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HomeMy WebLinkAboutPrivate provider Plans Compliance AffidavitPrivate 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 75 Sheets: C1,Gx, AL A2C E1, P1, ML D1 D2, WAL WA2, WA2. WA6, S1, S1 IA, S1 2, Sl 2A S2, S2.1A, . S3, SMA, S3.1S, S3.1C, SNl, PA1 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 Statut of holds the appropriate license or certificate. Richard Olds PX 2178 Signature: Date: Z.� Plans Examiner "— Richard Hoacilin g PE 48796 Signature: te: Private Provider State of Florida COUNTY orloaax-� RN AN S SCRIBED before me on the d r 41 day of � , 20Q6 Irn 4F , being personally known to me and who being fully sworn and cautioned, state that the fore g is true and correct to the best of his/her knowledge of belief. Tplature o Notary Print 19112me: Notary Public Expires: Notary St Jennifer JeanneFuhnar z Notary Public .., State of Florida si -fir Comm# HH03S937 N� 1Expires 8/24/2024