Individual Information
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Last Name* Pollack
First Name* Roy
Middle Name
Suffix (Jr, III...)
Title
Mailing Address* 1721 Farmington Circle
City* Wellington
State* Florida
Zip Code* 33414
County* Palm Beach
Foreign Region/Province
Foreign Zip Code
Country
Primary Phone* 5617797199    Ext.  
Alternate Phone
Email* roy@staysafe.net
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Fax
Business Information
 
Business/Firm Name* Stay Safe Enterprises
Enter Business Name* Stay Safe Enterprises
Web Address http://www.staysafe.net
Federal ID 65-0802680
Fax
Business Location Address* 1721 Farmington Circle
City* Wellington
State* Florida
Zip Code* 33414
County* Palm Beach
Foreign Region/Province
Foreign Zip Code
Country
 
Evaluation Process Flowchart of Processes/Timelines
Describe how you intend to evaluate courses to ensure 100% compliance with the most current edition of the Florida Building Code and its latest amendments*
 
Date Attached File
05/16/2012 850473-ACR_FLOW-Florida Building Code Accreditation Flowchart.pdf
 
 
Training provider Verification
Is applicant approved as a provider by any board within DBPR to provide continuing education?*
Yes No        DBPR Provider Number 0001394
Background Information
Has any license, registration or permit to practice any regulated profession, occupation, vocation or business been revoked, annulled, suspended, relinquished, surrendered, or withdrawn in Florida or in any other jurisdiction, or is any such proceeding or investigation now pending?*
Yes No
 
  If Yes, Describe:
 
Certification Statements
I agree that payment for accreditation services will be rendered by the Training Provider requesting services directly to the Accreditor offline.
I agree to comply with the Florida Building Commission requirement that this course update take no more than 30 days for courses up to 8 credit hours, and 45 days for courses in excess of 8 credit hours.
I hereby certify that all statements made on this application are true and correct. I agree and understand that any misrepresentations of material facts will result in revocation of this approval.
History
Date Submitted 5/16/2012
Date Approved
Date Last Updated 5/16/2012
Date Expires