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Home My WebLink AboutPLAN REVIEWI DATE: STP BET ADDRESS: Parcel U* Inspecdons STff6tagljWjjtW CODE COMPIA A, 2300 Virginia Avenuc Ft Pierce$ VL 34982 j)�.VISION SCANNED BY St. Lucie Count, (-)Ffjco (172) 462-1551 pwtm (772) 462-1148 Application for Privato PrOTMOV 10T Plallbs lkc�"'ew (AISARreement.Revised July 1. 21101 St Lucie county Code Compliance ".)wk 4" TO: St. Lucie County B1111dial 1 9 D&Pultaagut I have elected to UtiilzC! jawa-i (Nama orStda Reallstoted Aralt6al / Enfflnecr) rc;Vnd I� chapter 468,47 1, Ftodda St IFIRM NAME: r, . ZIP ADDRESS: FAX H TELEPHONE A 3 r� IF) 9--_ L-� as a private provider a$ authorized In Is. 553.791, Florida Statutc". thavc-ulvd.ldb) usothi . s'Trivata Frovider" for: (ch*CU sit that 2PPIY)-4 I I lumbing. PLANS REVIEW: _.pullding, ___7' 0111davitIt-quirdd) V Nsprscmov Building, Electrical, IUDI 319V rEs simmm owmEIR.- I have elected to use one or In= Private providers to provide, buildinp i.odrl, ilanreviowod/Qrinspeotlonsservic0s on the building that Is -the subject okthe enclosed permit OPPIloatic",4F jillou I. [zed by Part X11, chapter 468, Florida statutca & s. 553.79 1, Florida Statutes. I understand that the local. bul to I III, I: 'total ality 1110treview the plans submitted or Perf0ml the required building Inspections to determirfe,:j III If, 1:.) Lowith the applicable codDs,exc0t to the extent specified In said law. Instcad� planfI review and/or requircil t-luld I , inspeoijons ahall be performed by licensed or certified pernan-flel identified in the appli6atloh. The law: uollh ', imult, insurance requirements for .. nin such pzrsonnal, but I understand that I may require morc Insurance to vIOU"." MY Iritt, esK By executing this form, I acknowledge that I have made inquiry regarding the compotonce of I lie licc r:.ed or cetrifited personnel and the level of their Insurance and am satisfied that thy interests are allaquakly prowr!l c f agree to indemnify, defend und hold harmless the local govorrunen and i I,: it building official(s) from any and all clalms arising fi�om my usoof these Uconsadorceniflodpersunnal to purft r, buildir-9 code inspectW services andtur plans review. 'With respect to the building that is the subject (If, Ile: 1. ios(Id periult applicatlon, I understAnd illat jr, elect to truite any ahoLnges to the listed private provider-, or the qcr---: os to be provided by those private proy[ders, the fee simplo..owner I shall, within twont�-four.(24) hojjj_� c.jlanges, update the notice to reflect such chotligos. 0, IrvE SXMPLV OWNER: AIR CA 444 81 A ( ARIM N_A_M@FO IMVL OWNER) 21v by/ [AVI)RES5) �;?Afie P440, YAW 1304tvi-I�Wl- _A�6a (ADDRESS) 121 �NCTARV: STATE OF COUNTY —TndL" A�W—y fore me thiae-l� W, J Ur 2 Fo�� AU11E 410� X. -1 e 91 By Pon no reduced T eofldewii! ,ona Signaw of Notary p 1, S ETT All". Sbalea -AZARR MY COM My MISSION #FF132752 PLAT�- 0 1DAVWIT FOR I's � EXI ]RES September 28, 2018 I affirm Witi am qualified under chapter 468 or 471, Florida Statu:c-!, m :,,- as authorized by s. 553.791, Florida Statutes pursuant to section 10-1.1 2 V,,ridaBuildirig Code with respect to the building that is the subject of the enclosed permit application. I hat JJJF; lociLl building official may not review the plans submitted or perform the required building inspec :of is' i etermitic compliance with the applicable codes, except to %be extent specified in said law, Q VER I have reviewed the constructio, —is I documents to determine c6mpl1;1r11.-.0 ipplicable codes, I have determined that the plans reviewed comply with the applicable codes. I �;txqi with all provisions ofthe standard I technical codesand lam� rcspon�jbjlity for compheriec, other'pertinent -.,, signature as affidavit under oath, that the following is true, and correct t..i mo, . Q. i rdinancus. I provide my seal and of.,oyloiowledge and belief; (a) The plans I documents were reviewed Sy ynysclE i am duly auilim 0 perfoim plan review pursuant to the code and hold the appropriate licenses or certificates. (b) I am qualified as a plan examiner under Part XH of Chap6�ir 46-9. 1.