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Home My WebLink AboutAPPLICATION FOR PRIVATE PROVIDER�,.:,.--�.•,4� gfbcc (772) 462-1553 Ft Pi Virginia Avenue Ft Pierce, FL349fi2 � IVE® Q � 1�tcc (772) 1 a SCANNED SEP 2 9 2017 �3t I_ucBY Application for Private Provider for FIR J14-) ieW / ZnSped!ORSPERMITTING County (A/E Agreement, Revised July 1. 31it)1 - St. Lucie County, FL St Lucie County Code Compliance Yieile r• PERMIT #: DATE: 08/17/17 Paragon Condominiums, Units 301, 401, 501, & 601, 4400 North Hwy A1A, Ft. Pierce, FL 34949 STREET.ADDRESS: - ---' —" �Parcel To: St, Lucie County Building Department FL PE# 47520 / SI# 1061 1 have elected to utilize MMlchael A -- (Nameo£SmieRegisteredArchitcA/Engineer) .;rate itegi9tmrion Number) (Aa Recgnized In chapter 468, 411, Florida Slaffics) FIRMNAME: M L Engineering, Inc. - ----- ADDRESS: 2030 37th Avenue Vero Beach, FL 32960_ TELEP14ONE ff: 7( 72 ) 569-1257 FAX4 , 772_3 _569-4041 as'a private provider as authorized ins, 553.791, Florida Statutes. I. have clrrl sd to age this "Private Provider" for: (check all that apply): PLANS REVIEW: Building, Electrical, v;.chaaIcal,, __plumbing- (Affidavit (Amdavit Required) INSPECi'ION(s): X Building, ___Electrical, I :chanic:d, _ Plumbing. FEE S114P1,1E OWNER! i have elected to use one or more private providers to provide building , od cs flan raviow and/or inspections services on the building that is the subject of the enclosed permit application, •i5 ii,irh„• ized by Part X11, chapter 469, Florida Statutes & s. 553.791, Florida Statutes. I understand that the local bm Idini, t: ieial tar y not review the plans submitted or perform the required building inspections to determine 1,mpl:a cc with the applicable codes, except to the extent specified in said law. Instead, plans review and/or required t•udd r ., inspections shall be performed by licensed or certified personnel identified in the application. The law: c,iuii :•s Minimum insurance requirements for such personnel, but I understand that I may.require more insurance to , i .n.rc my interests. By executing this form, I acknowledge that I have made inquiry regarding the competence of Ibc liurr:-ed or certified personnel and the level of their insurance and am satisfied that my interests are adequately proem!,. r I agree to indemnify, defend and hold harmless the local govetnmen wi J i :,: d building official(s) from any and all claims arising from my use of these licensed or certified personnel to p rrli r• buiblu•g uode inspection services and/or plans review. With respect to the building that is the subject cf n,e :1 - ioscnl permit application, i understand that if 1 elect to make any ehangos to the listed private providers or the cr ••: es to be provided by those private providers, the fee simple.owner I shall, within twenty-four (24) hou,� :tli,:- •:ny tlaangrs, update the notice to reflect such changes. o FEE simPLF OWNER: Micheal Barber for Paragon Condominium—sWf(SIUNA �!l _�. r (11• II a SIn4PLE r5WNER)- (PRNAME OF FEE2///� SIMPLE OWNER) (DAIS) Keystone Property Management Group 2001 9th Avenue, Ste 3Q8 VBm-Beach EL 32960 (ADDRESS) tx7 (ADDRESS) Commisslon#FF930266 f 121 NOTARY: � � aF Expires uctober 22, 2019 l STA.TEoF ' me.arnNtarr.mw�� C®11F1TN o(F The foregoing Instium we acim�awlcdged before me this %1: of 20aZ .D l�flLc�ca.✓ Mycommis;;innv-.r es:_�ci,/i.tla°ry Personally Known &f Produced ID Type f'demil))'oa Signature of Notary Public-- State o 2 i :72 i�& Z I affirm that I am qualified under chapter 468 or 471, Florida Statu:i:ti :o :,i - •vide building code plan review services as authorized by s. 553.791, Florida Statutes pursuant to section I0•I, , 2 r , -rids Building Code with respect to the building that is the subject of the enclosed permit application. I undvi ai:: r: hat the local building official may not review the plans submitted or perform the required building inspecl:nos ' i eteimine compliance with the applicable codes, except to the extent specified in said law. OVER I have reviewed the construction plans / documents to determine c impbunt:c r• determined that the plates reviewed comply with the applicable codes. I amxl) h the applicable codes. i have ' it responsibility Yor uomplianoe with all provisions of the standard. / technical codes and other'pertineut hn's signature as affidavit under oath, that the following is true -Bud correct t:, Me -e rdinnncus. 