HomeMy WebLinkAboutPrivate Provider Plans Compliance AffidavitUNIVERSAL
ENGINEERING SCIENCES
Consultants In: Geotechnical Engineering • Environmental Sciences
Geophysical Services • Construction Materials Testing • Threshold Inspection
Building Inspection • Plan Review • Building Code Administration
Private 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 44
Sheets: - C1, GN Al A2C, El, P1, M1 D1, D2, WA1 WA2 WA2, WA6, S1 S1,1A, S1.2, S1.2A, 2, S2.1A,
S3, SMA, S3.1B, S3.1C, SN1, PA1
I 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 Statute of holds the appropriate license
or certificate.
Richard Olds
PX 2178 Signature: Date:
Plans Examiner
Richard Hoaglin
PE 48796 Signature: Date:
Private Provider
State of Florida
COUNTY of
SWORN AND SUBSCRIBED before me on the day of , 20_
by , being personally known to me and who being fully sworn and cautioned,
state that the foregoing is true and correct to the best of his/her knowledge of belief.
Signature of Notary
Print Name:
Notary Public Expires: Notary Stamp: