HomeMy WebLinkAboutPRIVATE PROVIDER CERTIFICATE OF INSPECTION COMPLIANCEMunicipal Services
JURISDICTION:
SCANNED
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Tx YL' St Lucke County
Construction Inspection and Plan Review Expert Testimony
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PERMIT #:> -'� �. • �� INSPECTION DATE:
JOB ADDRESS:
PROJECT/OWNER NAME:
GENERALCONTRACTOR:
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INSPECTOR: —w, Pal . ��i" PRONE##: •-Szv \ - w •- (=, ')C--Q
INSPECTION PERFORMED
INSPECTION SUMMARVCOMMENTS:
INSPECTION CODE INSPECTION RESULT
To the best of my knowledge and belief, as authorized under Florida Statute 553.791 Private Provider, the building components and
site improvements outlined herein and inspected under my authority have been completed in conformance with the currently
adopted codes in effect, and the associated plans and documentation as permitted, by the governing authority. In the event of a
conflict between the codes in effect and the permitted documents, the more restrictive requirements have been applied. Signature
below affirms qualification under s. 553.791 F.S. to provide the inspection services in leatec erein, that the inspections indicated
herein were performed in person and conducted in accordance with the an des in eff!V and as prescribed by the local
authority having jurisdiction.
Printed Name —Arch itect/Engineer/Inspector �Slg ture— itect/Engineer/Inspector
PRIVATE PROVIDER INFORMATION
Firm: Tew & Taylor, Inc. Address: 359 S. County Rd., Palm Beach, FL. 33414 Phone: 561-36 - Fax: 561-366-0107
E Mail: tewandtaylor.com Qualifier: Steven M. Elias License #: AR0015053
Insurance: Commercial General Liability —0185FL0023322-04
359 South County Road, Suite 201 AP9 E r%
Palm Beach, Florida 33480 P
Office:561.366.0100 Fax: 561.366.0107 Email: info@tewandtaylor.com