HomeMy WebLinkAboutPlan Review & Inspections To Be ProvidedNotice of Building Official of Use of Private Provider
Project Name: Creekside Lot # 101, 9216 Potomac Dr. Fort Pierce, Florida
Parcel Tax ID: 2327-502-0109-000-5
Services to be provided: Plan Review X Inspections X.
Note: If the notice applies to either private 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. D.R. Horton. Inc.
as the fee owner, affirm Fhave entered into a contract with the Private Provider indicated below to conduct the services
indicated above.
Private Provider Firm: Universal Engineering Sciences
Private Provider: John. Carl. Peterson
Address: 607 NW COMMODITY.COVE, PORTSTAILICIE FL 3.4986
Telephone: (772) 924-3575
Fax: (772) 924-3580
Email Address (optional):gfascheduling(cDunive'rsalengineerinq.com
.Florida License. Registration or Certificate #:BU1721
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 code, 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 required 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 buildin"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 1 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.
The following attachments are provide 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
(signature)
Print
Name:
Address:
Telephone
No..
Please use appropriate notary block.'
STATE OF Florida
COUNTY OF Brevard
Individual
Before me, this day of
, 20__, personally,
appeared
who executed the foregoing instrument,
and acknowledged before me that same
was executed for the purposes therein
expressed.
Corporation
DR Horton Inc
Print Corporati ame
By:
(signature)
Print
Name: Brian W. Davidson
Its: Assistant Secretary
Address: 1430 Culver Dr NE,
Palm Bay, FL 32907
Telephone
No. 321-733-7972
Corporation
Partnership
Print Partnership Name
By:
(signature)
Print
Name:
Its:
Address:
Telephone
No.:
Before me, this day of
February , 2022 ,
personally appeared
Brian W. Davidson of
DR Horton Inc , a
corporation, on
behalf of the state corporation, who
executed the foregoing instrument and
acknowledged before me that same was
executed for the purposes therein
expressed.
Partnership
Before me, this day
of , 20__, personally
appeared
partner/agent on behalf of,
a partnership, who executed the
foregoing instrument and acknowledged
before me that same was executed for
the purposes therein expressed.
Personally known V ; or Produced identification Type of identification produced
Signature of Notary
Notary Public: NOTARY STAMP BELOW
My commission expires:
DINAPARRINO
i; MY COMMISSION # GG 935643
o EXPIRES: February 27, 2024 2 of 2
JFOF �43� bonded ThN Notary Public Underwriters
Print Name
UNIVERSAL®
ENGINEERING SCIENCES
DR Horton-Creekside
Hayden Lot 101
9216 Potomac Dr.
Fort Pierce, FL
Private Provider
Plan Compliance Affidavit
California Model-9700 Potomac Drive
Private Provider Firm: Universal Engineering Sciences
Private Provider: John Carl Peterson
Address:. 607 NW Commodity. Cove, -Port S.t., Lucie, Florida 34986
Phone: 772-924-3575 .. Fax:. .772-924-3580 .
Email: ieterson(7a,universalengineering.com
I hereby certify that to the best of my knowledge and belief the plans submitted were reviewed
for and are in compliance with the Florida Building Code and all local amendments to the Florida
Building Code by the following affiant, who is duly authorized to perform plans review pursuant
to Section 553.791, Florida Statute and holds the appropriate license or certificate:
Name: John Carl Peterson Revised Plan Sheets: C1, G10, Al, AIA, A2, A311, A4H, El,
E2, P1, P2, D1, D2, D3, WA1, WA2, WA3, WA6, S1, S1:1A, S1.2A, 51.2,.52, S2.1A,
S2.2A, S3, S3.1A; S3.1B, S3.1C, S4, S4.2, SS,. SS.IA, S6, SN1, PAL PA2, PA3,
Florida License/Registration/Certification #(s) and description:
John Carl Peterson
RPX 243
John Carl Digitally signed by
gJohn Carl Peterson
late: 2022.02.18
Signature of Reviewer: Peterson 07:46 270YOU
SWORN AND SUBSCRIBED before me by John Carl Peterson, BU 1721
being personally known to me ✓ or having produced as identification
and who being fully sworn and cautioned, state
that the foregoing is true and correct to the best of his/her knowledge or belief.
Sl�VIAPwb
Signature of Notary ' U
Notary Public: NOTARY STAMP BELOW
My commission expires: ►" ""'��
Cry reuti+em�:�
GEXPIRES c
7 Sopt 17� 2025
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Print Name
AC+�R11►1 0
�� CERTIFICATE OF LIABILITY INSURANCE
DATE (IAMIDDI1 M)
21912022
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 pollcy(les) 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 ondorsement(s).
PRODUCER Beecher Carlson Insurance Services
a Brown & Brown company
6 Concourse Parkway, Suite 2300
Atlanta, GA 30328
CT
NMte Lynda Volpe
PHONE FAX
E-14NAIL
ADDRESS: L nda.vol a bbrown.com
INSURERIS) AFFORDING COVERAGE
NA1C x
INSURERA: Everest NabonalInsurance Company
10120
www.bbinsurancc.eom
INSURED
GFA International, Inc.,
DBA Universal Engineering Sciences
3532 Maggie Blvd
INSURERG: Everest Premier Insurance Company
16045
INSURERC: StarStone Specialty Insurance Company
44776
INSURERD: AXIS Surplus Insurance Company26620
INSURERE: Evanston Insurance Comps
35378
Orlando FL 32811
INsuRERF: Landmark American Insurance CompanV
33138
COVERAGES CERTIFICATE NUMBER: e11873419 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.
