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Home My WebLink AboutAPPLICATION FOR PRIVATE PLANS REVIEW - INSPECTIONSST LUCIE COUNTY CODE COMPLIANCE DIVISION 2300 Virginia Avenue Ft. Pierce, FL 34982 Office: (772) 462-1553 Fax: (772) 462-1148 A Application for Private Provider for Plans Review / Ins tST. tiolft 15 2018 (A/E Agreement, Revised July 1, 2001) St. Lucie County Code Compliance Division Lucie county, Permitting PERNIIT # 1709-0485 DATE: 10/10/18 PARAGON CONDOMINIUMS, 4400 N. HWY A1A, FT. PIERCE, FL 34949 STREET ADDRESS: UNITS 2N, 7N, 8N, 9N, 10N, 11N, 12N, & PH-1 Parcel # 1423-610-0000-000-0 SCANNED BY To: St. Lucie County Building Department St. Luce County I have elected to utilize MICHAEL A. LUE FL PE# 47520 / SI# 1061 (Name of State Registered Architect / Engineer) (State Registration Number) (As recognized in chapter 468, 471, Florida Statutes) 11' I \ G ► \ ADDRESS: 2030 37TH AVENUE, VERO BEACH, FL 32960 TELEPHONE #: ( 772 ) 569-1257 FAX #: ( 772 ) 569-4041 As a private provider as authorized in s. 553.791, Florida Statutes. I have elected to use this "Private Provider" for: (check all that apply): ElPLANS REVIEW: Building, Electrical, El Mechanical, Plumbing. (Affidavit Required) ZINSPECTION(s): Building, Electrical, E Mechanical, Plumbing. FEE SIMPLE OWNER: I have elected to use one or more private providers to provide building codes plan review and/or inspections services on the building that is the subject of the enclosed permit application, as authorized by Part XII, chapter 468, Florida Statutes & s. 553.791, Florida Statutes. I understand that the local building official may not review the plans submitted or perform the required building inspections to determine compliance with applicable codes, except to the extent specified in said law. Instead, plans review and/or required building inspections shall be performed by licensed or certified personnel identified in this application. The law requires minimum insurance requirements for such personnel, but I understand that I may require more insurance to protect my interests. By executing this form, I acknowledge that I have made inquiry regarding the competence of the licensed or certified personnel and the level of their insurance and am satisfied that my interests are adequately protected. I agree to indemnify, defend and hold harmless the local government and paid building official(s) from any and all claims arising from my use of these licensed or certified personnel to perform building code inspection services and/or plans review. With respect to the building that is the subject of the enclosed permit application, I Understand that if I elect to make any changes to the listed private providers or the services to be provided by those private providers, the fee simple owner I shall, within twenty-four (24) hours after any changes, update the notice to reflect such changes. r 9 FEE SIMPLE OWNER: MICHAEL BARBER for PARAGON CONDOMINIUMS (PRINT NAME OF SIMPLE OWNER) 772-569-79 t8GNATURE OF SIMPLE OWNER) KETYSTONE PROPERTY MANAGEMENT GOUP, INC. 780 US L 32982 (ADDRESS) Barbara P Kaplan - My Commission GG 180278 Expires 11114/2021 NOTARY: STATE OF "12'1 a COUNTY OF J D) I s tent-wasael owledged before me this day for 6tfOfigi - 20 Y My commission expires: / (- N o20a-/ P sonally Known Produced ID Type of identification: Signature of Notary Public — State of F AFFIDAVIT FOR PLAN REVIEW: I affirm that I am qualified under chapter 468 or 471, Florida Statutes to provide building code plan services as authorized by s. 553.791, Florida Statutes pursuant to section 104.3 2 Florida Building Code with respect to the building that is the subject of the enclosed permit application. I understand that the local building official may not review the plans submitted or perform the required building inspections to determine compliance with the applicable codes, except to the extent specified in said law. I have reviewed the construction plans / documents to determine compliance with me applicable codes. I have determined that the plans reviewed comply with the applicable codes. I accept all responsibility for compliance with all provisions of the standard / technical codes and other pertinent laws and ordinances. I provide my seal and signature as affidavit under oath, that the following is true and correct to the best of my knowledge and belief (a.) The plans / documents were reviewed by myself. I am duly authorized to perform 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 468, Florida