*1,)* i a Statutus, (c) no plans comply with the applicable codes, standards, statute.,, ;t1kd ! i: it ordinitaices or regulatory agency requircinapts, (d) The plans comply tothe laws as to egress, Life Safety Codes, 1�-ry ti�'t nitji3ctiort�indgencralarrangemant and show the structural design. (e) The plans and design conform to the requirements of the technic;1l c:-c: i as it) 8"XOngth, stresses, strain and stability. W To the best ofmy knowledge, the plans and specifications corpplv ve i ttiD applicable. minimum building codes alad the applicable fir"arety standards as determined k,, ilit; t.;; I authority in accordance with the Florida Building Code and chapter 633 Florida Statutes, I affirm that I vim qualified under s. 468 Florida Statutes to provide builrluy, it'; ectimn services as authorized by s. 553.791, Florida Statutes pursuant to section 104.3.2 Florida Building. ('m% Lis undoxscoodthatthe undersigned hereby accepts the responsibility for performing all of the required inslictnion.,- , einji lied in this document. I understand that inspections are, required as detailed in Section 105 of the I- lot i I. Building Code, the permit card, and as prescribed bythe local authority havIngjuriodicrion. I fluther agree t,� 1: 11 It I -I Luc io C ourity harmless for such inspections, -and accept responsibility for compliance with all other recit t-i-nur 1 , contained within. Upon completion oftlie structure, I will provide the Building Official a certification tbatt,%e :,it i.c. ire, electrical, gas, mechanical and plumbing systems have been erected in accordance with requirements W !Iia 1, t: nical cojus- The undersigned cortifies that all work inspected (and approved) will coi-fortr 1. all applicable codes and standards; as well as all related permit documents. In the evertt of any conflict betv,-,;Q1i is and documents, the more restrictive shall apply. A log shall be maintained of all inspections rnadv inciri 1 ! g the deke of the inspection, the inspection performed using the permit "hard carill, terminology and the on of either approved or disapproved and an inspection report shall be forwarded to the Building I)C111,171" Lent within 12-hours of making the inspection. Each inspection report shall bear the seal of the Arcliltaut If )erforming the inspection, along with his I her signature and the date. The permit will eXpir0'Ur1Ie33 Work enced (wid receives an approved inspection "colored red on the permit hard card, red print indicates a relil 1"'M T'. fi=iOtl which satisfies the I 80-day requiremenf) within I 80-days (60-days for demolition permits) firom. 1:1-t- :-ri i... :eto o Fib e pe,, rtiit. All subsequent inspections shall be made within 180-day time frame prior to permit expiniti(w. jQ IrLSPHCTIONS WML BF TP—RIN-MID NAME OF Arbliftect / linginiFer) (D A) NOTARY� STATE OF COUNTY( The f ByM Signature of Notary Areliftec-f -'ICrtz,. ieeir Seah I before me this 119�y my commission, A pe;f, .j Produced ID Type of itiltntificak1w *� 0� —State of #FF029783 20.2017 Whenever the owner i contractor desires an inspection to'be performed *r� mr�-) � othor lbart the above or a St Lucie County Inspector, a new application form must be submitted and apiprovt-d h-, :,i.t Stl.ucic County Building Official or Building Code Supervisor BEFORE the subject inspection (a) is (arc - V1 11�:-: 'WO) The St Lucie County Build;ng Department may at any/ all times visit t-11- sitt. to ensure compliance The St Lucie County Building 7 artment may at any / all times visit t.,,. 'I'm 51tv 10 ensure compliance 121 and / or for the purpose of spot ' ections to verifying construction act :ompliance with the construction document--, / drawings. Failure to fellow standard operating procedures for Inspections for Si i, County may negate any further approvals for you or your firm to perform this type of inspection. In addi,i-- n, Incomplete or inaccurate inspection reports may result in failed inspections, Work Stoppage a:0 1 w -'-ermil expiration. All violators will be referred to (lie FL, DB�Pjl, Should you have any questicm.q regarding this procedure, please contact in.- �z, ' ajo Co,-,nty auild;ng Department 0 Building Official or Building Code Supervisor Print Name Date