HomeMy WebLinkAboutPrivate provider Plans Compliance AffidavitPrivate Provider Plans Compliance Affidavit
Private Provider Firm: Universal Engineering Sciences
Private Provider:
Richard Hoaglin 820
Address:
Brevard Ave,
Rockledge, FL 32955
Phone:
321-638-0808
Fax:
321-638-0978
Email:
RHoaglin@universalengineering.com
Project Name: DR Horton, Creekside Plat 4, Lot 40
Sheets: C1 GN, Al, A2C, EL P1 ML D1, D2, WAL WA2. WA2, WA& SL SLIA. SI.2, SI,2A, 2, S2.1A,
S3, S3.IA, SIM, S3.1C, SNl, PAl
hereby certify that to the best of my knowledge, information, and belief he reference plans
submitted were reviewed for, and are in compliance with, the Florida Building Code and all local
amendments to the 2017 Florida Building Code by the following affiant, who is duly authorized to
perform plans review pursuant to Section 553.791, Florida Sta ute of holds the appropriate license
or certificate.
Richard Olds
PX 2178 Signature: Date:
Plans Examiner 44
Richard HoWin "j4��
PE 48796 Signature: Date: Tc�a 1
Private Provider
State of Flori
COUNTY of YC%1004
S RN AN SUBSC.IIBED before me on the @14h day ofTYk , , 2u�1 Q�
by, 1(,MY4 eing personally known tome and who being fully sworn and cautioned,
state that the foregoi is true and correct to the best of his/her knowledge of belief.
Sig ure of N to Print Name:
Notary Public Expires: Notary Stamp:
VCSIvil'
Jennifer Jew=Fuhrer
Notary Public
State of Florida
Commit HH03S937
Expires 8/24/2024