engineering and Inspections,Inc. INSURERC: 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: CL2011121494B REVISION NUMBER: THIS IS TO CERTIFYTHATTHE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR AIJULINULSKI POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER MM/DD MMIDD/YYYY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE s 1,000,000 c o 100,000 CLAIMS-MADE X OCCUR PREMISES Ea occurrence S MED EXP(Any one person) S 10,000 A Y Y GL100063261 11/15/2020 11/15/2021 PERSONAL&ADV INJURY s 1,000,000 GEN'LAGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE s 2,000,000 POLICY [g PRO 2,000,000 JECT LOC PRODUCTS-COMPIOP AGG $ OTHER: Employee Benefits S AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 Ea accident Ix ANYAUTO BODILY INJURY(Per person) s AOWNED SCHEDULED Y Y CA 100063259 11/15/2020 11/15/2021 BODILY INJURY(Per accident) S AUTOS ONLY AUTOS HIRED �/ NON-OWNED PROPERTY DAMAGE S AUTOS ONLY /� AUTOS ONLY Per accident Drive other car S X UMBRELLA LIAB X OCCUR EACH OCCURRENCE S 5,000,000 A EXCESS LIAB CLAIMS-MADE UMB100063260 11/15/2020 11/15/2021 AGGREGATE $ 5,000.000 DED I X1 RETENTION$ 10,000 S WORKERS COMPENSATION X STATUTE ERH AND EMPLOYERS'LIABILITY YIN 1,000,000 B ANY PROPRIETOR/PARTNER/EXECUTIVE N N/A Y 0196-51752 10/15/2020 10/15/2021 E.L.EACH ACCIDENT $ OFFICERIMEMBER EXCLUDED? (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 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/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,maybe 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 ©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 i QUALIFICATION PACKAGE FOR PRIVATE PROVIDER Weintraub Insaectors 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 • nwvurvi rvv. 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. 3868 SUN CITY L 1, SUN CITY CTR, FLR 33573 2 0" 0cry "; 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. y r �p4ti En Ron DeSantis Governor Halsey Besl ears .Secretary =� Flonda �d- a v =STATE OF FLORIDA DEPARTMENT O.F BUSINESSiA m OFESSIONAL REGULATION 'BOARD O�I��PR,�_FE S& CIE GINEERS 3t THE ENGINEfR(NG BIiESS EIEI . A`UTH.®R' 1ZED UNDER THE y _ PROUISEH` aER zUML IAA 7UTES lop WEINT ;B .t SR ,C ,�Oi�I�SRESI:C INC I 38689U: xC = I . I �CNTEY� FL 38 I ENS NU(vIB R A28i U EXPIRA-6&` DATE' U R 28,2021 Always verify licenses online at MyFlondaLicense com bo not alter,this document m any;form r ( { Thesis:your license It fs unlawful for.anyone other fhan the licensee to use',this document: - Ron Desantls Governor. ' 'FRP FLORIDABOARDOF'. CRGFESSIQnA ENGINEERS STATE OF FLORIDA� b , e BOARD OF PR(3FS ENGfNEER$ THEPROFESSIO ¢EyN! _ 0L SED UN DE' RTHE ' PRO�FISJ'a S C3F -t), ?R 4 L`bR �` TUTES - 1 :EXPIRATION.DATE FEBRUARY 28,2023 Always verify licenses Mline:at My.qn p.!cerise com Do not alter this document m any �� :This is your license It is unlawful for:anyone:other than the.licensee to use this document �� :'`���f�A� Ron DeSenbs Governor = A F_BPE ► ,` t FLORSSIDIQ�A BOARD OF. t �PROFEAL EIyGINEERS , �.