LTR
TYPE OF INSURANCE
ADD
SUB
POLICYNUMBER
MIAILDDIY1rYY
MFArDDDNYYYYLICY PY
LIMITS
A
D
COMMImaALGENERALLIAMLITY
❑
❑
RM5GL00056-221
11112022
11112023
EACHOCCURRENCE
$1000000
CLAIMS -MADE 51OCCUR
$100 000
❑
MED EXP (Any oneperson)
$10 000
Blanket Contmotual Liability
PERSONAL $ ADV INJURY
$1 000 000
GEN'LAGGREGATE LIMIT APPLIES PER:
POLICY H JE T LOG
GENERAL AGGREGATE
$2,000,000
PRODUCTS-COMPIOPAGG
$2 000 000
Emnloyee Benefits
$1.000 000
OTHER:
A
AUTOMOBILE
LIABILITY
❑
❑
RM50AO0056-221
11112022
11112023
ooMB1NED SINGLE LIMIT
S 3 000 000
❑
BODILY INJURY (Per person)
S
ANY AUTO
BODILY INJURY (Per eaddent
$
OWNED SCHEDULED
AUTOS ONLY AUTOS
HIRED NON -OWNED
AUTOS ONLY AUTOS ONLY
PROPERTYDAMAGE
1
$
S
F
UM13RELLAUAO
OCCUR
❑
❑
LHAO96670
111Q022
11112023
EACH OCCURRENCE
$2000000
PJ
AGGREGATE
$ 2 000 000
C
EXCESS LIAR
CLAIMS -MADE
DED IIETENTIONS
$
B
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WORKERS COMPENSATION
' AND EMPLOYERSLIABILITY YIN
ANYPROPRIETORlPAR1NER7c%ECUTIVE
FA OFFICEREABER EXCLUDED?
(Mandalory in NH)
NIA
❑
RMSWC00084-221 (AOS)
RM5WC00085-221 (FL NJ,ME)
�
11112022
71112022
1/112023
11112023
❑ PER STATUTE ERH•
E.L. EACHACCiDENT
$1 OQO U00
E.L. DISEASE -EA EMPLOY
$
II yes, describe Lander
DESCRIPTION OF OPERATIONS below
E.L. DISEASE- POLICY LIMIT
$1,000 000
E
Professional Liability
MKLV7PL0005114
21112022
21112023
Per Claim $5.000.000
Aggregate $5,000,00D
C
Excess General Liab. ($4M xs of $1 M)
77102C221ALI
1/112022
11112023
Limit $4.000,000
D
Excess Auto Liability $2M xs of S3M
P-001-000769170-01
1/112022
111112023
1 Limit $2 000 000
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Addltlonal Romnlhs Schodalo, may he attached It men spaco Is raquirod)
Creekside Lot 101. 9216 Potomac Dr. Ft. Pierce, FL 34946
CERTIFICATE HOLDER CANCELLATION
St. Lucie County building department
2300 Virginia Avenue
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATJON DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
Port St. Lucie FL 34982
AUTHORIZED REPRESENTATIVE J%echeY e"46 an 3.011•yance SCYtrICCS� .C'.CC
i
Beecher Carlson Insurance Services, LLC
01988.2015 ACORD CORPORATION. All rights reserved.
ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD
66673432 I rp 22-23 urA International, Inc., I Lynda Volpe 1 2/9,2022 9132140 101 (�STj I Page 1 of 1
This certificate cancels and supersedes ALL previously issued certificates.
A1terfta'tivO,:,ServiOe Ag:reem ' nt
Project: DR Horton-Creekside — 9216 Potomac Drive., Fort Pierce, FL 34945-Lot 101
Private Provider Firm: Universal Engineering Sciences
Private Provider Name: John Carl Peterson .
Address:.607 Commodity Cove, Port St. Lucie.:FL 34986
Phone f772). 924-3575 Fax:.(772) 924-3580
Names, LicenWCertificate Numbers, and L"icense.description of provider and duly authorized :agents who will be
providing services for this project.
Name:.
License/CertificateNo.'.
..
License/Certificate'Type:.
Matthew Chaney :
BN 7342
BIactor=uildin g
.Don Determan .,
1344688.
.Inspector = Building (4 and 2 family), Plumbing`
kssean Duprey.,,PE
92178
p 9..:. .
Ins actor _:Buildin
Carp Peterson
BN.5555.
Inspector=:MEP, Building =
William McColman.
BN:7752
inspector- Building
Donald Green
BN 7301
Inspector=Electrical
Juan_C.- Hernandez .,
PE 58638
Inspector:- Mechanical
Paul Desentz' _
BN.7601
Inspector.=.Building_.
Richard Jefferson
BN 1164
Inspector— Building, Electric, Mechanical;'
Plumbing .
.Clyde Thirbefiny
BN.4046:.
Ins ector= Building, Mechanical; Plumbin
Ra morid Gendron
BN 4955
-inspector -r Buildin1 and 2'famil ,-Electrical
As the private inspection services provider for this project, I have read and agree to be bound to the provisions of State
Statute 553.791. I further agree and understand that:only the above listed personnel may perform inspections on this
.project and that if for any reason the inspection personnel should change; or if any person listed above'should discontinue
to quality as a duly authorized agent, you will be notified in writing immediately.
John Carl Digitally signed by John Carl
} `Peterson
Peterson. Date:2022.02.091239:03
Representative Name: . , -o .00 ..
State of Florida, County of Palm Beach,.
Sworn to (or affirmed) and subscribed before me this day of -. 202& by.
who is personally known to me:. .
1Pn
rited name of`Notary Signature'of-Nota
Notary.Public Stamp:
.o�a:eq;-. LINAMANSIFUENTES
" = wilideslon # GG 262173
.Expires September 25, 2022
Bonded TWTroy Feln InsixaNe 800.385-7i .: .
