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HomeMy WebLinkAboutLetter - Notice Of Use Of Private ProviderNotice of Building Official of Use of Private Provider Project Name: Creekside Lot # 64, 9205 Potomac Dr. Fort Pierce, =Florida Parcel Tax ID: 2327-502-0072=000-6 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 [have 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, PORT. ST.' LUCIE FL 3.4986 Telephone: (772) 924-3575 Fax: (772) 924-3580 Email Address (optional): gfascheduling(cD-unive'rsalengineering.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 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 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. A` - 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 $1 million per occurrence relating to all services performed as a private provider, including tail coverage for a minimum of 5 years subsequent to the performance of building code inspection services. Individual (signature) Print Name: Address: Telephone No.. Please use appropriate notary block. STATE OF Florida COUNTY OF Brevard Individual Before me, this day of , 20_, personally appeared who executed the foregoing instrument, and acknowledged before me that same was executed for the purposes therein expressed. Corporation DR Horton Inc Print Corporati ame By: (signature) Print Name: Brian W. Davidson Its: Assistant Secretary Address: 1430 Culver Dr NE, Palm Bay, FL 32907 Telephone No. 321-733-7972 Corporation Partnership Print Partnership Name 0 (signature) Print Name: Its: Address: Telephone No.. Before me, this 1 day of February , 2022, personally appeared Brian W. Davidson of DR Horton Inc , a corporation, on behalf of the state corporation, who executed the foregoing instrument and acknowledged before me that same was executed for the purposes therein expressed. Partnership Before me, this day of , 20_, personally appeared partner/agent on behalf of a partnership, who executed the foregoing instrument and acknowledged before me that same was executed for the purposes therein expressed. Personally known V ; or Produced identification Type of identification produced Signature of Notary Print Name Notary Public: NOTARY STAMP BELOW My commission expires: ;i�r;►u+°. DINAPARRINO MY COMMISSION N GG 935643 -Ki EXPIRES: February 27, 2024 2 of 2 F$ ;° Bonded Thou Notary Public Underwriters DR Horton-Creekside Hayden Lot.64. 9205 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 St., Lucie, Florida 34986 Phone: 772-924-3575 - Fax:.. 772-924=3580. Email: ietersonAuniversalen�ineerinc.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. of lant, 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, AM A2, A3H, A4H, El, E2, P1, P2, D1, D2;.D3, WA1, WA2, WA3, WA6, S1, S1.1A, S1:2A, S1.2, S2,:S2.1A, S2:2A, . S3, .SMA, S3.113, S3.1C;- 54,- .S4.21 :55, S5.1A, S6, SN1, . PAT; PA2, PA3, -Florida License/Registration/Certification '#(s) and description: John Carl Peterson RPX 243 Digitally signed.by John Ca r11i�john Carl Peterson (_Pate: 2022.02.18 Peterson oi Signature of Reviewer: :621-0500 SWORN AND SUBSCRIBED befo 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. OgoLihM Signature of Notary Print Name Notary Public.: NOTARYSTAMP BELOW My commission expires: 010 '- . GO NUMBER 0_ , GG 914118 EXPIRES ®: Sept.17, 2041 C� ACC)IRV CERTIFICATE OF LIABILITY INSURANCE DATE(fl.MJDDIYYYY) 2191'2022 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 endorsement(s). PRODUCER Beecher Carlson Insurance Services a Brown & Brown company NUIE: CT Lynda Volpe PHONE Fax 6 Concourse Parkway, Suite 2300 Atlanta, GA 30328ADDRESS: aaAIL L nda.vol a bbrown.com INSURER 3 AFFORDING COVERAGE NAIC x INSURERA: Everest National lnsuranceCompany 10120 www.bbinsuranco.com INSURED GFA International, Inc., DBA Universal Engineering Sciences 35321Ulaggie Blvd INSURERS: Everest Premier Insurance Company 16045 INSURERC: StarStone Specialty Insurance Company 44776 INSURERD: AXIS Surplus insurance Comaarn 26620 INSURERE: Evanston Insurance Company 35378 Orlando FL 32811 INSURERF.