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HomeMy WebLinkAboutPLANS REVIEW-INSPECTIONSS7 L U(CIIIE C14-F1AdN 1['1Y CODE eCOMPLl /� N( 9.VNI ON I 2300 Virginia Avenue Ft fierce, FL 34982 Ofticr. (772) 462-1553 lrtt_x (772) 462-1149 Application forPrivate Provider for 212118 tic; iew I lnsPect'sollns (A!E Agreement, Revised July 1. _ p01. St Lucie County Code Compliance 171vi:; r .PERMIT #: DATE: 05/04/2018 . STREET.ADDRESS: 5055 NORTH HWYA1A FnRT PI€RCI= €--34949 --- Parcel N: 14146 100009999 — 0 JCt� TO: St. Lucie County BuildingDepartmcnt FL PE# 47520 / SI# 1061 lhave elected coutilize .NIGH E alelte,ilralianNembcr) (Nameof State RegistCfed Architect/Engineer) I' co imd In chapter 458, 471, rlodda Statutes) FIRMNAME: M. L. E If EERING INC. ADDRESS: 2030 37TH AVE.,VERO BEACH_El 32960 ----- TEI-BPHONE tr: 7 9-1257 FAX# 1 772-.5.69=41)41 as a private provider as authorized in s. 553.791, Florida Statutes. 1 h:,vc• cl:•rl sd to uuo tliis "Private Provider" for: (check all that apply): PLANS REVIEW: Building, lcctrical, „ v;:chanical,• Plumbing. (Affidavit Required) X INSPECTION(s): _Building,^Electrical, l:chanical, _ Plumbing. FEE SIMPLE OWNER: I have elected to use one or more private providers to provide buildiol. Lodrs flan review and/or inspections services on the building that is the subject of the enclosed permit application, as iiurL, ized by Part XII, chapter 469, Florida Statutes & s. 553.791, Florida Statutes. I understand that the local bulltitnl-. t: icial may not review the plans submitted or perform the required building inspections to determine .: nlnpl:.) ec with the applicable codes, except to the extent specified in said law. Instead, plans review and/or required t•whl I ., inspections shall be performed by licensed or certified personnel identified in the application. The law av,nlil :•s ninimuin insurance requirements for such personnel, but I understand that i may require more insurance to in else' my interests. By executing this form, I acknowledge that I have made inquiryregarding the competence of I I tit:t r:•cd or certified personnel and the level of their insurance and am satisfied that my interests are adequately prwrca r I agree to indemnify, defend and hold harmless the local governmen wid i ,-: d building official(s) from any.arnd all claims arising from my use of these licensed or certified personnel to imrl't r' buiida;g code inspection services that is the subject of n e : I - lited penuit application, i understand and/or plans review. With respect to the building drat if I elect to make any changes to the listed private providers or thr .cr •• •! es to be provided by those private . providers, the fee simple.owncr I shall, within twenty-four (24) hour,l ntic- •:ny changes, update the notice to reflect such changes. n FEE simPLY, OWNER - GENE ROSS, BRYN MAWR PROP TY MANAGER NUiNw'rll ltl • 0" 1 ! n SIn4PLE OWNER) 772-569-9$53—__- rl. INEM ELLIOTT MERRILL MANAGEMENT 835 201H Pl . VERO-B€AGH-,—F 96� (ADDRESS) tx7 (21 NOTARY : STATE O1 glOyl COUNTY OV IJe4l Tits foroiog instry¢ -ant wwas ackaowlcdged before me this I Gap of lay L7�Y12 ( mycotnmisxmatext. •es: 1 Personally Known Fmduced ID��'—� T f ids i t icar Signature of Notary Public — State LAJI•ICIIoff Q �q: DA LLLL 1CO REV i EW: '• i JULIE A BARRETT MY COMMISSION #FF132752 ' EXPIRES September 28, 2018 I affirm that l am qualified under chapter 468 or 471, FloridaStatu,c:. m rI. -vide h (ovtA plattt{�tygygt�� }f acom as authorized by s. 553.791, Florida Statutes pursuant to section 104.1 2 I' i •ride liu�ittg' enda'witirrespeet'•nrtn�— building that is the subject of the enclosed permit appiication. I undo xL: r: hat the loved building official may not review the plans submitted or perform the required building inspecimris , r eter-mine compliance with the applicable codes, except to the extent specified in said law, 0VER I have reviewed the construction plans/ documents to determine complruo:c •, h the applicable codes. i have determined that the plans reviewed comply with the applicable codes. I at:celt ' 11 resr compliance ponsihiVity fo with all provisions of the standard / technical codes and other'pertinent la+vs rdinanecs. I litYPrOfoamy seal and signature as affidavit under oath, that the following is ITua and correct ti t:ic . r. of my IQ,owledge and belief: (a) The plans / documents were reviewed Sy myself. ! am duly autlim i c•: o perfnrm plan review, pursuant to the code and hold the appropriate licenses or certificates. (b) I am qualified as a plan examiner under Part XII of Chapter 46 v, 19i r i a Statutes. (a) The