�gO�rSi
CITY OF PORT SAINT LUCIE BUSINESS TAX RECEIPT
PLEASE POST IN CONSPICIOUS PLACE OR KEEP ON PERSON
�toe►vti` Te/m:10/01/2021 — 09/30/2022
2021 -2022
Business Address: 607 NW COMMODITY COVE
Business Name: UNIVERSAL ENGINEERING SCIENCES
Mailing Address: 607 NW COMMODITY COVE
PORT ST LUCIE, FL 34986
Category: Category 3 PROFESSIONAL
Additional Data: ENGINEERING FIRM
BTR#: 127198
Date Made: 09/01/2021
Mk
8"-L Gv�`
Business Tax Authority
$134.00
Total Tax Paid: $134.00
THIS IS A RECEIPT FOR TAX PAID AND IS NOT REGULATORY IN NATURE
This receipt does not warrant that the receipt holder is competent to perform in the business, but
that the holder has paid the required tax and provided the necessary documentation (if required) for
this business. Valid only when all state and local regulated trade licenses/competency cards are
valid for the current fiscal year as required by law.
�ry,, d
A Universal
Engineering
Sciences
Company
YEARS OF EXPERIENCE
5
EDUCATION
BS IN CIVIL ENGINEERING, FLORIDA
ATLANTIC UNIVERSITY (2016)
LICENSES & CERTIFICATIONS
FLORIDA STANDARD BUILDING
INSPECTOR, BN7342
MATTHEW CHANEY
Inspector
SUMMARY OF QUALIFICATIONS
Enthusiastic Structural/Geotechnical Engineering professional with a positive
attitude and a strong focus on quality and service, who is capable of achieving goals
in both individual and collaborative settings with excellent attention to detail, verbal,
and written communication skills.
SELECT PROJECT EXPERIENCE
5000 N. Ocean (North Palm Beach, Florida)
Inspector
This project consisted of the new construction of a 20-story condominium. Mr.
Chaney was responsible for performing Threshold Inspections such as, but not
limited to reinforced masonry, post tension, concrete placement monitoring, red
iron, and all other interior nonstructural inspections.
Alta Delray —Delray Beach, Florida
Inspector
This project consisted of the new construction seven 4-story apartment buildings.
Mr. Chaney was responsible for performing Threshold Inspections such as, but not
limited to reinforced masonry, post tension, concrete placement monitoring, wood
frame, precast concrete and all other interior nonstructural inspections.
The Waterclub — (North Palm Beach, Florida)
Inspector
This project consisted of the new construction of two, 23-story condominiums. Mr.
Chaney was responsible for performing Threshold Inspections such as, but not
limited to reinforced masonry, post tension, concrete placement monitoring, red
iron, and all other interior nonstructural inspections.
Watercrest — (Parkland, Florida)
Inspector
This project consisted of the new construction of458 one and two-story single family
homes. Mr. Chaney was responsible for performing Special Inspections, including
reinforcement of slab on grade, unit masonry, roof and wall sheathing, and truss
engineering.
PGCC — (Parkland, Florida)
Inspector
This project consisted of the construction of 386 one and two-story single family
homes. Mr. Chaney was responsible for performing Special Inspections, including
reinforcement of slab on grade, unit masonry, roof and wall sheathing, and truss
engineering.
3550 S. Ocean — (South Palm Beach, Florida)
Inspector
This project consisted of the new construction of a 5-story condominium. Mr. Chaney
was responsible for performing Threshold Inspections such as, but not limited to:
reinforced masonry, post tension, concrete placement monitoring, red iron, and all
other interior nonstructural inspections.
Ron DeSantis, Governor
Julie I. Brown, Se
STATE OF FLORIDA
DEPARTMENT OF BUSINESS AND PROFESSIONAL REGU
BUILDING CODE
TH E STAN DA
PROVISIC
10
0
IRW
ffils iii.111
LISt � 1 R9-R: pV--r42
EXPIRATION DATE: NOVEMBER 30, 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 d.
GFA INTERNATIONAL, INC.
607 Northwest Commodity Cove
Port St. Lucie, Florida 34986
Phone: (772) 489-9989 Fax: (772) 489-2989
TeamGFA.com
DON DETERIVIAN
Building Inspector/Plans Examiner
Mr. Determan has over thirty-seven (37) years of experience
in the building inspections and plan review industry. Mr.
Determan has a comprehensive understanding and
knowledge of the most recent technical building codes and
has ample experience performing field inspections on many
high-rise threshold buildings, as well as various municipal and
special inspection projects.
Select Project Experience
TOWN OF JUPITER BLD001-2013/DG PLAN REVIEW, INSPECTION SERVICES AND
PERMIT TECHNICIANS • JUPITER, FL
• Mr. Determan provides the Town of Jupiter with Plans Review, Inspection Services and
Permitting services on an as -needed basis for projects within the Town of Jupiter.
CITY OF SEBASTIAN PLAN REVIEW & INSPECTIONS • SEBASTIAN, FL
• Mr. Determan provides the City of Sebastian with Plan Review and Inspection Services on an
as -needed bases for projects within the City of Sebastian.
CLARITY POINTE o STUART, FL
This project consists of the new construction of a one-story memory care facility located in
Stuart, Florida with a footprint of approximately 55,000-square feet. Mr. Determan is
performing special inspection services for precast concrete units, engineered unit masonry,
connections, metal systems building, truss erections, weld inspections, and bolt inspections.
AZURE CONDOMINIUMS c PALM BEACH GARDENS, FL
• This project consists of the new construction of two, 5-story residential structures totaling
approximately 575,000-square feet. Mr. Determan is performing threshold inspection
services for reinforcing steel placements, shoring and re -shoring inspection verification,
concrete and grout placement monitoring, pre and post fill cell grouting, structural steel,
welds, connections, and exterior window and door attachments.
