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Geotechnicel Engineering I Constructlori Materiels Testing and Iris t:speetigris
Building Code Compliance l Environmental, Heeltii. & Safety.LFacilitieonsulting
Atlanta, GA `
Buford, GA
Chantily, vA
Charlotte, NC
clewlston. FL
DaytonaDekay ; FL` ,
Dougl svlllejG4
Fort Myers; FL
Fgft Pierce; FL
Gainesville, FL
LOCATIONS .
Pensacola, FL '
Port St Lucie, FL
Reno, Nv
Rockledge, FL
Sarasota, FL
St.Petersburg,R
'Tifton. GA
West PalmBeadi,FL
Hagerstown, MD -
Irvine, CA
Jacksorigille, FL
Kennesaw, GA
L4Wgas; W
Mlaml; FL'
Orlando, FL
Palm Coast.FL.
Panama' Ctty, FIL ,
Pelham; AL
Alternative Service
Agreemen
Project: :7106 Lakeland:-. -
Private Provider Firm: GFA. International . .
Private Provider. Name:
Address: -607 Commodity -Cove; Port St. Lucie, FL 34986 '.
Phone: (7721924-3575' :. Fax: (7.72) 924-3580 .
Names, License/Certifcate.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:
Matthew Chaney
BN#:7342 .' . :.'.
inspector=Building
Don D.eterman
BN4.4688::
Inspector= Building (1'and 2 family);:Plumbing -
Josean Duprey . ' r
'BN#:7330 PX#.4208
Plan Review -_Building, Inspector. -Building
Richard 'Jefferson
BN# .1'164 PX#513 BI J# -
.1368
Plan Review' Electrical, Inspector = All Trades
William McColMan .'
BN# 7752
Inspector = Building
Carl Peterson
BN#5555 RPX#
Plan Review - Residential; Inspector:- MEP,'
Building
Michael Banton
-'BN# 8067.
:..
Inspections = Building, Electrical,, Mechanical ,
in , 1:& 2.Famil .
Plumb :.. .
As the private inspection services provider for this project, I have read and agreeto be bound to the provisions of State
Statute. 553.791. I 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; or if an person listed, above should discontinue
to quality as a duly authorized agent; you. will be notified in writing inn
Representative Name:
- I n ture
State of Florida, County of Palm Beach,
Sworn to (or affirmed) and subscribed before me this _day of 2026, by �ICkI � P,4'S6Y�
who is personally known to me.
S%a nnoy\ ffi&�.bra
Printed.hame of Notary'
Notary Public Stamp:
��r,tuutt�i�ii.
aSi 91�1118 .4
*' EXPIRES o =_
SeA 17; 2029
•
4.
fob
Signature,of Notary