HomeMy WebLinkAboutPrivate Provider Plans Compliance Affidavit1\r 1 ��
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ENGINEERING: SCIENCES:.
Consultarits.ln: Geotechnlcal Engineering:• Enviroilgienta-SCienc SS
Geophysical Services • Construction Materials Testing' ThresFotd Inspection
Building Inspection + Plan Review cBuilding 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 48
Sheets: . C1. GN,Al, A2C,E1, PL MI, DI, DI WAl, WA2 WA2, WA6, SL S1 IA, SSI.2, S1.2A, S2, S2.1A,
S3, SMA, SIM, S3.1C, SN1, 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 Statute of holds the appropriate license
or certificate.
VMIT. f•C7IIIP.
PX 2178 Sig]
Plans Examiner
Richard Hoaalin
PE 48796 Sig
Private Provider
State of Florida
COUNTY of r—eV&rd
SVXORN ANDS BSCRIBED before me on theme/ -A' ` day
byKiCVW'd E; M, being personally known to me and who being fully sworn and cautioned,
state that the foreg ' g is true and correct to the best of his/her knowledge of belief.
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Notary Public Expires:
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Print Name:
Notary Sta t__..Ia_CDMM#
JennUer,6aeneFulrer
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Notary Public
State of Fiorlda
E Expires 8/24/2024