HomeMy WebLinkAboutPrivate Provider Plans Compliance AffidavitUNIVERSAL
E'NGINEERI.NG' SCIENCES
Consultants In: Geotechnical Engineering,- Environmental,5ciences
Geophysical Services o;Construction Materials Testing- Threshold Inspection
Building Inspection • Plan Review r 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: 321-638-080'8
Fax: 321-638-0978,
Email: RHoaglin@universalengineering.com .
Project Name: . DR H&ton, Creekside'Plat 4, Lot 80`
Sheets: '1 TN,A,•A2C 'F1 'p ,,Mj; D1, ^JAt Z^IA2 "IA2 '1^IA6, St, St tA, S1 2 S1 2A S2; 52. A,
S3, SIM, S3.113, S3.1C, SN1,,PA1
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 Florid_ a ,B'uildin'g 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 _ •� "h
PX 2178 Sighatur.
• rZ Da
Plans Examiner
Richard HoaOin
PE 48796 Signature: Date:
Private Provider. .
State of Florida
COUNTY of Brevard
SWORN AND SUBSCRIBED before'me on the � 'day of October 20 20
,
by Richard E Hoaglin , being personally, known to me and who, being fully sworn and cautioned,
state that the,foregoing is -true aW correct to the best of his/her knowledge of belief.
Jennifer J Fuhrer
t re 'of No ary U Print Name:
Notary Public Expires: Notary'S'tamp:
JenngierJestM Fuhw
Notary Public
4State of Florida
• Commii HH035937
EVIres 8/24/2024