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HomeMy WebLinkAboutSubcontractor Summary-UPDATED PRIVATE PROVIDER 3.10.21 OFFICE USE ONLY: DATE FILED: �i aC. l PERMIT# REVISION FEE: RECEIPT# PLANNING&DEVELOPMENT SERVICES BUILDING&CODE REGULATION DIVISION 2300 VIRGINIA AVENUE FORT PIERCE,FL 34982.5652 . (772)462-1553 RECEIVED APPLICATION FOR BUILDING PERMIT REVISIONS FEB 2 5 1 2021 PROJECT INFORMATION Permitting Department LOCATION/SITE St.Lucie County ADDRESS: -.7 La'o LA Penn to Laney DETAILED DESCRIPTION OF PROJECT REVISIONS: C,n a� G o-( PYly v Pr 12, 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/BUIELDER 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 BraaksideAve CITY: Ambler 1 STATE: PA ZIP: 19002 PHONE(DAYTIlVIE): (215)646-6001 FAX: NA SLCCC.- 9123109 Revised 06/30/17 REViS 10 , WEINTR.AUB INSPECTIONS&FORENSIC,INC. Notice to Building Official of Use of Private Provider Project Name: L,9�T1�- �—L L I .) 7Lo 04 Peonj 1 Parcel Tax ID: I J. - 100 T OW(e- G Services to be provided: Plans Review Inspections [Buildin Pool Other_] Note: If the notice applies to either private plan review or private inspection services the Building Official may require, at his or her discretion,the private provider be used for both services pursuant to Section 553.791(2)Florida Statute. I. L� n ��i�4 the fee owner,affirm I have enterediato a contract with the Private Provider indicated below to conduct the services indicated above. Private Provider Firm: Weintraub inspections&Forensics Private Provider: Jerry M Weintraub Address: 3868 Sun City Center Blvd.,Sun City Center,FL 33573 Telephone:813-633-8000 Fax:813464-M 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 Iocal 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 walA IL LD I Prin4corati o Name Print Partnership Name By: (signature) gnature) (signature) PrintPrinPrint Name: Name - ,q�(Q ame: Address: its; cAddress.• 6 Address: 1 Telephone ) No.: 1 ts�i7 �O Telephone Telephone No( c2 o a 70- No.: Please use appropriate notary block. i STATE OF T_La(_t CLG1� COUNTY OF i Individual Corporation Partnership Before me,this day of Before me,this d -,of Before me,this day 20�personally �E'a0Y11cs�[� ,20x� of ,20�personally appeared personally appeared U appeared who executed the foregoing instrument, o -partner/agent on behalf of I and acknowledged before me that same f A a-ri-% ,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. i Personally known •or Produced identification Type of identification produced Signature of Notary Print Name Notary Public:NOTARY STAMP BELOW t+A0WV l�t�of Plort� My commission expires: 8l .o(� na a � 3868 Sun Cite Ccntcr Blvd.Sun 2 Of2 Phone: 813-633-8000 City.Center.FL 33573 Fax:813-4648026 I I FORM# 9B-30053-2005-01 JOB SITE PRIVATE PROVIDER IDENTIFICATION FOBS Florida Building Commission Effective February 1,2006 PROVIDER NO.1 i Ptirnou Contact: Jon Wolfersber. er Email address jwolfersberger@weintraubinspections.c_om Telephone Number-: 321-474-1459 Fax.Number: 813-464-8026 License number PE 300033 Company: Weintraub Engineering and.Inspections, Inc. Address: 3868 Sun 0itV Center Blvd •Ruskin FL.