1 provide my seal and • of sty lutowledge and belief: (a) The plans I documents were reviewed by myself. I. am duly amlin; i r: the code and hold the appropriate licenses o perfinm plan review pursuant to or certificates. (b) I am qualified as a plan examiner under Part X1I of Chapter• 469, PI. r i a Statutes. (c) The plans comply with the applicable codes, standards, statute:, and I r : tl ordinances or regulatory agency requirements, (d) The plans comply to the laws as to egress, Life Safety Codes, I j : • i:: r nsnvction and general arrangement and show the structural design. (e) The plans and design conform to the requirements of the technit':il c e•C : s as to strength, stresses, strabi and stability, (f) To the best of my knowledge, the plans and specifications conTiv ": 1 the applicable minimum building codes and the applicable fir"afety standards as determined b} I lie i •; ; I amdiority in accordance with the Florida Building Code and chapter 633 Florida Statutes, Inspeedions. I sf{rm that 1 am qualified under s. 468 Florida Statutes to provide buil+':ng i r a ection services as authorized by s. 553.791, Florida Statutes pursuant to section 104.3.2 Florida Building'. Cod+e t is midcistood that the undersigned hereby accepts the responsibility for performing all of the required inspon tow. , en;ilied in this document, I understand that inspections are required as detailed inspection 105 of the I Im r l Building Code, the permit card, and as prescribed by the local authority having jurisdiction.I further agrees: IndJ -I Lucio County barmless for such inspections, and accept responsibility for compliance with all otherregi i-rim,:•,• conmined within. Upon completion ofthe structure, i will provide the Building Official a certification that t•l_ %m i.c . ire, electrical, gas, mechanical and plumbing systems have been erected in accordance with requirements o' :hr. I- t : nictd codes_ The undersigned certifies that all work inspected (and approved) will covrono i. all applicable codes and standards; as well as all related permit documents. In the event of any conflict betw'acn r aI +s and documents, the more restrictive shall apply. A log shall be maintained of all inspections madt• i:icb u I : g t(ie dote of the inspection, the inspection performed using the permit "hard card" terminology and the d,:%ip+ a. on of either approved or disapproved and an inspection report shall be forwarded to the Building Deptct-,ant within 72-hours of making the inspection. Bach inspection report shall bear the seal of the Architect / I op;n -"i terforraing the inspection, along with his / her signature and the date. The permit will expire'unless work •> ,:Cr•r enced (and receives an approved inspection "colored red on the permit hard card, red print indicates a rem ram r, pectiou which satisfies the 180-day requirement") within 180-days (60-days for demolition permits) from tl:r sin.: ate ofibe permit. All subsequent inspections shall be made within 180-day time frame prior to permit expcatior. 10 IriSSPECTIONS WILL BE o Architect/Engineer: Michael Lue (PRINTED NAME OF Architect/Engineer) (MONATURE+P +\�:•r: Fngmccri 08/17/2017 72-569-1257 _ (DATE) (Pni 'al ' 2030 37th Avenue, Vero Beach, FL 32960 (ADDRP,SS) - - .. �••.. - A#01 � CHRIISTINE L JACKMAN NOTAR MYCOMMSSIONOFF9623is STATE ^� __FWk8 bmry16.2020 By ivucnaei /A. Lue Personally Known _— Froducei Signature of Notary Public — State Architect + RWLt leer Seal: me this 17tlaay or August 2017 My commission cz ,err:•: February-IZ,2 Type of identificai'un: Whenever the owner / contractor desires an inspection to be performed `r v an•r•) other than the above or a St Lucie County Inspector, a now application form must be submitted and approv:d h;. I ; St l.ucic County Building Official or Building Code Supervisor 139FORE the subject inspection (s) is (are - I'MI, RM�J) [*l The St Lucie County Building Department may at any / all times visit tm• r.ul 1 aetlon site to ensure compliance The St Lucie County Buildir, panment may at any / all times visit tar c:en sito to ensure compliance t 21 and / or for the purpose of spot inspections construction documeoL4 / drawings. to verifying construction act c•ntr.:.: t • In compliance with the ]Failure to rollow standard operating procedures for inspections for St i.i.0 it County may negate any further approvals for you or your (firm to perform this Hype of inspection. In addiNh'n, Incomplete or inaccurate Inspect ion reports Wray result in failed inspections, work stoppage a:,o �,, =.ermil expiration. All violators will be referred to rho Y I lD p R Should you have any questions regarding this procedure, please contact int. S• - cie County Building Department 0 Building ®fficial or Building Code Supervisor PrintName 5fignature --- lDste