HomeMy WebLinkAboutPrivate Provider Plans Compliance AffidavitUNIVERSAL
ENGINEERING SCIENCES
Comultants in: 6eotechnicalEngi�eerinq EnO.66 riental Sciences
Geophysical Services + Construction Materials.Testing Threshold Inspection
Buildirng 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 41
Sheets: Cl, GN, Al. A2C. E1, P1, M1, D1, DI WAl, WA2, WA2, WA6, SL SLIA, S1.2, S1,2A, S2, S2.1A,
S3, SMA, SMB, 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
PX 2178 Signature: Date: o,
Plans Examiner - /'
Richard Hoaglin
PE 48796 Signature:
Private Provider
State of Florida
COUNTY of-BV-eV�(L-1
MRN AND SUBSCRIBED before me on the O� day ofQCkbty" , 20_w
(,LiWa [LAping personally known to me and who being fully sworn and cautioned,
state that the foregoirlt is true and correct to the best of his/her knowledge of belief.
U J'4) Jeiini�i Rdwek-
Sig19Vure of N tary Print Name:
Notary Public Expires:
Notary Stamp: JenelferJeW=Fuhmr
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�� Notary Public
SState of Florida
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Commit HH035937
E I
Expires 8/24/2024