Loading...
HomeMy WebLinkAboutAPPLICATION FOR PLANS REVIEW-INSPECTIONSST LNM COUNTY CODS office. (772) 462-1553 ),Itx (i72) 462-1148 AUG 0 2 2018 ST Lucie County, perfnitEhi� PP 16atloel for Private ?Todidew for Man"' liar; iew I Inspections (A/g Agreement. Revised July 1. _ 1t0 l . St Lucie County Code Compliance ]"'!4 t' 1'ERMtT #: DATE: 06-04-18_ _ STREET ADDRESS: 4200 N HWY A1A, UNIT 1009 FT. -PIERCE, FL 34949 --" —' Parcel li: 1423-501-0169-000-2 TO: St. Lucie County Building Department MICHAEL A LUE FL PE# 47520 / SI# 1061 l have elected to utilize ;unc jt aisiiatton Number) (Name of. State Reojlnored Arcl ltat / Engtnecr) (As meognized is chapter 468, 471, Florida Statutes) rmm NAME: M. L. ENGINEERING, INC. _ ------ ADDRESS_ 2030 37TH AVENUE VERO BEACH, FL 32960 TELEPHONE H•: (7569-1257 FAX 4 772) _ 569-4041 �72, as a private provider as authorized in s. 553.791, Florida Statutes. I have uk-N sd to use this "Private Provider" for: (check all that apply): PLANS REVIEW: Building,�Elcctrical, „ ' ;:chznical,,_ Plumbing (Affidavit Required) t.I :chanlcal, _ Plumbing. X INSPPCTION(s): �Building,Elecfrical, FEE StMPlLIE OWNER. I have elected to use one or more private providers to provide buildings tud r:. don review and/or inspections services on the building that lathe subject of the enclosed permit application, ns li„rty r ized by Pad X1I, chapter 468, Florida Statutes & s. 553.791, Florida Statutes. I understand that the local bm Iduttt 1: LOW m;ry not review the plans submitted or perform the required building inspections to determine 1 rrnpi:a x with the applicable codes, except to the extent specified in said law. Instead, plans review and/or required I.uiRl t _ inspections shall be performed by licensed or certified personnel identified in the application. The law . cwfil t•s ninimuto insurance requirements for such personnel, but I understand that I may require more insurance to pt .m.cc my interests. By executing this form, I acknowledge that I have made inquiry regarding the competence of I he liar: ed or cetifed personnel and the level o£their insurance and am satisfied thatmy interests are adequately pndre!: r I agree to indemnify, defend and hold harmless the local governmen anJ i v: d building official(s) from any and all claims arising from my use of these licensed or certified personnel to p crfi r• buildu:g code inspection services and/or plans review. With respect to the building that is the subject cl'tltc : i - loscd permit application, ) understand that if 1 elect to make any changes to the listed private providers or the �cr­: es to be provided by those private providers, the fec eunple.owner I shall, within twenty-four (24) hour-, %,,t1..ny changes, update the notice to reflect such changes. © FEE SIMPLY, OWNSR- MR. GENE ROSS, OCEAN HARBOR SOUTH PROPERTY MANAGER (PRShtYNAh:tE OFF ESItvIP EOWNER) (SIUNATIna•o+ i!ESIn4PLE i)WNER) t u( -t 772-569-985.3 '; I , 'NE U:) (DA"rG) ELLIOTT MERRILL COMMUNITY MANAGEMENT, 835 20.TH.PIACZ-,A1E-R9-BEACH , FL 32E txl (ADURflss) (A�URESS) - • NOTARY - STATE OF COU IdTY C I The friregoing instrument was acknowledged before me this,C:wy of Ry rw- Q¢>SS Mycommis::;rIII e::r 1'er3nnal own Produced ID Type ofidemilic:u•I Signatur of otary Pub13c-- tate of [23 It JR.11- A BARRETT MY COMMISSION #FF132752 EXPIRES September 28, 2018 I afflnn thaUam qualified under chapter 468 or 471, Florida Statu:c:, tc Cn -vide 9uii0ing ea e p an revte as authorized by s, 553.791, Florida Statutes pursuant to section 10.1 z ,,rida Building Code with respect to the build big that is the subject of the enclosed permit application. I unllrr.