•33573 Job address Specific project on job site Permit number Type of Service Being Building Inspections Performed: Insurance policy GL 06 number 100 Signed rovider PROVIDER NO.2 Priimai 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 ACO® DATE(MMIDD/YYYY) CERTIFICATE OF LIABILITY INSURANCE 11/36/2026 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 Condon NAME Johnson&Company PHONE (407)843-1120 A (407)84 -5772 A/ No Ext: AIC,No):' 801 N Orange Avenue E-MAIL ADDRESS: Suite 510 INSURER(S)AFFORDING COVERAGE NAIC 0 Orlando FL 32801 INSURER A: FCC[Insurance Company 10178 INSURED INSURER a: Bridgefieid Casualty Insurance 10335 Weintraub Engineering and Inspections,Inc. INSURER C: Continental Casualty Company 20443 Weintraub Inspections&Forensics INSURER D 3068 Sun City Center Blvd INSURER E: Sun City Center FL 33573 INSURER F: COVERAGES CERTIFICATE NUMBER: CL2D111214948 REVISION NUMBER: THIS IS TO CERTIFYTHATTHE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY 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 SUBJECTTO ALL THE TERMS, ' EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE WgD Vivo POLICYNUMBER MM/DD MMID LIMITS COMMERCIAL GENERALLIABILITY EACH OCCURRENCE s 1,000,000 CLAIMS-MADE ®OCCUR PREMISES Ea occurrence S 100,000 MED EXP(Arty one person) S 10.000 A Y Y GL100063261 11/15/2020 11/15/2021 PERSONAL BADVINJURY S 1,000,000 GEMLAGGREGATE LIMrTAPPUES PER 2,000,000 GENERALAGGREGATE S .PODGY®JET ❑ PRODUCTS-LOC PRODUC -COMP/OPAGG S 2,000,000 OTHER- Employee Benefits s AUTOMOBILE LIABILITY - COMBINED SINGLE LIMIT $ 1,000,000 a accident ANYAUTO - BODILY INJURY(Per person) S A OWNED SCHEDULED Y Y CA 100063259 11/15/2020 11/15/2021 BODILY INJURY(Per accident) S AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Perac%denI Drive other tar s UMBRELLA LIAR OCCUR EACH OCCURRENCE s 5,000,000 A EXCESSLUIB CLAIMS-AMDE UMB100063260 11/15/2020 11/15/2021 AGGREGATE s 5,000,000 DED I><RETENTION$ 101000 - S WORKERS COMPENSATION PER OT' AND EMPLOYERS'LIABILITY Y STATUTE ER B ANY PROPRIETORIPARTNER/EXECUTIVE � NIA Y 0196-51752 10/15/2020 1()/1512()21 E.L EACH ACCIDENT s 1,000,000 OFFICERIMEMBER EXCLUDED? (Mandatary In NH) El DISEASE-EA EMPLOYEE S 1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below _ E.L.DISEASE-POLICY LIMIT S 1,000,000 Limn Per Claim $2,000,000 C Professional Liability Limit MCH591943348 10101/2020 10/01/2021 Aggregate $2,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,maybe attached if mom space is required) i i it CERTIFICATE HOLDER CANCELLATION i 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 WrrH THE POLICY PROVISIONS. .2300 Virginia Avenue AUTHORIZED REPRESENTATIVE Fort Pierce FL 34982 �v 01988-2015(ACORD CORPORATION. All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD T + I jjjTWEINTRAUB- INSPECTIONS & FORENSIC, INC. 3868 Sun City Center Boulevard Sun City Center, FL 33573 Phone: 813.633.9000 Fax: 813.464.8026 QUALIFICATION PACKAGE FOR PRIVATE PROVIDER .• nWUYN 1 NU., 2020=2021 HILLSBOROUGH COUNTY BUSINESS TAX RECEIPT EXPIRES SEPTEMBER 30,2021 271253 OCC.CODE IRENEWA,L 280.052005 CONSTRUCTION CONSULTANTS 10 Employees Receipt Fee 54.00 Hazardous Waste Surcharge ,0.00 Law Library Fee 10.00 WEINTRAUB INSPECTIONS&FORENSIC, BUSINESS INC. 3868 SUN CITY CTR BL SUN CITY CTR, FL 33573 AUZO 2049 WEINTRAUB INSPECTIONS&FORENSIC,INC. NAME 3868 SUN CITY CENTER BLVD MAILING SUN CITY CENTER,FL 33573 ADDRESS Paid 19-0-407771 07/24/ 020 54.00 BUSINESS TAX RECEIPT DOUGBELDEN;TAX COLLECTOR HAS HEREBY PAID A PRIMEOE TAXTO ENGAGE 813-635-5200 IN BUSINESS.PROFESSION,OR OCCUPATION SPECiFlED HEREON THIS BECOMES A TAX RECEIPT WHEN VALIDATED. r I I i 1 I I Weintraub Insbectors and License-Numbers: 1. Jerry Mark Weintraub PE30033 , 2. Usha Ramachandran PE73119 3. Jon Wolfersberger BN4874 4. Bobby J. McKinney BN983, PX2292 5. Henry Steven Bass BN5641, PX2964 6. Raymond Allen Will BN2651,- PX1804 7. Steve Campbell BN6056 B. Jerome(Jerry) M.Schroeder BN7347 9. David Salmon BN7384 10. David Vines BU1409, BN4842, PX2504, SPF167 11. Allen A. Gillette. BN6803, PX3777 12. Craig Baldinger BN7561 13. Eric McAfee BN7565 14. Michael Todoroff BN4856, PX2568 15. Mathew Hodges. BN6730 16. James D Lloyd BN5101, PX3102 17. Orlando Wright BN461 I I 'I :y Rori- _ -DeSantis Gov'mor �`;. 