HomeMy WebLinkAboutPrivate Provider Plans Compliance AffidavitV
V IV I VE R� AL.
E! NEER[NG sCI`ENCEs .
ConsiItarits In: Geotechnical Engineering �.Enviroiiniental Sciences
.Geophysical.Services • Construciiori Materials.Testiiig o Threshold'Inspection
Building nVktion • Plan Review* Building lode Adininistration.
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 84
Sheets: Cl, GN, Al, A2C, E1, P1, M1, D1, D2, WAL WA2, WA2, WA6, S1, SLIA, S1.2, S1,2A, S2, S2.1A,
S3, SMA, SIM, S3.1C, SNl, PAl
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 tatute of holds the appropriate license
or certificate.
Richard Olds
PX 2178 Signature: Date:
Plans Examiner
Richard Hoaglin
PE 48796 Signature: ®OF Date:
Private Provider
State of Flo
COUNTY of
SWORN AND SUBSGRIBED before me on the day of , 20_J
by( M, being personally known to me and who being fully sworn and cautioned,
state t at the foreWing is true and correct to the best of his/her knowledge of belief.
WE—
T
Notary Public Expires:
()JJqVCky-'1 �` VV
Print Name:
Notary Stamp: 0 dennlferJeanne Fuhm
Notary Public
o x. —State of Florida
a COMM# HH035937
EA A Expires 8/24/2o24