HomeMy WebLinkAboutAlternative Services AgreementUNIVERSAL ENGINEERING SCIENCES, INC.
1818 71h Ave. North Unit 1
Lake Worth, FL 33461
Phone: 561-540-6200 Fax: 561-540-6242
E-mail: WPBBID@universalengineering.com
Alternative Services Agreement
Project: Creekside Plat#4 Lot 39 at 3338 Trinity Circle, Fort Pierce
Private Provider Firm: Universal Engineering Sciences
Private Provider Name: Richard Hoaglin
Address: 820 Brevard Avenue, Rockledge, Florida 32955
Phone: (321)638-0808 Fax: (321)638-0976
Names, License/Certificate Numbers, and License description of provider and duly authorized agents who will be providing
services for this project.
Name:
License/Certificate No.:
License/Certificate Type:
Don Determan
BN# 4688
Inspector — Building (1 and 2 family), Plumbing
Josean Duprey
BN# 7330 PX# 4208
Plan Review — Building, Inspector - Building
Richard Jefferson
BN# 1164 PX#513
Plan Review — All Trades, Inspector — All Trades
Don Green
BN# 7301
Inspector —Building, Electrical
Carl Peterson
BN# 5555 PX# 2764
Plan Review — Residential, Inspector — MEP,
Building
As the private inspection services provider for this project, I have read and agree to be bound to the provisions of State
Statute 553.791. 1 further agree and understand that only the above listed personnel may perform inspections on this
project and that if for any reason the inspection personnel should change, r if any person listed above should discontinue
to quality as a duly authorized agent, you will be notified jp writing immeyF>ely.
Representative Name:
Signatures
State of Florida, County of Brevard
Sworn to (or affirmed) and subscribed before me this 28th day of October 2020, by Richard E Hoaglin,
who is personally known to me. n
Jennifer J Fuhrer
Printed name of Notary
Notary Public Stamp:
Jennbr Jeeime Fuhm
Notary Public
State of Florida
y '""'' Comm# HH035937
Expires 8J24M24
Signafare of