- Landmark American Insurance Company 33138 COVERAGES CERTIFICATE NUMBER: i;rs7a1,n7 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. INTR TYPE OF INSURANCE ADD SUB POLICYNUMBER POLICY EFF MMID POLICY EXP MDD fNPIYYY LIPLITS A ❑ COMMERCIAL CIENERAL LIABILITY ❑ p RMSGL00058-221 111/2022 11112023 EACHOCCURRENCE 51000 00 CLAIMS -MADE © OCCUR , $100 000 ❑ MED EXP (Any one rsom S10,000 Blanket Contractual Liability PERSONAL & ADV INJURY $1 000 000 GERLAGGREGATE LIMITAPPLIES PER: GENERAL AGGREGATE S2.000,000 POLICY j 7 E-1LOC PRODUCTS-COMPIOPAGG $2000000 Employee Benefits $1,000 000 OTHER: A AUTOROBILEMAeturY ❑ ❑ RM50A00056.221 1/112022 1/1/2023 DOMBINEDSINGLE LIMrr s 3 000 000 BODILY INJURY (Per person) S ❑ ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS NRE1 NON -OWNED AUTOS ONLY AUTOS ONLY BODILY INJURY (Per accident) S PROPERTYDAMAGE socidenil $ F UaIBRELIAL" PJ OCCUR ❑ p LHAO96670 11112022 1/112023 EACHOCCURRENCE $2,000000 a AGGREGATE s2,000,000 EXCESS LIAR CLAIMS MADE DED I I RETENTIONS $ B 8 WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN OFFICEI�EMB REXCLUDEDXECU7IVE ® NIA p RM5WC00084-221 (AOS) RM5WC00085-221 (FL NJ ME) � 11112022 11112022 1/1/2023 119/2023 ❑ sTA �E OTH- ER E.L.[ACHACC1pENT $1 000000 (Myyaeendalory In NH) E.L. DISEASE -EA EMPLOY $1,000,000 eadbeander DESCRIP ON OF OPERATIONS below E.L. DISEASE- POLICY LIMIT S11,000,000 E Professional Liability MKLV7PL0005114 211t2022 211t2023 Per Claim $5,000,000 Aggregate $5,000,000 C Excess General L'lab. ($4M xs of $1 M) 77102C221ALI 1IM022 11112023 Limit $4,000,000 D I Excess Auto Liability $2M xs of S3M P-001-000769170-01 1 11112022 1/112023 1 Limit $2 000 ODD DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks SchodNlo, may bo altachod It more spacc Is rogo7rcd) Creekside Lot 64, 9205 Potomac Dr. FL Pierce, FL 34945 CERTIFICATE HOLDER CANCELLATION St. Lucie County Building Department 2300 Virginia AVenue SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Port St. Lucie FL 34982 AUTHOR4ZED REPRESENTATIVE ffleeerjet eatirocvr 111414,1( Lice Seva%Cc,7, .em Beecher Carlson Insurance Services, LLC 01988.2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD 66673907 I F_3 22-23 G1T, International, Ire., I Lynda Val Pe 1219.12022 9t43:35 M (_ST) I Page 1 of 1 This certificate cancels and supersedes h�L previo1.1a y issued certificates. ® Geotechnical Engineering �: Construction Materials Testing &Inspection ENGINEERING SCI�E,NCES Building Code Compliance .. Occupational Health &' Safety. ' Environmental , C;rounded in E�xcellettae ' • Building Envelope,. . Alternative Service Agreement Project: DR Horton-Creekside = 9205 Potomac Drive, Fort Pierce, FL 34945-Lot 64 Private Provider Firm: Universal Engineering Sciences Private Provider Name:. John Carl Peterson . Address:.607 Commodity. Cove, Port St..Lucie,.FL 34986 . Phone: (772) 924-3575 Fax:.(772) 924-3580 Names, License/Certificate Numbers, and License. description of provider and duly .authorized agents who will be providing services for this project. Name: License/Certificate No::. License/Certificate Type: Matthew Chaney BN 7342 Inspector— Building Don Dete'rman „ . 'BN 4688. Inspector = Building ..(1 and 2 family), Plumbing: J6sean Duprey, PE 92178 Inspector Building Carl 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 760.1. Inspector =.Building Richard Jefferson BN 1164 Inspector —Building, Electric, Mechanical, Plumbing Clyde Thirberin BN 4046 Inspector _ Building, Mechanical,'Plumbing Raymond Gendron BN 4955 Inspector Buildin1 and 2 family), 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. 1 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 Car S1Digitallysigned by `John Carl Peterson 0 Representative Name: PPtprso11 ` Date:2022.02.09 Signature State of Florida, County of Palm Beach, Sworn to (or.affirmed) and subscribed before me this�day of - .�2 i )cT_,.2021% by.�1(\ who is personally known to me. Printed name of Notary Signature of No'tdry Notary Public Stamp: LINAMARIASIFUENTES CommissM # GO 262173 = Expires September 25, 2022 WMW Reu Troy Fain Insurance 8WM702 ' 4QORQTS CITY OF PORT SAINT LUCIE BUSINESS TAX RECEIPT 6- }a PLEASE POST IN CONSPICIOUS PLACE OR KEEP ON PERSON �ZORIO' Term:10/01I2021 — 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 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. 