13alse -BeeKeais:5e: 0 ,•, Flo da�:-�. Yi �f ;f :i -r - .+t r _ =r. ,. r7 - "4• F P_ i'STAT _ -��E�:O;F f LO• y�r - 4•.•- •:C``'t:+ �y�"• - r' �•'�y mite` _ - `•;. r D•4 ARTM _E :'NT. ..F`:: ,E O B�;U��HE � - :_�' r r rF���S:S�ONAL��REG:U:�A:• rk ]Y :i•A`i •rr z- ti� YF rl'_BOA \ RDA., ap •-I - - _ :is `••f J . _iVG N� EE� N.tU7• X1`UT �-UND ER-THE y L-, .l . 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IDA��ATUTES �ti , w' cC:_ M;MMKZ-� 1 P t2AN �'" EI�IIJEityV17F M 4 �7 i Lfe-EKWIVU1'vfB EXPIRATION.DATE: NOVEMBER 30,2021 Always verify licenses online at MyFlorid-aUcense_corn 0 Do not alter this document in any form. F, This is your license.It is unlawful for anyone other than the licensee to use this document • li I I I ' 1 r j J15 - ;R ri'DeSarrti' G"v' e�ook'� Cl� ,HjfsE py.8esfiea' •>Seciefa`, A ' `Ian - 4'- :1t� 'S• S :fi• of r - r �Ii 4 >A•: -Sy r' T ATOl.: D Li R q.a •`4: 1WE�1• C !`1:. F:'- PR"OF:ESi SI:O DEPAR 'MENT USI: � ND�E 11AT- a` e7!ti• -1.••L s - B L 111 D _ -FRS'&-� N• �PE�' V- t: TH A EW`:J ST7�N :D RD` �D".J�N3ER':TH. i tr:'• :i }V =J `• 5:, ROVISI'�=•� 5 Y - _ r- vY+• - �.► . 1 .T, :1t' •r: i!Y�r Y �•: _ 'r •:.ir- - It• - S r� =r. - ws. S� �rr _1. 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I � _ I EXPIRATION DATE: NOVEMBER 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. 1 I - I ' I i I I i I I ' I ~\ ► 'Ron.DeSantis,Govemor-'•.,`.: ' f ; - fialseyBesFiears�Secretary• -r ,Y'_ _ �;l,:_ .yet;r,•,• ri-, '� '•,. `.,. .� ,,•.;�'� r'I Y.,i. I M1'` `•t1 •J. ,f- fir" '•r ••`+•.'S aJ Y�Jr - _ a!_ .1, r..�. '•f i - `'\ - - �✓,. :J. • A7 a `STAY .F ���0 LORFDA� s!','�`e :a•:. Jam, i ?- - _ - a, \'C¢'-.'- •.fir:-'- `\`•� r \. ...,. `,'.•v•�.��, _'J'.• ��- 'ti :;p:E.( PARTIu1 _ENT';O'F< USfNESS:`ANb:: ,RQF. S 1V' 1, -L- .�. .,\•,P� •:. 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I r ari`.one{othei tl anahe licensee%tpmsi this itocu pOt I .I I � I I 'I it • 1i j 1 r I l , 'Pon DeSantis,Govemor Halsey Beshears,Secretary j bla, i ri , STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION < BUILDING CODE QRS&INSPECTOR f THE;STANDARD-P �� S� 2:TIFIED UNDEK THE PROVISIOis�S Y� TUTES Sf tea, EXPIRATION DATE: NOVEMBER 30,2021 + Always verify licenses online at MyFloridaLicensecom 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 E Ron DeSantis,Governor Halsey BesheaM Secretary f Florida STATE OF FLORIDA i DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION BUILDING CODE..... RS&INSPECTOR THE STANDARD, 'QED UNDER THE PROVISIO S TUTES A. '�� .'•oh-,q�. `sue., .GS ��y"` - I ! I LI '�IUI�BEit• 8 IXPIRATION DATE: NOVEMBER30,2021 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 G I I� i i - i , � ` Rnn DiSunl�Goer Hnkq'p �SeucnrX :j dopr STATE OF FLORIDA DEPARTME14T OF BUSINESS AND PROFESSIONAL REGULATION BUILDING CODE ADN-UNi 'ROORS.