� STATE OF FLORIDA , BOARD O.F P IflNAL ENGINEERS '. Y • 4 THE PROFESSION LBENC�F ,EEI' .IlSI SED UNDER THE PROVISTO S 3 CAI TfsR 4 y� —F=•ORF A . TUTES _ j MUM r M. - A r _ LICE Sf 'IUMBER P 19 1 EXPIRATIOLV.DATE'FEBRUARY 28,2023 lIways venfy licenses`onlme at MyFlondaL'icense com , ... Do not alterthis documentIn any form This is your Ilcense Itis unlawful for anyone other than the licensee to use this document: `� I �pFti � r Ron Desant+s Governor Halsey Beshears Secretary' Honda :STATE OP F,LORIDX { .WEb { DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATIOplk% BUILDING CODE ADtRfSTi4T-ORS & INSPECTOR THE STANDARD�INSPEC� i D UNDER THE PROVIS`fQ S rv) k1APT,fR 4 $,'F OR ASS. .TUTES _ [ I i3Z9 7- 2r J LIC I IUNjBER B 48{74 F EXPIRATION DATE NOVEMBER 30,2Q21 Always verify licenses online at MyFIondaL'icia com _ 0 _ L _ - 1 Do not alter this document m any;form 'J 1 r.-This is your license 1t is unlawful for,anyone,other than the licensee to use this document I I i - 3 �pfti # ��o Ron Desants Governor Halsey BesMears secretaryd. ; 4 Flonda ' Jw 'r STATE OF FLORIDA s DEPARTMENT OF BUSINESS AND PROFESSIONAL REGU_LAT1ON ` rf r € f * i i ! � :BUILDING CODE A - 115 ORS & INSPECTOR THE STANDARD _ CR ~ Q.UNDER TH)= C PRO�/ISI'� SOS i T TATUTES d LIEN I�IUBR:":, 193 �' EXPIRATION DATE :NOVEMBER 30,2021 ` ` ;E Always venfy licenses online at MyFloridaLicense com zl Do not alter this documenf m any:form This isyour license It is unlawful for.anyone other than the licensee to use this document pti► ETA$ Ron DeSant�s Governor ;Halsey Beshears Secretary Florida STATE OF FLO�klDA �WESCl" Q/EPARTNIENT-OF BUSINESS AND PROFESSIONAL REGULATION = ' s t. r BUILDING-CODE AQ N1STRA ORS &INSPECTOR THESTANDARD P S �. fN R -t 1$ IFIED UNDER THE I ' �G TUTES PROVIS901lS Cf 1APT ?f4 & b I5 e - y l Y EXPIRATION DATE NOVEMBER 30,2021 , Always verify licenses onlme_at MyFlondaLicense com M. 10 4 (� Do not alter.this document in any-orm pj r �• 7 :.This is:your license It is unlawful for anyone'other than the,licensee�to use this document ❑� r + I r_ Ron DeSands,Governor Halsey Beshears,Secretary Florida Y ed pr t. — r "- STATE OF FLORIDA !'OD1R'BaS . DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION BUILDING CODE ADMINISTRATORS &INSPECTOR THE STANDARD PLANS. AMINER,k�EtN IS CERTIFIED UNDER THE PROVISIONSYOF CHAP FLOIttDA STATUTES , tixk� P^- . BLI3G t sa r vY _ c`s � i P BASS, H NRI�STEM t� 0 t Pf3 BQX'S221 1 a ` k 3 fili�t� ITY CEDER LICENSENUMBER:PX29 64 EXPIRATION DATE:NOVEMBER 30,2021 Always verify licenses online at MyFloridal-icense,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. «pg ° Ron DeSantis,Governor Halsey Beshears,Secretary r Florida pr , �t STATE OF FLORIDA D DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION BUILDING CODE ADMINISTRATORS&INSPECTOR THE STANDARD INSPECTQF4WREIN IS CERTIFIED UNDER THE PROVISIONS OF CH/1PTER�468, FLORIDASTATUTES q � BASS;;HENRY �t=TL,��3E4�V. 2MANAEVTEAENE- AD 20E*'S`�f ',a LICENSE*NUMBER.BNtai EXPIRATION DATE: NOVEMBER 30,2021 i Always verify licenses online at MyFloridaLicense.com Do not alter this document in any form. �� This is your license.it is unlawful for anyone other than the licensee to use this document. 4`'�p4ti Ron mantis Governor Halsey Beshears Secretary I Flonda .r . *•,� F STATE OF FLO-_RIDA" 3 t I D EPART F. .MENT O BUSINESS ANQ PR F � SIGN L . EGULATION. O ES A R r �{ i _BUILDING CODE OSTR' ORS & INSPECTOR =1 THE STANDARD 1s. r _ CERm m D UNDER THE PROUISI'a . S i „ �y> F A.STATUTES 1-7 :i 41 : l EXPIRATION DATE 'NOVEMBER 30,2621 r, r Always venfy7icenses onhneat MyFlondaLicense com r j1 1 Do'notalter this,doeument Y iq an,` ,form This is your license If`is unlawful for anyone:other than the licensee to use this document_ `I ADFLT ' A Ron Desantis Governor Halsey Beshears secretary Flonda„ STATE OF FLO;RIDA; DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION BUILDING CODEff`IY`tr {NSPECTOR -, :. THE STANDARDh =®R Qtt _!: PERT IED"-UNDER THE R.EtOVISfO S6FC �PTR�4bO' tflST�,TU,TES r BSA `i� C1 /41' EI�I oaoN irm E QRTRIC F 346'Sf JG1 E SE�`N E-Rs'B � • EXPIRATION BATE 09tmBER 30,2021 Always verify licenses online at MyFlondaLicense com 1 11 Do.not alter this, document m any;form s ; I This is your license It is unlawful for anyone:other than the"licensee to use, document - f Ron Debantis Governor Halsey Besfiears Secretary b a _ STATE OF FLORIDA" I DEPARTMENT OF BUSINESS AND'PROFESSIONAL REGULATION .. t BUILDING CODE% TWA & INSPECTOR. 6 , THE STANDARD' „ QR H:1= Ef °ERTI D UNDER THE , PROVISI'O S6 ,A E ORSDAA ;1k TUTES DD DO �L 282f � i LICSE Ufv BER=B173$4 &%L% EXPIRATION DATE 'NOVEMBER 32021 - Always verify licenses online at MyF-WdA icense com r Donot alter this document in any:form �� Thirsts your license It is unlauvful for anyone,other than the licensee to use'this document. I $ Ron DeSanUs Governor Halsey$esfiears Secretary Florida =1 ,STATE., FLORIDA ` , '_DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION i BUILDING CODE ADS( 1-STRATORS & INSPE'CTOR ; ►'` THE_STANDARD t`SPEC ®R " KRl ?�1D IE ,UNDER THE ._ PROV1510[tI5C1 --_;A'PFER' � C®f2 56ATUTES. SC REQ �, J�E Q �R�TCN OCKl- f LICE SE� IUIv1ER rB„> 347 i EXPIRATION DATE. 30,2021 r Always verify licenses online.a't MyFlor�daLicense com t Do not alter this document m anyrform This is:your license It m unlawful for anyone.otherthanthe,licensee to use this document <� ■ e i v Ron DeSentJs Governor Halsey Beshears Secretary o� d b a 4 _ y r 4 r FLORIDA 1 'i D E PAR TM ENT.OF BUS NESS A 1 ND PROFESSIONAL REGULATfON_ K r I r4 I BUILDING CODE DPfitMIS' r ORS & INSPECTOR w THE STANDARD SPE ®R R = TA CER • IED UNDER THE.. } ��' ' = a R`ROVISIONS � '�1'ER 4'€$ ORPDAST TUTES �- _ i z - - - P T. - r I WE�Sx 'r LICE�SRE�NUM6EtL B �#$�;6 � - EXPIRATION DATE ";NOVEMBER 30,2021 I y,.. Always venfy`Ircenses onlme;at MyFlondaLicense com I �� ❑� f Do not alter this document-in-an, ;form 3. i This is'.yourJicense It is unlawful for anvone other than the licensee to use this document i I Ron DeSantis,Governor Halsey Beshears,Secretary 'o ba STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION i BUILDING CODE t?�p/ f 1STRQTORS & INSPECTOR THE STANDARDJNSPEGTOR*W.- 1l17 inV 35�L� IED UNDER THE d PROVISIONS' F64APT,ER:4b$_FLO,RIQA STATUTES WRIG1-1 O �AID �ARt5 1 � �3 OEDOI,PHfN; HORfS N`OKOM �f1t3,Tj 17 LICENSE NUMBER: N461 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. ■ 1 I A�xfsr�Fr Ron DeSsntis Governor Halsey Beshears Secretary Flonda p ` 'd- Of FLORIDA - � DEPARTMENT OF BUgSINESS AND PROFESSIONAL REGULATION `BUILDING CODE ADMfILS ORS & fNSPECTOR i THE STANDARD R IN'E 'R DIED UNDER THE 4 PROVISfO. SOFA"CA T'a`4I=C` AST` TUTES �wt ,i n M!PB 5 M LIC GENUMBER:B b0:6 EXPIRATION'DATE ;NOVEMBER:30,2021 , E Always verify licenses onhne:at MyFlondaLicense com Do not alter.--this document in any:form - ,This is.your license It is unlawful for anyone other than fhe,licensee to use this document pr p Ron DeSantis,Governor Halsey Beshears,Secretary j o Flodda i STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION is F : BUILDING CODE A, POST W-ORS & INSPECTOR FEE , THE STANDARD PL KS �Fi 1L 10'1S�C RTIFIED UNDERTHE PROVISIO15.0-V T L QA ATUTES Y JUT EXPIRATION DATE: NOVEMBER 30,2021 Always verify licenses online at MyFloridaLicense.com i Do not alter this document in any form. This is your license.It is unlawful for anyone other than the licensee to use this document. p4> Ron DeSantis,Governor Halsey Beshears,Secretary i =o, Florida do-pr , 1 k STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION BUILDING CODE . , Fribk-RS & INSPECTOR . THE STANDARD 0!Sr_ EEG I C`A_"UED UNDER THE PROVIS100S F 1D ST�4TUTES Syr Urra �'a f_ �0,Cr;.p. ttr i ZVI a ! ur 5� A/47Y ''-�Rr '....