2093 Beach Ave PPRI22-0001 - COC from LegacyLEGACY ENGINEERING, INC.
6415 Greenland Road
Jacksonville, FL 32258
INSPECTIONS CERTIFIED BY PRIVATE PROVIDER
OFFICIAL USE ONLY
Recieved Date:
Received By:
Route To Quality Assurance Office
PRIVATE PROVIDER INFORMATION
PROJECT INFORMATION
Name of Firm: Legacy Engineering
Permit Number: PPRI22-0001
Primary Contact: John Ellis III
Address: 2093 Beach Ave
Phone #: 904-721-1100
Atlantice Beach, FL 32233
Interim Report Final Report: El
Owner:
Contractor: Alsech Contracting
All Interim and Final Reports Must Be Signed and Sealed
CERTIFICATION
In accordance with Florida Statute 553.791 and the requirements established by the City of Atlantic Beach, this is to certify that I or
my approved duly authorized representative performed all the inspections listed below, and certify that the work inspected was
according to the Florida Building Code. Further, I, including my employees, agents, and sub -consultants, shall hold harmless, and
indemnify the City, its directors, officers, employees, representatives, and agents against any claim, action, loss, damage, injury
liability, cost, and expense of whatsoever kind or nature (including, but not by way of imitation, attorney's fees and court
costs) arise out of injury (whether mental or corporeal) to persons, including death, or damage to property, arising out of or
incidental to me, my employees, agents, and /or sub -consultants for work performed hereunder including, but not limited to
all omissions or corrections to documents. This indemnification agreement is separate and apart from and in no way limited by, any
insurance provided in pursuant to this agreement or otherwise.
I also confirm that all monies have been paid to me in full for these professional services. Should additional inspections be
required of me by the City of Atlantic Beach because of errors or omissions on my part, there will be no additional charges for these
services to the City of Atlantic Beach.
I further confirm that no individual, corporation, partnership, joint venture or other legal entity, or any employee thereof that has
provided any part of this inspection service, has had any�Rawin'the*.sign, permitting, or has any ownership interest of any kind in
the above referenced project. � SW01�Ty%
LEIIS134,
-
(Signature of Private Provider) A(Private Provider Sea!)
4
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LIST ALL INSPECTIONS PERFORMED - Attached additional page�'if necessary
DATE
INSPECTION CODE AND
SIGNATURE OF PERSON
PERMIT TYPE
PERMIT NUMBER
PERFORMED
DESCRIPTION
CERTYFYING INSPECTION
Bldg
PPRI22-0001
4/14/2022
Window Door Rough
Michael Howard
Bldg
PPRI22-0001
4/14/2022
Partial Framing
Michael Howard
Bldg
PPRI22-0001
4/14/2022
Lathing
Michael Howard
Bldg
PPRI22-0001
4/21/2022
Lathing
Michael Howard
Elec
ERE22-0117
5/24/2022
Rough Electrical
John Ellis
Mach
GSRS22-0028
5/24/2022
Rough Mechanical
John Ellis
Revised 2/5/2018
PERMIT
TYPE
PERMIT NUMBER
DATE
PERFORMED
INSPECTION CODE AND
DESCRIPTION
SIGNATURE OF THE
PERSON CERTIFYING
INSPECTION
Bldg
PPRI22-0001
4/21/2022
Lathe
Michael Howard
Elec
ERE22-0117
5/24/2022
Rough Electrical
John Ellis
Mech
GSRS22-0028
5/24/2022
Rough Mechanical
John Ellis
Plumb
GSRS22-0028
5/26/2022
Plumbing Rough
John Ellis
Bldg
PPRI22-0001
5/26/2022
Insulation
Michael Howard
Elec
ERE22-0117
6/3/2022
Electrical Cover up
John Ellis
Plumb
6/3/2022
Plumbing Top Out
John Ellis
Bldg
PPRI22-0001
6/3/2022
Framing
Michael Howard
Meth
GSRS22-0028
6/3/2022
Range Hood Fire Suppression
John Ellis
Bldg
PPRI22-0001
6/7/2022
Insulation
Michael Howard
Bldg
PPRI22-0001
7/12/2022
Exterior Lath
Michael Howard
Elec
ERE22-0117
8/4/2022
Temp Power
John Ellis
Bldg
PPRI22-0001
4/24/2023
Wall Sheathing
Mark Belton
Bldg
PPRI22-0001
4/24/2023
Window Flashing
Mark Belton
Bldg
PPRI22-0001
1/23/2024
Building Final
Mark Belton
Plumb
1/23/2024
Plumbing Final
Mark Belton
Mech
GSRS22-0028
1/23/2024
Mechanical Final
Mark Belton
Elec
ERE22-0117
1/23/2024
Electrical Final
Mark Belton