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Home My WebLink AboutPLANS REVIEW - INSPECTIONt a� 2300 Virginia Avenue w Qfkiec (772) 462-1553 Ft Fierce, FL 34982 0 hax- (772) 462-1148 0 Application for Firiaate PrOvid0a gas FORDS waist; iew I b9peciiolms (A/E Agreement, Revised Iuly 1. _ IX)I - St Lucie County Code Compliance ' ilvi:< r' .PERW1tT #: DATE: 05/04/2018,_ ' STPEET.ADI)RESS: 5059 NORTH HW�nar PIERCE, €L34949 -- Parcel !t; 14146 1 n nn a44 TO: St. Lucie County Building Department FL PE# 47520 / SI# 1061 ihaveelected toutiLiza MICHAE A I ;tLLclinnonNambcr) (Name of state Registered Architect / Engineer) I' M. L. E��If�EERING INCaI,rteriaastatwm) FIR114 NAME: - ---- ".. ADDRESS: 2030 37TH AVE.,VERO BEACH FI 32960 TELEPHONE * 7( 72-5fi9'1257 FAXN 1 772-_569=4941 as a private provider as authorized in s, 553.791, Florida Statutes. I have cIvri A to use this "Private Provider" for: (check all that apply): —PLANS REVIEW; Building, Electrical, :chanianl, , Plumbing. (ArrdavitRequired) I:chanical, _ Plumbing. X INSPE, CTION(s): `Building, Electrical, co FEE SIMME OWN1ER-t I have elected to use one or more private providers to provide buildinp god rs Ilan review and/or inspections services on the building that is the subject of the enclosed permit application, -u iinrhr r ized by Part XII, chapter468, Florida Statutes & s, 553.791, Florida Statutes.I understand that the local budding I: icial m:ty not review the plans submitted or perform the required building inspections to determine <mtpi:, ac with the applicable codes, except to the extent specified in said law. Instead, plans review and/or required t•ttlh I I., inspections shall be performed by licensed or certified personnel identified in the application. The law : t:rtttil r s ninimurn insurance requirements for such personnel, but I understand that I may require more insurance to ;:I lltr: c • my interests. By executing this form, I acknowledge that I have made inquiry regarding the competence of I I c licer:•ed or certified personnel and the level of their insurance and am satisfied that my interests are adequately prou:c:r r I agree to indemnify, defend and hold harmless the local govemmen and i I.: d building ufficial(s) from any and all claims arising from my use of these licensed or can! fled personnel to puri't r buihlu:g code inspection services and/or plans review. with respect to the building that is the subject of the :I • lased penuit application, T understand that if 1 elect to make any changes to the listed private providers or the xcr•• •: es to be provided by those Private. providers, the fee simple.ovmcr I shall, within twenty-four (24) hour•: arw- ay changes, update the Mika to reflect such changes. o FEE simPLF OWNER: GENE ROSS, BRYN MAWR PROPERTY -MANAGER. ---- ----__...... .. ............ rSIGNATORIr.7:• 1! F sltiPLG OWNER) 772-569-9853--___- rI- INFM ELLIOTT MERRILL MANAGEMENT 835 20TH RI . VEROZEAGH#329 (AbURESsj 1x7 (AOURESSJ 121 NOTARY' STATF O1 COUNTY OF The f+/}yr�Cg0ing 1 trutnent was acknowledged before me this" t:as• of AY l 7PlOP / my co mmiSmglm Personally Known V Produced ID eofidemili g: 1' _ Signature of Notary Public — State of N �Z —J1, M A BARRETT MY COMMISSION #FF132752 EXPIRES September 28, 2018 I affirm that I am qualified under chapter 468 or 471, Florida Stam:t:.% um :•t � -vide Sui tf jy@' R is�ian mViehall as authorized by s. 553.791, Florida Statutes pursuant to section I0•I . , 2 I • - -rids iiui u a e w1 W respect t0 the building that is the subject of the enclosed permit application- I un+in::4: r: hat the local building official may not review the plans submitted or perform the requiredbuilding inspecimris ' 1 Determine compliance with the applicable codes, except to the extent specified in said law. 0YER I have reviewed the construction plans] documents to determine compliance'•r• It the applicable codes. I have determined that the plaits reviewed comply with the applicable codes. I ,Accgm ' Il responsihility for rotnpliaune with all provisions of the standard / tcchuical codes and other'pertinent lows i rdinancus. I provide my seal and signature as affidavit under oath, that the following is trueand correct t•.r mo - c • of n1y Intowledge and belief: (a) The plans / documents were reviewed by myself. I am duly audlr'i ii:c:• o perform plan review pursuant to the code and hold the appropriate Licenses or certificates. (b) I am qualified as a plan examiner under Part XQ of Chapter 46v. 11'r' i a Statutes. (c) The plans comply with the applicable codes, standards, statute:, alni ! I: it