ST. LUCIE COUNTY TAX COLLECTOR OFFICE m TRADITION, FL
• This project consists of the new construction of a 1-story, 22,000-square foot building to
Education
A.A., BUSINESS, SACRED HEART
EARLY, IOWA
Professional Registrations
STANDARD INSPECTOR, BN4688
BUILDING INSPECTOR, BN4688
1 & 2 FAMILY DWELLING, BN4688
PLUMBING INSPECTOR, BN4688
STANDARD PLANS EXAMINER, PX2466
BUILDING PLANS EXAMINER, PX2466
house a new St. Lucie County Tax Collector office in the Tradition area of St. Lucie County,
Florida. Mr. Determan is performing special inspections on engineered unit masonry,
connections, weld inspections, bolt inspections, and curtain walls.
SEMINOLE COUNTY RFP-603520-19rTLR Term Contract For Licensed Plans Examiners And Inspection Services
26
STATE OF FLORIDA
DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION
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,
and they keep Florida,s economy strong.
Every day we work to improve the way we do business
in order to serve you better. For information about our
services, please log onto www.myfloridalicense.com.
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.
Our mission at the Department is. License Efficiently,
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
Flrnda STATE OF FLORIDA DEPARTMENT
dupr OF BUSINESS AND PROFESSIONAL
REGULATION
BN4688 ISSUED, 10/29/2021
STANDARD INSPECTOR
DETERMAN, DON L
Signature
LICENSED UNDER CHAPTER 468, FLORIDA STATUTES
EXPIRATION DATE. NOVEMBER 30, 2023
STATE OF FLORIDA
Julie I. Brown, Secretary
DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION
BUILDING CODE ADMINISTRATORS & INSPECTOR
LICENSE NUMBER. BN4688 EXPIRATION DATE. NOVEMBER 30, 2023
THE STANDARD INSPECTOR HEREIN IS CERTIFIED UNDER THE
PROVISIONS OF CHAPTER 468, FLORIDA STATUTES
DETERMAN, DON L
2401 CANOE CREEK LN
FT PIERCE FL 34981
ISSUED.10129/2021 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.
JOSEAN A. DUPREY, E.I.
Inspection Department Manager / Inspector / Plans Examiner
SUMMARY OF QUALIFICATIONS
Mr. Duprey is the Inspections Department Manager for the Port St. Lucie, Florida
branch of GFA International, Inc. Mr. Duprey has over ten years of experience in the
construction industry with extensive knowledge and engineering skills in construction
materials testing and special and threshold inspections. He is also experienced with
performing building plans review.
EXPERIENCE
GFA International, Inc. 2019 - Present
Inspection Department Manager
Mr. Duprey is the current Inspections Department Manager for the Port St. Lucie
branch of GFA International. His responsibilities include managing daily inspections
department operations, performing inspections and plans review as needed,
managing client relations, supervising the inspections staff, and performing project
management for inspections and plans review contracts.
Town of Jupiter Plan Review, Inspection Services & Permit Technicians Continuing
Contract - Jupiter, FL
Contract Manager
Mr. Duprey is serving as the contract manager for GFA's continuing contract with the
Town of Jupiterto provide professional building inspections, plan review services and
Permit Technicians for all town wide construction projects. Mr. Duprey is responsible
for coordinating with the town to provide staff as needed and overseeing GFA's
assigned staff members.
City of Palm Bay Inspections and Plans Review Services Continuing Contract - Palm
Bay, FL
Contract Manager
Mr. Duprey is serving as the contract manager for GFA's continuing contract with the
City of Palm Bay to provide professional building inspections, plan review services for
all city-wide construction projects. Mr. Duprey is responsible for coordinating withthe
City to provide staff as needed and overseeing GFA's assigned staff members.
City of West Palm Beach 2018 - 2019
Building Code Plans Examiner
Mr. Duprey was responsible for performing building plans review services for projects
within the City of West Palm Beach.
ECS Limited 2017 - 2018
Construction Material Staff Project Manager
Mr. Duprey was responsible for overseeing all construction materials staff who were
performing soil densities, concrete testing, fireproof testing, stucco testing, special
and threshold inspections, facilities and building envelope services, geotechnical
services, and environmental services.
GFA International, Inc. www.TeamGFA.com
�eRNATION"
YEARS OF EXPERIENCE
10
YEARS WITH THE FIRM
1
EDUCATION
B.S., CIVIL
ENGINEERING/PROJECT
MANAGEMENT, UNIVERSITY
OF PUERTO RICO —
MAYAGUEZ, 2009
LICENSES &
CERTIFICATIONS
• FLORIDA ENGINEERING
INTERN #2100022345
• STANDARD BUILDING
INSPECTOR, BN7330
• STANDARD BUILDING PLANS
EXAMINER, PX4208
�. Ron DeSantis, Governor
1
:- -�FBPE
FLORIDA BOARD OF
PROFESSMALEWGINEERS
STATE OF • . ,
:•d., OF PDQF-N6.-SJ0,NA—L ENGINEERS
THE • • • • a' r o ♦'�i • •• UNDERED THE
PROVISI • Q d•• I• d 1UTES
DUPm ID 7DRES
. '`* I i•♦♦♦_+: ref {��� ' `,�,
AIN
I • 1
Always verify licenses online at MyFlorldal-icense.com
y
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.
JOHN CARL PETERSON
Building Official / Inspector/ Plan Examiner
SUMMARY OF QUALIFICATIONS
Mr. Peterson has over thirteen years of experience as a Building Official, Code
Administrator, and Building Inspector. He has served as the building official for Saint
Lucie Village, the Village of Indiantown, and has served as a Building Code
Administrator for the St. Lucie County Board of County Commissioners and as a
Building Inspector for Okeechobee County.
EXPERIENCE
GFA International, Inc. 2019 - Present
Inspector
Mr. Peterson currently serves as a Building Official for GFA International, Inc.