�� .s�+r'�^•-�_ ' c ;man t LIC'fS�aa111f�I$ER:B�1,6BD3 EXPIRATION DATE: NOVEMBER 30,2021 Always verify licenses online at MyFloridal-icense.com I ' Do not alter this document in any form. �� This is your license.It is unlawful for anyone other than the licensee to use this document. - B�nDi3xr�is.Go�+csarr Hi>lcs:p Eticenls;5ecrersty dbpr STATE OF FLORIDA ' DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION. t &.INSPECTOR BUILDING-CC AQhflt@JIJTRATtyRS I THE STANDAW PW1S EJCAMgN H iN IS F fF11 Y?UNDER THE PRClViS1�i S'C1�f A d t�R7DAISTATUTES • 5 T 13S}t i` V+T tI.L4Ve4Y Y ��"✓ 9. �licEr�>r��r�_pxa�'dt� EVIRATION DATEs�f ollEMEIi=f2`34 2021 Awayr5 uerfly I'itur6iA online st M1y+l7cwidaUcensexa m Q Do not aitcr this dccumcnt iai.any fafm this is your iieerm it Is un6ifvt far anyone ether than the hc-a nsae W use thi%document 7 AM t5c"s^c 9&Gow"M r Halsey 8:�,C.a.4ectetah tdD Jr STATE OF FLORIDA, DEPARTIVII=NT OF BUSINESS AND PROFESSIONAL REGULATION BUILDING CODE ADIV INISTRATORS&INSPECTOR `HE S`tANDAR 9�1 PE of F 1t E it ED UNDER THE t. 4 ALL PR9ViSIQt!i.QF cKA>sT >,FLfJWi�A S'f- ft>� f^ c-yA. •�` 312 3SAV�tt-69 Al LLW4Y A •.4.c?`x. K•UP .;. —LI�QVS�'N�41��ER.�t�265�,p At ve�ii€ Ikenses oAlne at M Rosidal_lccnsscoim ��us Y x Do not alter tf►33 document in any torn 0" , TFus is your ficei-rse.It is uniswful for anyone a.bcr than the iieeti to use this.doeurnent 1 ` Ron DeSantis,Governor Halsey B.eshears,Secretary %pr du Ffa�rda i 81 STATE OF FLORIDA f � h.�D.WC�,v• DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION BUILDING CODE ADWNISTRATORS & INSPECTOR 1. i THE STANDARD.)NSPECTOR HEREIN IS CERTIFIED UNDER THE i PROVISIONS OF CHAPTER 468, FLORIDA STATUTES F GCI BLDG,1fiz2 PLUM;MECH,� ay s i . _ S 1 s 3t a4 a y h i1825 EO$(BAY DRIVE _ = ME�SQURNE n �1=L32934 , I LICENSEtNUNII3ER BN4842z EXPIRATION DATEyNOVEMBER 30,2021 Always verify licenses online at MyFloridal-icense.com Do not alter this document in anyform. f This is your license.It is unlawful for anyone other than the licensee to use this document. 9 3 Z a Ron DeSantis,Governor Halsey Beshears,Secretary , ... �� dupr i STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION i BUILDING CODE ADMINISTRATORS & INSPECTOR THE STANDARD 1&2 FAMILY DVI/ LLING PLANS;V EXAMINER HEREIN IS CERTIFIED UNDER THE I PROVISIONS -F O CHAPT,E .R 68 FCQRIDA STAT UT ES 4' l x' 25,FOX BAY DRIVE y, MI+LBOURNE �FLX32�341 t � {\tea4 P LICENtENUMBER SFP167 h 3 I I EXPIRATION DATE: NOVEMBER 30,2021 Always verify licenses online it MyFloridkicense.com i ( u 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 -------- `S U i j i� STATE OF FLORIDA " DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION BUILDING CODE ADMINISTRATORS&INSPECTOR (850)487-1395 2601 BLAIR STONE ROAD �e� •',�U �S' 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 I and they keep Florida's economy strong. OF BUSINESS AND PROFESSIONAL ' dopr%rREGULATION Every day we work to improve the way we do business in order to serve you better. For information about our STAND ISSUED:11/16/2019 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 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 s your new license! ------------------------------------------------------------------------ Ron DeSantis,Governor Halsey Beshears,Secretary . STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION if 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 3 VINES, DAVID L 0 . 