•:b: r: hat Iltc local building official may not review the plans submitted or perform the required building inspecunns • ; letermino compliance with the applicable codes, except to the extent specified in said law. QVER I have reviewed the construction plans / documents to determine compliance. • r• determined that the plaits reviewed comply the h the applicable codes. 1 have ' with applicable codes. I auc alt with all provisions of the standard /technical codes and other'pertinent hra ; : 11 responsihility for nomplianet i rdinancus. I provide my seal and signature as affidavit under oath, that the following is true -and correct t:i t;,:; ..:. of my knowledge and belief. (a) The plans / documents were reviewed by rnyself. l am duly aathr n in: •, the code and hold the appropriate licenses or certificates. o perform plan review pursuant to (b) lam qualified as a plan examiner undar Part XII of Chapter 46x, H r-i a Statutes. (e) The plans comply with the applicable codes, standards, statute:. artd I r : it ordinances or regulatory agency requirements, (d) The plans comply to the laws as to egress, Life Safety Codes, i,• Irc u: t msovction and general arrangement and show the structural design. (a) The plans and design conform to the requirements of the technn A c: i : s as to s7ungth, stresses, strain and stability. (f) To the best of my knowledge, the plans and specifications corrp; . i the applicable minimum building codes and the applicable fim-safety standards as determined b; the i•t; i authority in accordance with the Florida Building Code and chapter 633 Florida Statutes, Anspec6ong. I affirm that I am qualified under a. 468 Florida Statutes to provide buiNaip, i r t action services as authorized by s. 553.791, Florida Statutes pursuant to section 104.3.2 Florida Building. (' ude 1 is understood that the undersigned hereby accepts the responsibility for performing all of the required inspcc, tow.: cntitied in this document, t understand that inspections are required as detailed in Section 105 of tht_ I• lot i I. Building Code, the permit card, and as prescribed by the local authority having jurisdiction. I further agree to I:i dt 1 -1 Lucin County harmless for such inspections, and accept responsibility for compliance with all otherregt t-rnic• i. contained within. Upon completion of the sutrrcIUM, t will provide the Building Official a certification thatt•;c an i.c • ire, electrical, gas, mechanical and plumbing systems have been erected in accordance with requirements o' the it t : nic:d cadcs. The undersigned certifies that all work inspected (and approved) will cenforn•. I. all applicable codes and standards; as well es all related permit documents. In the event of any conflict betwevn :•::I is and documents, the more restrictive shall apply. A log shall be maintained of all inspections madr inclu I : g the date of the inspection, the inspection performed using the permit "hard card" terminology and the dc%ip, n. on of either approved or disapproved and an inspection report shall be forwarded to the Building I el u, r:cnt wititin 72-hours of making the inspection. Cach inspection report shall bear the seal of the Architect / I rt;;;n _• t )erforming the inspection, along with his / her signature and the date. The permit will expire unless work •,.VVV enced (mid receives an approved inspection "colored red on the permit hard card, red print indicates a rec, r-u r. pectiou which satisfies the 180-day requirement") within 180-days (60-days for demolition permits) from 11w .a r..: ate ol'the permit. All subsequent inspections shall be made within 180-day time frame prior to permitexpt.ati(w. dOINSPECTIONS WILL BE o Architect />En girneer, MICHAELA. LUE (PRUMD NAME OF Architect / Engineer) t0 A,xr: June 6,2018 72-569-1257 (DATE) (PI:t NI 2030 37TH AVENUE, VERO BEACH, FL 32960 (ADDRF,$$) .. e� C.E N,9 e e Qom• T< • � Arebifet•s+Etn2 peer °"+i�.'CHRIS'fINE L JACKMAN NOTARY; Seal: My COMMISSION N FFE162319 STATE OF FLORIDA EXPIRES February 18.2020 COUNTYOF 1 ••r Jnec'53 / Fw,a arm s.rore.mm The foregoing instrument was acknowledged before me this / 3 day o+ JL4 —'300 By MICHAEL A. LUE My commission cx-urrr: 02/18/2020 Personally Known X Produced 1D Signfype of ide n: __ Signature of Notary Public —State of_Q,: Whenever the owner / contractor desires an inspection to be performed',. mr> a other than the above or a St Lucie County Inspector, anew application form must be submitted and approv : d Er:: i : St Lucic County Building Official or Building Code Supervisor BEFORE the subject inspection (s) is (arc - i'I EI: : P Mc:l) ' Cr7 The St Lucie County Building Department may at any / all times visit tat' r.on; i action sRr to ensure compliance The St Lucie County Building D,= . ment may at any / all times visit t.,, .:on .., .te. ur site to ensure compliance 121 and / or for the purpose of spot inspections to verifying construction act + i:+c>: , 2 in compliance with the construction documents / drawings. Failure to follow standard) operating procedures for Inspections for ,14l 9,a ,a County may negate any farther approvals for you or your firm to perform this type of inspection. In addi+i n, Incomplete or inaccurate inspection reporls anay result In failed 'inspection, work stoppage wa+l + w I-ermh expiration. All violators will be referred to Bite L By1h Should you have any questions regarding this procedure, please contact !:,,• e- ' cie County Ruilding Department 0 !Building Gifficial or Building Code Supervisor iPrint hlarle Signature — — Date ST LUCIE+ COUNTY CODE (COMNAA�' Cir, JA.VffSION RECEIVED 2300 Virginia Aveme. Ft1jAftWj 3&R2 ST. Lucie County, Permitting office. (772) 462-1553 I FeK (772) 462-1149 Application for IP1rivato Pr®' /der for PIRD3 Re-1 dew 1 QaaSPevLla®mlS (A/EAgreement. Revised July 1. 314)1. St Lucie County Code COmplinllee r'"!" r• PERMIT#: DATE: 06-04-18_._ STEEE7.ADDRESS: 4200 N HWY A1A, UNIT 1009 FT' -PIERCE, —•• FL 34949 --- Par ei ll: 1423-501-0169-000-2 TO: St. Lucie County Building Department MICHAEL A LUE FL PE# 47520 / SI# 1061 1 have elected to utilize ;tee i{� ;Hranon Number) —(Name of. store Registered Arehitcorl Engineer) f cAs rccogn)md )n chaptu 468, 471, Florida statutes)) F➢Ri�INAME: M. L. ENGINEERING, INC. --. ADDRESS- 2030 37TH AVENUE VERO BEACH, FL 32960 TELEPHONE #: (- 772) 569-1257 FAX g 772, _569-4041 as a private provider as authorized ins. 553.791, Florida Statutes. I have uIvri ad to u20 this "Private Provider" for: (check all that apply)_. PLANSI1'.ZVMW: lBuilding,�Icctdcal, „'v;.-.chanic1l,, Plumbing_ (AmdavitRequired) .,.l :chanical, _�Plutnbin X INSPECTION(s); ,Building, —Electrical, g F'E1S SIMPLE OWNER' 1 have elected to use one or more private providers to provide buildini �_odrs, flan review and/or inspections services on the building that is the subject of the enclosed permit application, .ts eitjrty r ized by fart X11, chapter 468, Florida Statutes & s. 553.791, Florida Statutes. I understand that the local bun ldmi. r: lcial miry pot review the plans submitted or perform the required building inspections to deterrdine ,:1-rrtpl:.7 oc with the applicable codes, except to the extent specified in said law. Instead, plans review and/or requ'tretl L t ild t ., inspections shall be performed by licensed or certified personnel identified in the application. The law; t:tmii rc ninimuin insurance requirements for such personnel, but I understand that I may require more insurance to 1u tit r my interests. By executing