Currently, he is overseeing the Village of Indiantown as building official under GFA's
continuing contract.
Village of Indiantown Annual Contract for Uniform Building Code Inspection Services
— Indiantown, FL
Building Official/ Inspector/ Plan Examiner
Under GFA's continuing contract with the Village of Indiantown to provide Uniform
Building Code Inspection Services for village -wide construction projects, Mr. Peterson
serves as the Building Official, provides multi -discipline code compliance inspections,
and multi -discipline plan review services on various projects on an as -needed basis.
St. Lucie County Board of County Commissioners 2012 — 2019
Building Code Administrator
Certifications Building Inspector, Mechanical Inspector, 1&2 Family Inspector, Costal
Inspector, Building Plans Examiner, Mechanical Plans Examiner, 1&2 Family Plans
Examiner, Building Code Administrator, Certified Flood Plain Manager
Okeechobee County, Florida 2008 — 2012
Building Inspector
Certifications Building Inspector, Mechanical Inspector, 1&2 Family Inspector, Costal
Inspector, Building Plans Examiner, Mechanical Plans Examiner, 1&2 Family Plans
Examiner, Building Code Administrator, Contractor Licensing
YEARS OF EXPERIENCE
13
YEARS WITH THE FIRM
<1
EDUCATION
HIGH SCHOOL DIPLOMA
LICENSES &
CERTIFICATIONS
• BUILDING CODE
ADMINISTRATOR, BU1721
• STANDARD BUILDING
INSPECTOR, BN5555
• 1 & 2 FAMILY DWELLING
INSPECTOR, BN5555
• MECHANICAL INSPECTOR,
BN5555
• COASTAL CONSTRUCTION
INSPECTOR, BN5555
• STANDARD BUILDING PLANS
EXAMINER, PX2764
• MECHANICAL PLANS
EXAMINER, PX2764
• STANDARD 1 & 2 FAMILY
DWELLING PLANS, SFP243
• CERTIFIED FLOOD PLAIN
MANAGER, US-16-09103
Ron DeSantis, Governor Julie I. Brown, Secretary
STATE OF FLORIDA
DEPARTMENT OF BUSINESS-AUND PROFESSIONAL REGULATION
BUILDING CODE A04kN.ISTRATO &INSPECTOR
LICENSE NUMBER: BN5555 "EXPIRATION DATE: NOVEMBER 30, 20233
THE STANDARD INSPECTOR HEREIN IS CERTIFIED. UNDER THE
PROVISIONS OF CHAPTER 468, FLORIDA STATUTES
qlfr
PETERSON, JOHN CARL
2300 VIRGINIA AVE
FORT PIERCE FL 34982
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Ron Desantis, Governor Julie I. Brown, Secretary
:STATE OF FLORIDA
DEPARTMENT OF BUSINESS'ANQ PROFESSIONAL REGULATION
BUILDING COIpE AbV�IlIL561TORS'&:INSPECTOR
LICENSE NUMBER: RPX243 EXPIRATION DATE: NOVEMBER 30, 2023
THE STANDARD RESIDENTIAL PLANS EXAMINER HEREIN IS CERTIFIED UNQD R THE
PROVISIONS OF CHAPTER 468, FLOI%IDA STATUTES
PETERSON, JOHN CARL
4404 ARECA PALM DRIVE
FORT PIERCE FL 34982
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ISSUED 09/07/2021 alter this document 1 army form.
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This is your license. ft is unlawful 6 anyone_other tNn` he licensee to use this document
..
Ron DeSantis, Governor Julie I. Brown, Secretary
-STATE OF FLORIDA
DEPARTMENTO.F Bdl1SIPIESS I�R�D PRO 4"IONAEL REGULATION
BUILDING CODE,AO I➢BIaIST'itATORS`J i:INSPECTOR
LICENSE NUMBER: PX2764 EXPIRATION DATE: NOVEMBER 30, 2023
THE STANDARD PLANS EXAMINER HEREIN IS CERTIFIED UNDER THE
PROVISIONS OF CHAPTER 468, FLORIDA STATUTES
PETERSON, JOHN CARL
4404 ARECA PALM DRIVE
FORT PIERCE FL 34982
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•n. c_ ._ ..� ..- .: ___ _ _ .a e_ ..�,....r..1 e... ".e,. 44— Il—nrc... 4....-
1►.:� .in�.....n..b
William MCColman
Inspector
William has 35 years of experience in inspections and construction management.
His areas of expertise include High Velocity Hurricane Zone construction in Dade,
Broward, and Palm Beach Counties; estimating; and coordinating trades, materials,
quality control, and completion of projects in a timely manner. He is a licensed
Florida General Contractor, Home Inspector, and All Lines Adjuster.
William's activities within the industry include serving as an active member on
the Board of Directors of the National Association of Home Builders Non -Union
Apprenticeship program. He was also appointed by the Broward County School
Board's Vocational Technical and Adult Education Director to the Advisory Committee
for the Southeast Florida Builders Apprenticeship program; served on the Broward
County Apprenticeship Craft Committee; and served on the Board of Rules and
Appeals and Planning and Zoning Board in the Township of Ocean Ridge, Palm Beach
County for five years.
PROJECT EXPERIENCE
Track Development Homes
Various locations, Florida
William has provided services for
companies such as Oriole Homes, Cadillac
Fairview, Lennar Homes, Heffler Homes,
and GL Homes.
Spec Home Construction
Ocean Ridge, West Palm Beach, and Boca Raton,
Florida
William has worked from design to
finish on $1 M+ homes. Also conducted
remodeling work on historic homes
and for general remodels from $50K to
$50KOK.
Commercial Project History
Various Locations, Florida
William has completed six Marriott
and Fairfield Inn Hotels in Broward and
Palm Beach counties; schools including
The Benjamin Upper School in Palm
Beach County; and office buildings for
companies such as Weitz Construction
and Presidential Construction.