&INSPECTOR Et ' 1'HES7AtVDAR�'P 15 4Mif+ i; 1€ [SC [�IEdt1iVDEitFEE 9,- PROMSIQ4 ' A ,fLt1l3A` P : f ill-'t ~y .r+";t.t�:95-,+':•:m ls�r ';" -•,�"v hl f� x L iIJ07964 EVIRAMN OAS NOVEMM30,2021 A9 va v-Arl3censesekilfneatMyHdi 30censeivi► Q 0 Tao wt.alter this dowrmnt fn,mv fare Wits your I cpwe:It Is UoLwitut fai anyQo a t3 e other thai&Mc&dce tv o"tG�ls,daaimer4. •s i I I � i I I I - dbpr .l . I SI•ATE OF FLORIDA DEPARTM..ENT OF BUSINESS AND PROFESSIONAL REGULATION BUILDING CODE ADM-M.. S.. T. QRS Olt BfiE"STAI+ti?ARtJ�d1�SPEG�LQf P UNDER THE s PR a OViSId �F- PT O A�SCiTUTES ,, FC r„r. N, i = : r E01RAVON DAT -'r0V 1 RM30; Ahv4p.v!f[y Ikemes omine-at M1YRos*Uccnsg.c= Q I Do pot-after this t=ument E m Ear. i i x' This is your 6eensf_t M Is unWwluf far anyont uthee than the Uc wsee to use this document � I I I , • I I I I Ron DeSands,Governor Halsey Beshears,SecretaryRod [ STATE OF FLORIDA pr DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION i BUILDING CODE ADMINISTRATORS& INSPECTOR THE STANDARD.)IVSPECTORrHEREIN.15-CEf2TI lED UNDER-THE i I PROVISIONS4�OE-_CFIAP ER"4:6$"FLC_RID 1>STATUTES '1t ' .v t- .. ••s'}Y4.-'!."�sY?:••�__ •;h-`> i'`y., 1 �_:`=;�GCF;'ttBLD�"1'S2�:RPCL7lvt'YlvfECN{�`";;1 ; j` 1 Z. 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Y This is your license.It is unlawful for anyone other than the licensee to use this document 5 Y ii i f f 1! f l Ron DeSantis.Governor Halsey Beshears,Secretary f ( db d r ' STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION BUILDING CODE ADM1{VISTRATORS &INSPECTOR tit I` THE STANDARD 1&2-FAMILY DW Q&G'IR. €RTFEREIN IS CERTIFIED UNDER THE t PROVISIONS pF,--4.PTER-468;:`FLJQ NbA,17ATUTES } wa,''#r:.]].,F••t ..:>id �g `���•-cry �1t' ��� +^.� � j VIN.ES ° `4 �;1;§FO: BAY DR11l�a= s O1}tE� . �MSa�" csT°t�-�'•i'.'Ys���-P�.�e"`.cey •�; .{r i Y k.•-•`•cve-�c;y+:k'`.> ":•-4z.J+�."'�it���;.�,�-" :f ! I i l LICEN4E'ItiUft+IBER:SFRly67 ! ' EXPIRATION DATE:NOVEMBER 30,2021 r Always verify licenses online at MyFloridaLicense.com ! Do not alter this document in any form. ' j This is your license.It is unlawful for anyone other than the licensee to use this documentNMI i � 3 S • y h { I � i ji -5� STATE OF FLORIDA j . _. DEPARTMENT-OF BUSINESS AND PROFESSIONAL REGULATION BUILDING CODE ADMINISTRATORS&INSPECTOR (850)487-1345 2601 BLAIR STONE ROAD TALLAHASSEE FL 32399 G 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 f and they keep Florida's economy strong. dupr OF BUSINESS AND PROFESSIONAL REGULATION Every day we work to improve the way we.do business PX2504 ISSUED:11/16/2019 in order to,serve you better.For information about our STANDARD PLANS EXAMINER services,please log onto www.myfloridalicense.com. VINES,DAVID L There you can find more information about our divisions and the regulations that impact you,subscribe to department newsletters and learn more about the Department's initiatives. Signature LICENSED.UNDER CHAPTER 46k 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 HEREIKIS CERTIFIED UNDER THE I PROVISIONS OF CHAPTER 468;FLORIDA STATUTES BLDG I VINES,DAVID L 1825 FOX BAY DRIVE MELBOURNE FL 32934 4 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 I - Y J ; II I ♦ � 1 i � • 1 STATEIOF FLORIDA a 5 DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION BUILDING CODE ADMINISTRATORS&INSPECTOR (850)487-1395 2601 BLAIR STONE ROAD { TALLAHASSEE FL 32399 s s Congratulations!With this license you become one of the nearly one million Floridians licensed by the Department of Business and;Professional Regulation. j Our professionals and businesses range from architects to yacht brokers,from boxers to barbeque restaurants, dbpbr STATE OF FLORIDA DEPARTMENT and they keep Florida's economy strong. OF