this form, ➢ acknowledge that I have made inquiry regarding the competence of I be litxr:.ed or certified personnel and the level of their insurance and am satisfied thatmy interests are adequately prui cc!: v I agree to indemnify, defend and hold harmless the local governmen and i i•: it building official(s) from any and all claims arising from my use of these licensed or certified personnel to , tali r buiidtrtg code inspection services and/or plans review. With respect to the building that is the subject it the : i • loscd pcnuit application, T understand that if 1 elect to make any changes to the listed private providers or th_ cr • •: es to be provided by those private providers, the fee simple.orvncr I shall, within twenty-four (24) hour; :ai: •:ay (:hangcs, update the notice to reflect such changes. o FEE SIMPI.IE OWNER: MR. GENE ROSS, OCEAN HARBOR SOUTH PROPERTY MANAGER (PRiN NAME OF .E SI LtiOWNER} (SI(TIATtm.P Q:' i!E ST 49EEr]wNER} 772-569-9853 _ (DATE) i'I tNEr1:) ELLIOTT MERRILL COMMUNITY MANAGEMENT, 835 20T_H_PLACFV/FRozEACH, FL 32f (ADDRESS) t*) (AMMS5) 121 NOTARY, �lo YI STATE OF COUNTY OF The f, going inArtimeni was acknawledged before me this I �P c,.:p bf By ryec K-055, ivly commission c;:r 'es: __ e fersonallyhnow ed1Y7 Type ofidemiticu:•t `":" JULIEA€ARRETT $I$nat¢Ce Notary Pu61' State of (, __1(407)398 ! MY t:OMMISSION #FF732752 ilf!.. :i EY.PIRES September 28. 2078AFFID eVITMDRPRl�.,uI,�y��, Ai53 FloritlallotaryService.com i affirm that am qualified under chapter 468 or 471, Florida Statll:ea w :-i� -vide building code plan review services as authorized by s. 553.791, Florida Statutes pursuant to section 104 7 I' .,rida Building Code with respect to the buildingthat is the subject of the enclosed pemtit application_ I undrl:•:L: rC hat ilic local building official may not review the plans submitted or perform the required building inspeeimns ' 1 -etemtine compliance with the applicable codes, except to the extent specified in said law. gYE'R I have reviewed the construction plane/ documents to determine complruicc ^r• determined that the plans reviewed comply with the applicable codes. I acerb h the applicable codes. i have ' it responsibility .Jor eomnil'UTe with all provisions of the standard / technical codes and other'pertinent laws : signature as affidavit under oath, that the following is true•sad correct t:: the .... i rdinancus. I provide my seal and of my lcuowledge and belief: (a) The plans / documents were reviewed by myself, I am duly au.lu+; irr•_ the code and hold the appropriate licenses o perform plan review pursuant to or certificates. (b) I am qualified as a plan examincr under Part XIl of Chapter 46-14. 1 11 r i I statut..,s. (e) The plans comply with the applicable codes, standards, statute:, and I i : it ord•aauices or regulatory agency requiremopts, (d) The plans comply to the laws as to egress, Life Safety Codes, I pe r.Ci and show the structural design, ,nsnvc0on and general arrangement (0) The plans and design conform to the requirements of the techn,rnl c;•t : s as ut airongth, stresses, strain and stability, (f) To the best of my knowledge, the plans and specifications corrii1v 1 the applicable minimum building codes and the applicable frrc-safety standards as determined b; ;lir.: •;; I authority in accordance with the Florida Building Code and chapter 633 Florida Statutes, I nspeck tmn>! s: I affirm that I am qualified under s. 468 Florida Statutes to provide buil,krip, i r; action services as authorized by S. 553.791,.Florida Statutes pursuant to section 104.3.2 Florida RuildfiiE. C'nd: t is mtdo.stood that the undersigned hereby accepts the responsibility for performing all of the required inspyi:; mns - entitied in this document, I understand that inspections are required as detailed in Section 105 of the I. for i I. Building Code, the permit card, and as prescribed by the local authority having jurisdiction. I further agree t,r I:ivl(1 -I Lucin County barmless for such inspections, and accept responsibility for compliance with all other regi i-rniw „ contaiued within. Upon completion ofthe structure, I will provide the Building Official a certification that t•ia : i i.c. ire, electrical, gas, mechanical and plumbing systems have been erected in accordance with requirements o' :he I+ t : nicid codes. The undersigned certifies that all work inspected (and approved) will couronn i. all applicable codes and standards; as Well as all related permit documents. In the event of any conflict betw;wri :• 1 is and documents, the more restrictive shall apply. A log shall be maintained of all inspections madr iriebi I : g the dale of the inspection, the inspection performed using the permit "hard cards terminology and the ,.Ic •iP' n. on of either approved or disapproved and an inspection report shall be forwarded to the Building I )cpurr• rant within 72-hours of making the inspection. Hach inspection report shall bear the seal of the Architect / F n;•,:n_• i mer forming the irispection, along with his / her signature and the date. The permit will expire'unless work � -;vrr enced (mid receives an approved inspection "colored red on the permit hard card, red print indicates a rerr r-c( r. pcctiou which satisfies the 180-day requirement+') within 180-days (60-days for demolition permits) from t1w ir..: ate 91'Ihe permit. All subsequent inspections shall be mada within 180-day time frame prior to permit expc nitrr. 10 LN_,% ICTIONS `iAJYL L HIF Vk `�, ,•CENS�,�•,GC� o Architect/tEn seers `fUE MICHAEL A (PRINTED NAME OF Architect/Engineer) (GNATUREr�:tr::g: •ct%ine�crlt~�* June 6, 2018 72-569-1 F OF ZU 'a (DATM (pi+r*,RO ,41 2030 37TH AVENUE, VERO BEACH, FL 32960 '.�0< • ;4',O. RR� (ADDRFS$) - '�., SOON Ai- E Arefiritet•i ' tttt2: leaf r • r"' ` ' 1Y®TAAg� : Seal: rvti: CHRI3TINE L JACKMAN STA_TF(DF FLORIDA COUNTY OF I DIA I ��� : •= Y COMMISSION # FF962378 tt E%PIRES February 18. 2020 ,0/i ,' The foregoing instrument was acknowledged before me this o+ g gg g � ) `J Flar4allola Servka.mm By MICHAELA.LUE My commissions:.-,ur:: 02%1.- Personally Known X produced 1D a of ide tificadon: _ Signature of Notary Public State of m� A�" "— Whenever the owner / contractor desires an inspection to be performed'•r. an. i -- othi=i shim the above or a St Lucie County inspector, a new application form must be submitted and approx : ct :n• : I ; St Lucic County Building Official or.Building Code Supervisor 13E FORE the subject inspection (a) is (are - PER:-: ARMED The St Lucie County Building Department may (M] at any / all times visit tar r.on;-i • ction sitr to ensure compliance The St Lucie County Building De. ,item may at any / all tithes visit t•n• con i getn3n site to ensure compliance (Z] and / or for the pttrpose of spot inspections to verifying construction act •ni in compliance with the construction documents / drawings. Failure to follow standard opemUng procedures for inspections for NI Ln. ra County may negate any further approvals for you or your firm to perform this type of inspection. Ira addi, i.-n, iucornplete or istaccuo:ate inspection reports May result in failed inspections, work stappage a:,,l + n I-ecmii expiration. All violators will be referred to the FL. )D B P 14. Should you have any questions regarding this procedure, please contact Ia.• c- ' cic Comciy Ruiiding Dopertment ® (Building Official or Building Code Supevviaor print Name SignatuRk -- — DAte