City of Ft. Lauderdale, Prospect Avenue
Water Plant
Ft. Lauderdale, Florida
William completed the major renovation
and addition for water plant on Prospect
Avenue.
Ron DeSantis, Governor
STATE OF FLORIDA
Julie I. Brown, Secretary
4
DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION
BUILDING CODE ADMINISTRATORS & INSPECTOR
THE STANDAM] NSPECTO.R�N'EREIN=•IS'CERTIFIED UNDER THE
PROVISIONrS?OF�CHAPTER 4;G8;. FLORiDA�STATUTES
BLDG;RESI"
..Iv(IKVL V L`1 !1Hll l } -VtY !_L-41A' '
V Y � t
t' 1Sd81�SE FLINTLO.CKi�RO�AD'
LICENSE,
NUMBER: 1BN7752
EXPIRATION DATE: NOVEMBER 30, 2023
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a . AM
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.
LOCATIONS
A Universal
Engineering
Sciences
Company
Geotechnical Engineering I Construction Materials Testing and Inspections
Building Code Compliance I Environmental, Health & Safety I Facilities Consulting
DONALD GREEN
Building Inspector
SUMMARY OF QUALIFICATIONS
Atlanta. GA
Hagerstown, MD
Pensacola. FL
Buford, GA
Irvine, CA
Port St Lucie, FL
Chantlly, VA
Jacksonville, FL
Reno, IN
Charlotte, NC
Kennesaw, GA
Rockledge, FL
Clewiston, FL
Las Vegas, NV
Sarasota, FL
Daytona, FL
Miami, FL
St Petersburg, FL
Delray Beach, FL
Ocala, FL
Tampa, FL
Douglasville, GA
Orlando, FL
Tifton, GA
Fort Myers, FL
Palm Coast, FL
West Palm Beady, FL
Fort Pierce, FL
Panama City, FL
Gainesville, FL
Pelham, AL
Donald Green is a Building Inspector for GFA's Port St. Lucie branch who specializes in
Electrical Inspections. Mr. Green brings over forty-five years of experience in the
construction industry. He has vast experience providing services on projects from
custom homes to high rise apartment buildings, marinas, and boatyards.
SELECT PROJECT EXPERIENCE
City of West Palm Beach Building Permit Inspections and Plan Review — West Palm
Beach, FL
Electrical Inspector
As part of a continuing contract, GFA provides the City of West Palm Beach with
licensed inspectors and plans examiners on an as -needed basis to provide
supplemental services for various projects located within the City of West Palm Beach.
Mr. Green has provided slab inspections on a 30-story high rise multi -use building as
well as final fire alarm inspections for the City.
Village of Indiantown Annual Contract for Uniform Building Code Inspection Services
— Indiantown, FL
Electrical Inspector
As part of a continuing contract, GFA provides the Village of Indiantown with Building
Official, Building Inspections, Plan Review, and Permitting services on an as -needed
basis to provide supplemental services for various projects located within the Village
of Indiantown. Mr. Green has provided various electrical inspections for projects
located within the Village.
Palm Beach County Continuing Contract for Building Inspection, Plan Review, and
Permit Technician Services — Palm Beach County, FL
Electrical Inspector
As part of a continuing contract, GFA provides Palm Beach County with Building
Inspectors, Plans Examiners, and Permit Technicians on an as -needed basis to provide
supplemental services for various projects located within Palm Beach County. Mr.
Green has provided Electrical Inspections for various projects under this contract. This
includes slabs, TUG meter, electrical rough, LV rough, electrical power on and final,
generator installations, pool bonds, and final pool alarms.
YEARS OF EXPERIENCE
45
YEARS WITH THE FIRM
<1
EDUCATION
HIGH SCHOOL DIPLOMA
LICENSES &
CERTIFICATIONS
• FLORIDA ELECTRICAL
INSPECTOR, BN7301
• FLORIDA ELECTRICAL
CONTRACTOR, EC13007447
STATE OF FLORIDA
DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION
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,
and they keep Florida's economy strong.
Every day we work to improve the way we do business
in order to serve you better. For information about our
services, please log onto www.myfloridalicense.com.
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.
Our mission at the Department is: License Efficiently,
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!
a:j STATE OF FLORIDA DEPARTMENT
,-m
prOF BUSINESS AND PROFESSIONAL
REGULATION
SN7301 ISSUED:09/28/2021
STANDARD INSPECTOR
GREEN, DONALD BARRY
Signatbife
LICENSED UNDER CHAPTER 468, FLORIDA STATUTES
EXPIRATION DATE: NOVEMBER 30, 2023
Ron DeSantis, Governor Julie I. Brown, Secretary
STATE OF FLORIDA
DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION
BUILDING CODE ADMINISTRATORS & INSPECTOR
LICENSE NUMBER: BN7301 EXPIRATION DATE: NOVEMBER 30, 2023
THE STANDARD INSPECTOR HEREIN IS CERTIFIED UNDER THE
PROVISIONS OF CHAPTER 468, FLORIDA STATUTES
GREEN, DONALD BARRY a, Q
1305 WEST 1 ST STREET
FORT PIERCE FL 34982
a
ISSUED: 09/28/2021 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.
GFA INTERNATIONAL, INC.
607 Northwest Commodity Cove
Port St. Lucie, Florida 34986
Phone: (772) 489-9989 Fax: (772) 489-2989
TeamGFA.com
JUAN HERNANDEZ, P.E. Professional Registrations
Mechanical Inspector • STATE OF FLORIDA
Mr. Hernandez is a State of Florida registered professional PROFESSIONAL ENGINEER
engineer who specializes in Mechanical Engineering. He has #52659
over twenty years of experience with Mechanical Engineering,
Mr. Hernandez currently performs Mechanical Inspections for
GFA International, Inc.
