345 8th St RERF20-0170 notice to Building Official for private providerTUR
ROOFING OF FLORIDA
Permit # RERF20-0170
Address: 345 8TH Street Atlantic Beach, FL 32233
Notice to Building Official
Date: 10/5/20
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I have elected to use one or more private providers to provide building code plans review and/or
inspection services on the building or structure that is subject of the enclosed permit application, as
authorized by 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 the
applicable codes, except to the extent specified in said law. Instead, plans review and/or required building
inspections will be performed by licensed or certified personnel identified in the 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, the local building official, and their building code enforcement personnel from any
and all claims arising from my use of these licensed or certified personnel to perform building code
inspection services with respect to the building or structure that is subject of the enclosed permit
application.
Name of Permit Holder: TURNKEY ROOFING OF FLORIDA, INC.
Name of Private Provider: LEGACY ENGINEERING, INC.
Services to be performed: RE -ROOF INSPECTIONS
Plans Review: ❑ Inspections: Z✓ All Trades: ❑ BMEP Only: ❑
Owner: (print) R BEN LAVARIAS
Owner: (sign)
Notary Block Below:
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Notary as to Owner:
Known: A Type of ID Produced:
My Commission Expire : April 3, 2022
Notary Signature: 1 /
Date: 10/5/20
9521 SHELLIF ROAD, UNIT 1 • JACKSONVILLE, FI. 32257
PHONE: (904)900-1069 FAX- (904)663-9651
WWW.(:IIOOSF.'I'URNKF.Y.0061