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 MA,TTHEW CHA,NEY 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 i 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 DARD14- PROVISIO SJ;F Na RS & I NSPECTOI ND UNDER THE V T t b—A. -A UTUTES •,fib ._.. 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 DETERMAN 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 BLD001-2013/1)G 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 a 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. Determa'n 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 o 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 o 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-603520-19/TLR Term Contract For Licensed Plans Examiners And Inspection Services 26 STATE OF FLORPDA 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! Fl nd� STATE OF FLORIDA DEPARTMENT d pr 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 Ron DeSantis, Governor Julie I. Brown, Secretary STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION BUILDING CODE ADMINISTRATORS & INSPECTOR LICENSE NUMBER. BN4688 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 EXPIRATION DATE. NOVEMBER 30, 2023 ISSUED. 10/29/2021 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. 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 ofJupiterto 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 GFAs 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 i 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 1,RNATION" 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 #1100022345 • STANDARD BUILDING INSPECTOR, BN7330 • STANDARD BUILDING PLANS EXAMINER, PX4208 Ron DeSantis, Governor FBPEL s FLOR IDAKMI-M OARD . STATE OF FLORIDA BOARD OF ..Q eL ENGINEERS THE PR'OF'ESSIO ER I ED UNDER THE 6 i '"7 i ® - A e • ' ' ® DRES 1'L' •� EXPiRATONs 1 Always verify licenses . . .. y • not.alterdocument in any form. .z— This is your license. It is unlawful for anyone other than the licensee to use this document. r. JOHN CAPL 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 fF)?N/AT10"'4' 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 SATE OF FLORIDA DEPARTMENT OF BUSINESSVNI) PROFESSIONAL REGULATION BUILDING Cobt'"t"IStItATQRS4,114SPECTOR ER 30 2023 LICENSE NUMBER: BN5555 ON ®ATE: NO�EMB THE STANDARD INSPECTOR HEREIN IS CERTIFIED UNDER THE PROVISIONS OF CHAPTER 468, FLORIDA STATl1TE5 PETERSON, JOHN CARL 2300 VIRGINIA AVE ; FORT PIERCE FL 34982 ',Ir:, 8 • �� Always verify licenses online at'MyFioridaUcense corn ISSUED:09/07/2021 Do net*4 this document 16 anyfonn• This is your license. It is unlawful for anyone other than the licensee m use this document Ron DeSantis, Governor Julie I. Brown, Secretary :STATE 6F FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION BUILDING WOE A0,4ll4ISTltIoITORSR `&INSPECTO ry LICENSE NUMBER: RPX243 EXPIRATION DATE: NOVEMBER 30, 2023 THE STANDARD RESIDENTIAL PLANS EXAMINER HEREIN IS CERTIFIED UNDER THE i PROVISIONS OF CHAPTER 468, "WDA STAl UTES PETERSON. JOHN CARL 4404 ARECA PALM DRIVE FORT PIERCE FL 34982 Always Verify. ficenWsonline at MyFtgr daucen5e con ISSUED: 09/07/2021 Do iivt. k document in form. This is your license. It Is unlawful for` tlian'tiie lilice►uee to use this document Ron Mantis, Governor Julie I. Brown, Secretary STATE. OF. FLORIDA DEPARTMENT OF BUSINESS'AND PROFESSIONAL REGULATION BUILDING COMA 140figAINSPEC OR LICENSE NUMBER: PX2764 Extnpt .'61 oN 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 ISSUED: 09/07/2021 Always verify licenses online at MyFioridaLieense com Do not after this document in any form. 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 $1M+ 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 DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION BUILDING CODE ADM;INISTR-ATORS & INSPECTOR THE STANDARD-]NSPECTOR'MEREIN1S CERTIFIED UNDER THE PROVISiONSOF�CHAPTER.4;68;yFLORIDATATUTES BLDG, REST` LICENSEAUMBER:-BN7752 - - 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 document. 