Select Project Experience
TOWN OFJUPITER BLD001-2013/1)G PLAN REVIEW, INSPECTION SERVICES AND
PERMIT TECHNICIANS . JUPITER, FL
• Mr. Hernandez is responsible for providing the Town of Jupiter with Plan Review and Building
Inspection services on an as -needed basis for various projects within the Town of Jupiter.
CITY OF FORT PIERCE PLANS REVIEW AND INSPECTIONS a FT. PIERCE, FL
Mr. Hernandez is responsible for providing plan reviewer and building inspections services to
the City of Fort Pierce on anas needed basis for various projects within the City of Fort Pierce.
VILLAGE OF INDIANTOWN i INDIANTOWN, FL
• Mr. Hernandez is responsible for providing plan reviewer and building inspections services to
the Village of Indiantown on an as needed basis for various projects within the Village of
Indiantown.
OCEANSIDE RESORT* INDIANTOWN, FL
• This project consisted of renovations to two existing four-story buildings and a new, two-story
addition totaling approximately 198,886-square feet. GFA provided Private Provider
Inspections services for building, gas, electrical, plumbing, and mechanical disciplines for the
renovation areas and new construction.
GFA International, Inc. www.TeamGFA.com June 26, 2019 39
i-Ron Mantis, Govemor
,
.y FDnPE
FLORIDA BOARD OF
,
PROFESSIONAL ENGINEERS
STATE
OF FLORIDA
BOARD OF P f ]ON ENGINEERS
THE ..• ••'D UNDER THE
f
• • • • Q ' i F • l~ �' •� lTUTES
D(PIRATION1
Always verify licenses online at MyFloridaLicense.com
• • not
This is f�a _
❑ •��y�d. your license. It is unlawful for anyone other than the licensee to use this • •
ISTATE OF FLORIDA
WEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION
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,
and they keep Florida's economy strong.
Every day we work to improve the way we do business
in order to serve you better. For information about our
services, please log onto www.myfloridalicense.com.
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.
Our mission at the Department is: License Efficiently,
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!
F rida STATE OF FLORIDA DEPARTMENT
d; r OF BUSINESS AND PROFESSIONAL
REGULATION
BN7601 ISSUED:09/09/2021
STANDARD INSPECTOR
DESENTZ, PAUL CHRISTOPHER
gnatur
LICENSED UNDER CHAPTER 468 RIDA STATUTES
EXPIRATION DATE: NOVEMB 0, 2023
Ron DeSantis, Governor Julie I. Brown, Secretary
STATE OF FLORIDA
DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION
BUILDING CODE ADMINISTRATORS & INSPECTOR
LICENSE NUMBER: BN7601 EXPIRATION DATE: NOVEMBER 30, 2023
THE STANDARD INSPECTOR HEREIN IS CERTIFIED UNDER THE
PROVISIONS OF CHAPTER 468, FLORIDA STATUTES
DESENTZ, PAUL CHRISTOPHER l
1673 SW HAMPSHIRE LN
PORT ST LUCIE FL 34953
Y
Y
ISSUED: 09/09/2021 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.
GFA INTERNATIONAL, INC.
607 Northwest Commodity Cove
Port St. Lucie, Florida 34986
Phone: (772) 489-9989 Fax: (772) 489-2989
TeamGFA.com
RICHARD JEFFERSON
Building Inspector/Plans Examiner
Mr. Jefferson has over thirty-eight (38) years of experience in the
building inspections and plan review industry. He has served as a
building inspector, plans examiner, and building official for many
` building departments throughout the state of Florida and has a
comprehensive understanding and knowledge of the most recent
technical building codes and has ample experience performing
field inspections, plans review, and building code administrative
services on many high rise threshold buildings, as well as
municipal and special inspection projects.
Select Project Experience
Education
B.S., ELECTRICAL ENGINEERING,
UNIVERSITY OF TEXAS
Professional Registrations
• STANDARD INSPECTOR, BN1164
• BUILDING INSPECTOR, BN1164
• COMMERCIAL ELECTRIC, BN1164
• MECHANICAL INSPECTOR,
BN1164
• PLUMBING INSPECTOR, BN1164
• RESIDENTIAL ELECTRIC, BN1164
• ELECTRIC PLANS EXAMINER,
PX513
• BUILDING CODE ADM INISTATOR,
CITY OF FORT PIERCE PLAN REVIEW AND INSPECTION SERVICES • FT. PIERCE, FL BU1368
• Mr. Jefferson is responsible for providing the City of Fort Pierce with Plan Review and • MODULAR 1 & 2 BUILDING CODE
Inspection services on an as -needed basis for various projects located within the City of Fort ADMINISTRATOR, BU1368
Pierce.
CITY OF SEBASTIAN PLAN REVIEW & INSPECTIONS • SEBASTIAN, FL
• Mr. Jefferson is responsible for providing the City of Sebastian with Plan Review and
Inspection services on an as -needed basis for various projects within the City of Sebastian.
CITY OF ALTAMONTE SPRINGS BUILDING INSPECTIONS AND PLAN REVIEW SERVICES •
ALTAMONTE SPRINGS, FL
• Mr. Jefferson is responsible for providing the City of Altamonte Springs with Plan Review and
Inspection services on an as -needed basis for various projects within the City of Altamonte
Springs.
JOHNS ISLAND CLUBHOUSE • INDIAN RIVER SHORES, FL
This project consisted of the renovation and addition to the existing Johns Island Clubhouse
located in Indian River Shores, Florida. Mr. Jefferson performed private provider and
threshold inspections for building, electrical, mechanical, plumbing, and gas components.