1825 FOX BAY DRIVE MELBOURNE FL 32934 mot' ISSUED:11/16/2019 Always verify licenses online at MyFloridaLicensexom 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 t ;i t �s 0 STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION BUILDING CODE ADMINISTRATORS& INSPECTOR (850)487-1395 2601 BLAIR STONE ROAD 4 s..• 07 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 kr)P, r REGULATION Every day we work to improve the way we do business in order to serve you better..For information about our BU7409 ISSUED:11/16/2019 BUILDING CODE ADMINISTRATOR services, please log onto www.myfloridalicense.com. VINES,DAVID L t There you can find more information about our divisions and the regulations that impact you, subscribe to department newsletters and learn more about the Department's initiatives. Signature LICENSED UNDER CHAPTER 468,FLORIDA STATUTES Our mission at the Department is: License Efficiently, EXPIRATION DATE: NOVEMBER.30;2021 Regulate Fairly.We constantly strive to serve you better so that you can serve your customers.Thank you for doing business in Florida, and congratulations on your new license! i s ------------------------------------------------------------------------- Ron DeSantis,Governor Halsey Beshears,Secretary ..STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION 3 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 s VINES, DAVI'D L %�r 1825 FOX BAY-DRIVEMELBOURNE FL 32934 ISSUED:11/lb/2019 Always verify licenses online at MyFloridaLicense.com Do not alterthis 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 In formation 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 Stale 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=FOOEEB9B03C13941 E47AFABD74E34B8E 1!1 e 1111/2021 DBPR-LLOYD,JAMES DEAN,Standard Inspector 12:25:55 PM 111112021 Licensee Details Licensee Information Name: LLOYD, JAMES DEAN (Primary Name) Main Address: *Private Address* *Private Address* *Private Address* *Private Address* *Private Address* License Mailing: License Location: License Information License Type: Standard Inspector Rank: Inspector License Number: BN5101 Status: Current,Active Licensure Date: 09/27/2005 Expires: 11/30/2021 Special Qualifications Qualification Effective Building 09/27/2005 Alternate Names View Related License Information View License Complaint 2601 Blair Stone Road,Tallahassee FL 32399 :: Email: Customer Contact Center:: Customer Contact Center: 850.487.1395 The State of Florida is an AA/EEO employer.Copyright 2007-2010 State of Florida.Privacy Statement Under Florida law,email addresses are public records.If you do not want your email address released in response to a public-records request, do not send electronic mail to this entity.Instead,contact the office by phone or by traditional mail.If you have any questions,please contact 850.487.1395.*Pursuant to Section 455.275(1),Florida Statutes,effective October 1,2012,licensees licensed under Chapter 455,F.S.must provide the Department with an email address 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 D8634A8B2D70C07FAA05E27E08C 1/1 I