4DA Universal Engineering Sciences Company Geotechnlcal Engineering I Construction Materials Testing and Inspections Building Code Compliance I Environmental, Health & Safety I Facilities Consulting DONALD GREEN Building Inspector LOCATIONS Atlanta. GA Hagerstown. MD Pensacola. FL Buford, GA Irvine, CA Port St Lucie, FL Chantilly, VA Jacksonville, FL Reno, NV Charlotte, NC Kennesaw, GA Rockledge, FL Clewiston, FL Las Vegas, NV Sarasota, FL Daytona, FL Miami. Fl St. Petersburg, FL Defray Beach, FL Ocala, FL' Tampa, FL Douglasville, GA Orlando, FL Tifton, GA Fort Myers, FL Palm Coast, FL West Palm Beach, FL Fort Plerce. FL Panama City, FL Gainesville, FL Pelham, AL SUMMARY OF QUALIFICATIONS ' Donald Green is a Building Inspector for GFArs 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! i STATE OF FLORIDA DEPARTMENT db31 pmr OF BUSWESS ULAT ON AND PROFESSIONAL SN7301 STANDARD INSPECTOR GREEN, DONALD BARRY LICENSED UNDER ( EXPIRATION DATE: ISSUED:09/28/2021 FLORIDA STATUTES 30, 2023 Ron DeSantis, Governor f 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 �� ❑� 1305 WEST 1 ST STREET FORT PIERCE FL 34982 I ISSUED: 09/28/2021 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 �RNATID�P 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 OF JUPITER BLD001-2013/DG 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 • FT. PIERCE, FL • Mr. Hernandez is responsible for providing plan reviewer and building inspections services to the City of Fort Pierce on an as needed basis for various projects within the City of Fort Pierce. VILLAGE OF INDIANTOWN • 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 1 June 26, 2019 39 STATE OF FLORIDA BOARD OF THE PROFES. PROVISI I,�- 0 { Asf ENGINEERS , VED UNDER THE AwS LATUTES Yi EXPIRATION DATE: FEBRUARY 28, 2023 Always verify licenses online at MyFloridaLicense.com 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. FBFE FLORIDA BOARD OF PROFESSIONAL ENGINEERS 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 IF-lodd STATE OF FLORIDA DEPARTMENT do'pr 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 STATE OF FLORIDA Julie I. Brown, Secretary 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 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 'yfi 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 o 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 Run VionSis, Gomm STATE OF FLORIDA hhe I. stum, kuebry Arm TMENTOFBUSINESSANDPROFESSIOmREGUlAI`i0N THE STD & INSPECTOR UDDER THE UTES I EXPIRA71ON DATE,-NOVEMRER 30, 2023 Always vdy licenses online at MyNddaUcense,com a �a • Do not alter this document In any form. gas-This Is your license. It is unlawful for anyone other than the licensee to use this document. � i, � .. 0 M es Clyde L. 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. ` r r : d "'A Ron DeSantis, Governor STATE OF FLORIDA Julie I. Brown, Secretary DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION BUILDING CODE THE S" & INSPECTOR Always verify licenses online at MyFloridal-icense.com Do not alter this document in any form. )NDER THE TES This is your license. It is unlawful for anyone other than the licensee to use this document. Florida olor i STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSI6NAL REGULATION 0 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 E STATE.6F FLORIDA DEPARTMENT dCIP'puF rida� REGULATION AND -PROFESSIONAL PX1847 Y ISS_UEb:08/31/2021 STANDARD PLANS;EXAMINER THIRBENNY; CLYDE` LICENSED UNDER CHAPTER 468 FLORIDA STATUTES EXPIRATION DATE: NOVEMBER>30 2023 DEPARTMENT.OF BUSINESS AND PROFESSIONAL R BUILDING COPE AQMINISTRATORS & INSPE! LICENSE NUMBER: PX1847 Y EXPIRATIC THE STANDARD PLANS EXAM INER`HEREIN, IS CERTIFIED UNDER THE .sx ,. PROVISIONS OF CHAPTER 468 FLORIDA STATUTES THIRBENNY, CLYDE 5388 EADIE P.L WEST PALM BEACH FL 33407 Julie I. Brown, Secretary TION DATE: NOVEMBER 30, 2023 i " i 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. 0 Ron DeSantis, Go rrt- - Julie I. Brown, Secretary d "0 ro,'o ITATE OF FLORIDA INESS AND PROFESSIONAL REGULATION INSPECTOR THI- CERTIFIED UNDER THE CHA, uTpz_ EIR 468, FLORIDA-STATUTES ELEC,;-BLDG' REST, M ;-GSS'C---A'R P.020X- 593 F! -'-")i,B.E SOUND ft -33475 :CIENSE"NUMBER: BN4955 DATE: N MBER 30,2023 icenses online at MyFloridaLicense.com .:d: alter this document in any form. This .:": .1 : . i.1 -:11 ".11 for anyone other than the licensee to use this document. Mmlilxmj� 1EM11I I till W;1; 111111141: IMI M.': HIM -A klWaIJ!