plans comply with the applicable codes, Standards, stahtteN and I i s it mtiinarices or regulatory agency requirements. (d) The plans comply to the laws as to egress, Life Safety Codes, 1-•-pv nb; msnvction and general arrangement and show the structural design. (a) The plans and design conform to the requirements of the techri and cc-i: i as to strength, stresses, strain and stability, (f) To the best of my knowledge, the plans and specifications corplily i the applicable minimum building codes and the applicable fire -safety standards as determined b� iht: i.t ; i authority in accordance with the Florida Building Code and chapter 653 Florida Statutes, )(AiSfli4:Qffl61R5: I affirm that I am qualified under s. 468 Florida Statutes to provide buitrImp,, i r; ection services as authorized by s. 553.791, Florida Statutes pursuant to section 104.3.2 Florida Building. Cod,- t is undcrscood that the undersigned hereby accepts the responsibility for performing all of the required inspcchon:- - entilied in this document, t understand that inspections are required as detailed in Section 105 of the I• loi i I. Building Code, the permit card, and as prescribed by the local authority having jurisdiction. I further agree t,i I:,:Ii 1 -1 Lucia County harmless for such Inspections, and accept responsibility for compliance with all other regi rrw,r : • contained within. Upon completion of the structure, I will provide the Building Official a certification tbatt,w Nn i.•:. ire, clecrrical, gas, mechanical and plumbing systems have been erected In accordance with requirements o::ln: i, t : nical codes. The undersigned certifies that all work inspected (and approved) will conform I. all applicable codes and standards; as well as all related permit documents. in the event of any conflict betv,ecn :• ! :s and documents, the more restrictive shall apply. A log shall be maintained of all inspections made- i:iel'i I : g the date of the inspection, the inspection performed using the permit "hard card" terminology and the dc%: p, a. on of either approved or disapproved and an inspection report shall be forwarded to the Building 1)entut- lent within 72-hours of making the inspection. Each inspection report shall bear the seal of the Architect /F'ti•,:n_•1 rerformingthe inspection, along with his / her signature and the date. The permit will expire'unless work •,:r.,.l. enced (:md receives an approved inspection "colored red on the perm It bard card, red print indicates a recu -a r. portion which satisfies the 180-day requirement") within Igo -days (60-days for demolition permits) from t1w :,sir..: ate ol'the permit All subsequent inspections shallbemade within 180-day time framepriortopermit expirutiro•. •40INSPECTIONS WILL HE PERFORMED SUBSEQUENT TO PERMIT EXPIRATION, AND NO Iti:--PECTIONS WILL BE © Architect/Engineer: MICHAEL A. LUE (PRINTED NAME OF Architect/Engineer) (StGNATUR "' :urrct/Fngin 05/04/2018 772-569-1 57 1 (DATP (pin INI 2030 37TH AVE., VERO BEACH, FL 32960 (ADDRP,SS) .. - Architect 1 utrut:: leer CHRISTINE L JACKMAN NOTARY4 Seal: " MY COMMISSION N FF%2316 STATEOF FLORIDA EXPIRES Fedueryie.2o10 COUNTY OF 11,1g � _ %� wr o8aa m Fnw a. l; rm The foregoing instrument was ac&nuwledgcd before ma this _ day o+ �001 g By MICHAELA.LUE SN onr.N-vvr: ��0020 Personally Known __�.� Produced ID Icai it. Signature of Notary Public — State of R Whenever the owner / contractor desires an inspection to be performed 'r. uothorlhao the above or a St Lucie l County Inspector, a now application form must be submitted and approvt ci :y :,i: St Lucie County Building Official or Building Code Supervisor BEFORE the subject inspection (s) is (are i'I il+ : 'RME.I) The St Lucie County Building Department may at any / all times visit bit coo-:-i -action sin, Io ensure compliance The St Lucie County Building' t,tment may at any / all times visit t•n i:.orv> •,,. t21 and / or for the purpose of spot i,r�Nections to verifying construction act d,c i in compliance with the compliance construction documents4 / drawings. Failure to rollow standard operating procedures for inspections for �r t.e., it County may negate any further approvals for you or your farm to perform this type of inspection, In addi' i` n, iaceiapleto or inaccticate Inspection reports may mule in failed inspections, work stoppage wui 1 w I-ermii expiration, All violators will he referred to the t;r._ rn % m to Sl,euld you have any qucationa regarding this procedure, please contact rot- u ' cic County Building Department 0 ElUilding Official or Building Code Supervisor Name Signature — -- — $Dette