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OFFICE USE ONLY: r 7 ` 2
DATE FILED:,1 �-a'\ PERMIT# L C Y �0�9 O S
REVISION FEE: RECEIPT#
PLANNING & DEVELOPMENT SERVICES RECEIVED
BUILDING&CODE REGULATION DIVISION
2300 VIRGINIA AVENUE MAY 0 7 2021
FORT PIERCE, FL 34982-5652
(772)462-1553 Farmitturg Dapartmcnt
St. Lucie County
APPLICATION FOR BUILDING PERMIT REVISIONS
PROJECT INFORMATION
LOCATION/SITE r
ADDRESS: z'1�-1
DETAILED DESCRIPTION OF PROJECT
REVISIONS:
e,\l C Ave;ed-5 a d2—)
CONTRACTOR INFORMATION:
STATE of FL REG./CERT. #: ��C Z ST. LUCIE CO CERT. #:
BUSINESS NAME: -a" C— tom
QUALIFIERS NAME: t
ADDRESS:
CITY: STATE: ZIP: 32 co
PHONE (DAYTIME): �?�Z� (,`7�o d FAX:
OWNER/BUILDER INFORMATION:
NAME:
ADDRESS:
CITY: STATE: ZIP:
PHONE (DAYTIME: FAX:
ARCHITECT/ENGINEER INFORMATION: r
NAME: �C�,S S 0\4 C,-kJ ASSOCA,�� e� �Ak5(, A)
ADDRESS: Z'Zry I
CITY: t o16-9-fifcAf
PHONE(DAYTIME): Z ►
SLCCC: 9123109 COPY
Revised 06130/17 t: IL
Mills, Short 8 Associates
CIVIL I STRUCTURAL I SURVEYING I ENVIRONMENTAL
CERTIFICATION OF AUTHORIZATION 30698
Rev.May 6,2021
St.Lucie County Building and Inspections
2300 Virginia Ave. RECEIVED
Fort Pierce,FL 34982 MAY 0 7 2021
Re:After-the-Fact Permit Work: FQnii1ttLr.g Department
(1) Stand Alone 1-Bedroom/1-Bath Structure(Accessory Structure) Sc. Lucie Count;
(1) Additional bathroom attached to the existing structure 7 3b Q /
Erickson Residence dG �
y D
251 N Cardinal Place REVIEWED FOR
Fort Pierce,FL 34945 CODE COMPLIANCE
Permit#: SLC 1706-0335/Additional SLC Permit#TBD ST. LUCIE COUNTY
To Whom It May Concern: BOCC
This letter is written to provide certification that I, as a Professional Engineer, have been retained to establish
compliance with the 2017 (Existing) Florida Building Code (6'h Edition) & the St. Lucie County codes and
regulations pertaining to the modifications/additions at the residence listed above.Based on this fum's site inspection
and analysis of the visible and accessible areas, it has been determined that the modifications/additions have been
done in accordance with the approved, permitted plans and specifications. The following inspection have been
certified and performed by either this firm and/or a State Certified Contractor(per the attached affidavits):
1. Code 141 (Insulation): Insulation is completed and installed per 2017 FBC and HVAC Contractor's
Affidavit.
2. Code 650(Frame-All):Framing is completed and installed per the 2017 FBC.
3. Code 280 (Electrical Final): Electrical installation is completed and installed per the 2017 FBC and
Electrical Contractor's Affidavit.
4. Code 380 (Mechanical Final): Mechanical installation is sufficient per the 2017 FBC and the HVAC
Contractor's Affidavit.
5. Code 408(Plumbing):Plumbing installations has been done per the 2017 FBC and the Plumber's Affidavit.
6. Code 999 (Final): Per the attached Contractor Affidavit's and this firm's inspection,the modifications are
complete and final per local and State requirements.
No other certifications are expressed or implied. -
The en ' > I •services addressed therein have been performed and base l gineering
k ool' documentation,information and belief,and in accordan t�eo "impp
rocedures
ve2`, standards of practice,and is not a guaranty or warranty,either expressedd.Should
`®may • 'sti• 11Le 0 e feel free to call me at the number listed below.—----
cercNP,•0018
o • � n _yryq
NATE OF
P ti
e� •'n'V�g��i�,�: SCE
' En ��
' 1 0ons`� THIS ITEM HAS BEEN DIGITALLY SIGNED&SEATED BY JASON W.SHORT,
M.P.E., ASCE P.E.969018 ON 0 5/0 612 02 1 USING A DIGITAL SIGNATURE.
Cc:Z IA truetion
PRINTED COPIES OF THIS DOCUMENT ARE NOT CONSIDERED SIGNED&
SEALED,AND THE SHA AUTHENTICATION CODE MUST BE VEWIED ON
Enc:Contractor Affidavits ANY ELECTRONIC COPIES.
700 22nd Place I Suite 2C/2D I Vero Beach,Fl,32960
Phone Number:772.226.7282 1 Website:www.MillsShortAssociates.com