HomeMy WebLinkAboutPrivate Provider Plans Compliance AffidavitU N 1 :VE -SAL.
tu.:ENGINEERING: CIEN:CES
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Geophysical Services •Construction Materais7esting 7hresh.,old Inspection
Building inspection • Plan Reuiew 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 37
Sheets: C1, GN, Al. A2C, E1, P1, ML D1, D2. WA1, WA2, WA2, WA6, S1, SLIA. S1.2, S1.2A, S2, S2.1A,
S3, S3.1A, S3.1B, 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 St to of holds the appropriate license
or certificate.
Richard Olds<<-0
PX 2178 Signature: ` Date:
Plans Examiner
Richard Hoacilin Q �d�v� J
PE 48796 Signature: / Da e:
Private Provider
State of Fl 1 ro"
COUNTY off
SW R AND SUBS RIBED' before me on the 0q- -` r A day of (Jd6`A' , 20�,
by ���� , being personally known to me and who being fully sworn and cautioned,
state that the forego g is true correct to the best of his/her knowledge of belief.
Vl I fit,✓ F
Sin re o*N6tarV- Print Name:
Notary Public Expires: Notary Stamp:
Jennifer Jeanne Fuf uet
�p�ARY
Notary Public
at 'State of Florida
1� = Comm# HH035937
AlyCE 19Ae Expires 8/24/2024