BUSINESS AND PROFESSIONAL REGULATION Every day we work to improve the way we do business in order to serve you better. For information about our BU1409 1SSUED:11/lb/2014 ; BUILDING CODE ADMINISTRATOR services,please log.onto www,myfloridalicense.com.. VINES,DAVID`_' There you can find more information about our f divisions and the regulations that impact you,subscribe #. to department newsletters and Learn more about the Department's initiatives. Signature i LICENSED UNDER.CHAPTER 469 FLORIDA Our mission at the Department is:License Efficiently,. EXPIRA'nON DATE: NOVEMBER30;2021 P Regulate Fairly.We constantly-strive to serve you better so that you can serve your customers,Thank you j o for doing business in Florida,;and congratulations on your new license! i s --------------------- -----------------—----------------- ------------ s Ron DeSantis,Governor Halsey'Beshears,Secretary I; ,STATE OF FLORIDA ;. DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION BUILDING CODE ADM{NI'SRATORS:&,INSPECTOR ! ,. LICENSE NUMBER:BU1409 EXPIRATION DATE: NOVEMBER 31),zuz THE BUILDING CODE ADMINISTRATOR HEREIN IS CERTIFIED UNDER THE, PROVISIONS OF CHAPTER 468,FLORIDA STATUTES VINES,DAVID L 1825 FOX BAY DRIVE MELBOURNE FL 32934 r. ; ISSUED.11/16/2019 Always verify licenses online at MyFloi-idaLicense.com I ; Do not alter this.dodument in an form. This is your license.It is unlawful for anyone other than the licensee to use this document. y IF i � •i 1/11/2021 DBPR-HODGES,MATTHEW STERLING,Standard inspector 12.26:46 PM 1/11/2021 - � I Licensee Details. Licensee Information Name: HODGES, MATTHEW STERLING (Primary Name) Main Address: *Private Address* *Private Address* *Private Address* *Private Address* *Private Address* . License Mailing: Licensel-ocation: License Information License Type: Standard Inspector Rank: Inspector License Number: BN6730 Status: Current,Active Licensure Date: 09/18/2015 Expires: 11/30/2021 I Special Qualifications Qualification Effective Building 09/18/2015 Residential 02/02/2018 Alternate Names I I View Related License Information View License Complaint I i .......................................... ..... ................. ....................................... ...:...... :............ FL ,...... 2601 Blair Stone Road Tallahassee 32399 :: Email:Customer Contact Center•• Customer Contact Center 850.487.139E I 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 4S5.275(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 officibl 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=Bid=F00EEB9BO3CI3941 E47AFABD74E34B8E 1/1 - 1 I 1/11/2021 DBPR-LLOYD,JAMES DEAN,Standard Inspector 12.25:55 PM 1/11/2021 Licensee Details Licensee Information Name: LLOYD,JAMES DEAN (Primary Name) Main Address: *Private Address* *Private Address* *Private Address* *Private Address* *Private Address* License Mailing: LicenseLocation: • i ' License Inform_ ation License Type: Standard Inspector Rank: Inspector ! License Number: BN5101 Status: Current,Active Licensure Date: 09/27/2005 Expires: 11/30/2021 i 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.Cop right 2007-2010 State of Florida.Privatey 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 mall to this entity.Instead,contact the office by phone or by traditional mall.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 emalls 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. I https:/A.,,.myfloridalicense.com/LicenseDetail.asp?SID=Bid=FBF81 D8634A882D70C07FAA05E27E08C 1/1