INDIAN RIVER MEDICAL CENTER CANCER CENTER • VERO BEACH, FL
® This project consisted of the new construction of a two-story expansion to the existing cancer
center located at Indian River Medical Center in Vero Beach, Florida. The footprint area is
approximately 14,000-square feet with a second story of about 10,000-square feet. Mr.
Jefferson performed special inspections for concrete work, reinforcing steel, fabricated
structural steel, welding, anchor bolts, high strength bolting, structural masonry, expansion
type anchors, adhesive type anchor bolts, and compacted fill.
GFA International, Inc, www.TeamGFA.com June 26, 2019 25
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OWN
Ron Ddi, d., Gov000r
STATE OF FLORIDA
Julih I, Bfof, %Coday
JEPmTMENT aF ROSINESS AND PR®FESawn REGULAR w
dbt�r
BUILDING CODE
THE ST
INSPECTOR
UNDER THE
UUTES
EXPIRATION DATE:-NOVEMBER 20, 2023
Always ve66y licenses online at lAftridaUcense.com
Do not alter this document In any fomi.
This is your license. It is unlmfol for anyone other than the licensee to use this document.
o n
�I
Clyde Le Thirbenny, BN, PX
Inspector
Clyde serves as a licensed inspector for GFA/UES' Port St. Lucie branch,with more than
a decade of industry experience. He offers a wealth of knowledge to the team with
qualifications encompassing building inspections and plans examination (including
zoning). His expertise ranges from residential inspections to municipal efforts. He is
well -versed in code compliance with FBC, state, local, ADA and city codeson new and
existing structures.
PROJECT EXPERIENCE
GFA International, Inc. - Inspector/Plans
Examiner 2021-present
Port St. Lucie, FL
Mr. Thirbenny currently serves as the Port
St. Lucie location of GFA/UES. Currently, he
performs building inspections and plans
reviews as needed.
Municipal Support: Code Compliance
Stuart, FL
GFA/UES currently holds a contract with
the City of Stuart to provide municipal
support. As an assigned inspector, Mr.
Thirbenny performs inspections across
various locations.
Sovana Stuart Senior Housing:
Threshold Inspections
Stuart, FL
GFA/UES is engaged as a threshold
inspection consultant for the Sovana
Stuart Senior Housing community. Mr.
Thirbenny performs inspections as
needed for this opportunity.
Building Inspections/Evaluations -
Maltz Jupiter Theatre
Jupiter, FL
GFA/UES'Port St. Lucie branch is engaged
as a building inspection consultant for
the Maltz Theatre in Jupiter, Florida.
Mr. Thirbenny performs inspections as
needed for this opportunity.
Threshold Inspections -
Florida Power & Light PGA Office
Complex
Palm Beach Gardens, FL
GFA/UES'Port St. Lucie branch performed
threshold inspections for Florida Power
& Light's Office Complex in Palm Beach
Gardens, Florida. Mr. Thirbenny served as
inspector for this opportunity.
Ron DeSantis, Governor
STATE OF FLORIDA
Julie I. Brown, Secretary
EPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION
BUILDING CODE
THE STAN[
& INSPECTOR
Always verify licenses online at MyFloridaLicense.com
Do not alter this document in any form.
INDER THE
rES
This is your license. It is unlawful for anyone other than the licensee to use this document.
Florida
r
STATE OF FLORIDA
DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION
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,
and they keep Florida's economy strong.
Every day we work to improve the way we do business
in order to serve you better. For information about our
services, please log onto www.myfloridalicense.com.
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.
Our mission at the Department is: License Efficiently,
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!
F nda STATEOFFFLORIDA DEPARTMENT
dL)r ROp"EG,ULATION AND PROFESSIONAL
PX1847 ISSUED: 08/31/2021
STANDARD. PLANS,EXAMINER
THIRBENNY;'GLYDE'
-- Signature": 't
LICENSED UNDER CHAPTER 468;-FLORIDA STATUTES
EXPIRATION DATE: NOVEMBER•30 2023
Ron DeSantis, Governor Julie I. Brown, Secretary
,STATE OF FLORIDA,
DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION
BUILDING CODE ADMINISTRA_ TORS& INSP,CTOR
LICENSE NUMBER: PX1847 EXPIRATION DATE: NOVEMBER 30, 2023
THE STANDARD PLANS EXAMINER'14EREIN.IS.CERTIFIED UNDER THE
PROVISIONS OF CHAPTER 468, FLORIDA STATUTES
THIRBENNY, CLYDE
5388 EADIE PL
WEST PALM BEACH FL 33407
ISSUED: 08/31/2021 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.
Raymond Oscar Gendron
Inspector/Plans Examiner
PROJECT EXPERIENCE
Senior inspector/Plans Examiner
Aspen, Colorado
Senior inspector/Plans Examiner
Hobe Sound, Florida
inspector/Plans Examiner
Stuart, Florida
Inspector/Plans Examiner for the Martin
County Building Department.
Ron DeSalltis, Gc �rr- ,
Julie I. Brown, Secretary
d Flond
..3TATE OF FLORIDA
ur-f"IAT( 11W 1-11 IJ I INLIbb AND PROFESSIONAL REGULATION
ADM, NIISTRAT-ORS &INSPECTOR
'I z I &CERTIFIED UNDER THE
TH;' 11, RECT.0,WHEREIN
CHA -TTER,446, . FLORIVASTATUTIES
V 8
ELEC-,,`B.-LDG-. RESLCCI
A0 R'Pk `M0ND-'-,,0S--JC7A-R
X
P-0,20X 593
,..)i,BE,S6uNo -FL33475,
:CENSENUMBER: BN4955
E. 1:1, -10N DATE: NOVEMBER 30,2023
icenses online at MyFloridaLicense.com
'd: after this document in any form.
This is yo..jr --I
i,.il for anyone other than the licensee to use this document.
sr, 11111j"IfIlull