ordinances or regulatory agency requiretnepts, (d) The plans comply to the laws as to egress, Life Safety Codes, I:• m— nr-r ,niunction and general arrangement and show the structural design. (e) The plans and design conform to the requirements of the technieni c:':: i as tU srxrmgth, stresses, strain and stability, (f) To the best of my knowledge, the plans and specifications cotri:: v w i the applicable minimum building codes and the applicable firo-safety standards as determined b} 1l!c i •t ; I authority in accordance with the Florida Building Code and chapter 633 Florida Statutes. Rilispeegions: I affirm that I am qualified under s. 468 Florida Statutes to provide builrt:rig i r s action services as authorized by s, 553.791, Florida Statutes pursuant to section 104.3.2 Florida Building. Code- I is understood that the undersigned hereby accepts the responsibility for performing all of the required inspernnno- • entitied in this document, t understand that inspections are required as detailed in Section 105 of the I• luT r I. Building Code, the permit card, and as prescribed by the local authority having jurisdiction. I further agree t:. I:,;Id -1 Lucia County harmless for such inspections, and accept responsibility for compliance with all other regt rrma' ; cont-.rined within, Upon completion of the structure, 1 will provide the Building Official It certification that t•r_ : o r.•:. ire, electrical, gas, mechanical and plumbing systems have been erected In accordance with requirements o'. 0W It r : nic:d cadcs_ The undersigned certifies that all work inspected (and approved) will co❑fonry I. all applicable codes and standards; as well as all related permit documents. In the event of any conflict bete ac•n : ' 11s and documents, the more restrictive shall apply. A log shall be maintained of all inspections made• incLr I ! g the date of the inspection, the inspection performed using the permit "hard card" terminology and the ticsip, a. on of either approved or disapproved and an inspection report shall be forwarded to the Building Ucpu: t•• cut within 72-hours of making the inspection. Each inspection report shall bear the seal of the Architect / F nl;:n _"i )erforming, the inspection, along with his / her signature and the date. The permit will expire'unless work ,:t'r i mead (and receives an approved inspection "colored red on the permit hard card, red print indicates a reca r-cc r•. pectinn which satisfies the 180-day requirement") within 180-days (60-days for demolition permits) from tl'r• :•sin.: ate oI'ihe permit. All subsequent inspections shall be made within 180-day time frame prior to permit exp ratin' •. 10 IILLSPECTIONS WALL BE PERFORMED SUBSE ENT TO PERMIT EXPIIRATION, AND NO 1tihPrv'CTIONS WILL BE HANDLA D "AFTER-THR-FACT"'. -- — — o Architect /Engineer; MICHAEL A LUE (PRIMED NAME OF Amhiteet / Engineer) (SIGNATURE' ' :b:'•: •cr! Fnsinccrl 05/04/2018 772-569-12 7 2030 37TH AVE., VERO BEACH, FL 32960 (ADDRESS) .. .. APehitev; eer NOTARYt Seal; STATEOF FLORIDA COUNTY OF rninrnni oni, s yl� The foregoing instrument was c cttT' owledged before me this ,�7d ' of M& By. MICHAEL A. LUE Mycommissionn.,-,rh:: ,J Personally Known _ y Produced 1D a of i entiticai' i11: _ Signature of Notary Public —State of Fl CHRISTINE L JACKMAN My COMMISSION 0 FF062316 8 EXPIRES February 18. 2020 Gt&man Whenever the owner / contractor desires an inspection to be performed', � aw.') a other Chap the above or a St Lucie County Inspector, anew application form must be submitted and approm':'d 9•• :•1 : St Lucie County Building Official or Building Code Supervisor BEFORE the subject inspection (a) is (art • i'I(It 'RMeD The St Lucie County Building Department may at any / all times visit biv ;.on.:•l -action srtr io ensure compliance The St Lucie County Building' ;ulmont may at any/ all times visit tor. con.>i • ( , s,a to ensure compliance and / or for the purpose of spot inspections to verifying construction act t•dn:v. i - in compliance with the construction documents / drawings. Failure to rollow standard operating procedures for inspections for ti 9.e., w County may negate any further approvals foe you or your firm to perform this type of inspection. In addir i n, 3tasornpleQe or inaccuinfe Inspection reports may result in Tailed inspections, work stoppage wart +n. ••srmil expiration. All violators will be referred to the FL. D $ N a: Should you have any gvestionn regarding this procedure, please contact int. c' 6 Building Official or Building Code Supervisor Print Name Signature cic Courtly Building Department t21