Statutes. (c.) The plans comply with the applicable codes, standards, statutes and local ordinances or regulatory agency requirements. (d.) The plans comply to the laws as the egress, Life Safety Codes, type of construction and general arrangement and show the structural design. (e.) The plans and design conform to the requirements of the technical guides as to strength, stresses, strain, and stability. (f.) To the best of my knowledge, the plans and specifications comply with the applicable minimum building codes and the applicable fire -safety standards as determined by the local authority in accordance with the Florida Building Code and chapter 633 Florida Statutes. INSPECTIONS: I affirm that I am qualified under s. 468 Florida Statutes to provide building inspection services as authorized by s. 553.791, Florida Statutes pursuant to sections 104.3.2 Florida Building Code. It is understood that the undersigned hereby accepts the responsibility for performing all of the required inspections identified in this document. I understand that inspections are required as detailed in Section 105 of the Florida Building Code, the permit card, and as prescribed by the local authority having jurisdiction. I further agree to hold St. Lucie County harmless for such inspections, and accept responsibility for compliance with all other requirements contained within. Upon completion of the structure, I will provide the Building Official a certification that the structure, electrical, gas, mechanical and plumbing systems have been erected in accordance with the requirements of the technical codes. The undersigned certifies that all work inspected (and approved) will conform to all applicable codes and standards; as well as all related permit documents. In the event of any conflict between plans and documents, the more restrictive shall apply. A log shall be maintained of all inspections made including the date of the inspection, the inspection performed using the "hard card" terminology and the designation of either approved or disapproved and an inspection report shall be forwarded to the Building Department within 72-hours of making the inspection. Each inspection report shall bear the seal of the Architect/Engineer performing the inspection, along with his / her signature and the date. The permit will expire unless work is commenced (and receives an approved inspection "colored red on the permit hard card, red print indicates recent inspection which satisfies the 180-day requirement") within 180-days (60-days for demolition permits) from the effective date of the permit. All subsegy0rtflih'; eelirolls shall be made within 180-day time frame prior to permit expiration. NO INSPECTIONS WInt NEB U PERFORMED SUBSEQUENT TO PERMIT EXPIRATION: AND NO INSPECTIONS,' LC • • ' • �� HANDLED "AFTER -THE -FACT". • ;�2 O C% IVIIL'HAtAE�er: �� : W ME OF Architect. Engineer) S [JRE OF Arcliit /•�—ngme�r Z _ �Q.: T86 37TH AVENUE, VERO BEACH, FL 32960 (FHo e��,�•.:• • • • • • •�GS� ,; Architect/Engin CFiR19i9N6JaJACKMAN NOTARY: Seal: .. Me e MY COMMISSION A FF062316 EXPIRES February 18. 2020 STATE OF FLORIDA 1601)aFsa•m FWdallot Sw .m . COUNTY OF INDIAN RIVER The foregoing instrument was acknowledged before me this LOTH day for OCTOBER 12018 By MICHAEL A. LUE My commission expre5: FEBRUARY 18, 2020 Personally Known ✓ Produced ID T e of identi catio Signature of Notary Public —State of FL -020ri F.� Whenever the owner / contractor desires an inspection to be performed by anyone timer that the above or a St. Lucie County Inspector, a new application form must be submitted and approved by the St. Lucie County Building Official or Building Code Supervisor BEFORE the subject inspections(s) is (are) PERFORMED. The St. Lucie County Building Department may at any / all times visit the construction site to ensure compliance and / or for the purpose of spot inspections to verifying construction activities are in compliance with the construction documents / drawings. Failure to follow standard operating procedures for inspections for St. Lucie County may negate any further approvals for you or your firm to perform this type of inspection. In addition, incomplete or inaccurate inspection reports may result in failed inspections, work stoppage and / or permit expirations. All violators will be referred to the FL. D.B.P.R. Should you have any questions regarding this procedure, please contact the St. Lucie County Building Department. Building Official of Building Code Supervisor Print Name Signature Date