HomeMy WebLinkAboutPrivate Provider Plans Compliance AffidavitF
ENGIN:EEtZING SI�:C C(EES'.
Consultants Ini.:Geotechnital Engineering t. Enviro#mental Sciences
Geophysical Services • Constructiion Materials Testing :'threshold inspection
Building Inspection • Ptan Review *'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:
321-638-0808
Fax:
321-638-0978
Email:
RHoaglin@universalengineering.com
Project Name: DR Horton, Creekside Plat 4, Lot 42
Sheets:.C1, GN, AL AX, E1, P1, ML D1, D2. WAL WA2, WA2, WA6, S1, SLIA. S1.2, S1.2A, S2, S2.1A,
S3, SMA, S3.1B, S3.1C, SNl, 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 followin affiant, who is duly authorized to
perform plans review pursuant to Section 553.791, Florida Stat t of holds the appropriate license
or certificate.
Richard Olds ��`�
PX 2178
Signatur� Date:
Plans Examiner
Richard Hoacilin M1V
PE 48796 Signature: ate:
Private Provider
State of Florida I ,,�,,
COUNTY of `� Y-Q,VaoA �7�^
SWORN ANP SUBSCRIBED before me on the � l �v ` day of �Ci►y� , 20_�J
byQj E 'being personally known tome and who being fully sworn and cautioned,
state that the forego is true and correct to the best of his/her knowledge of belief.
Signa a of NotaVy Print Name:
Notary Public Expires:
Notary Stam JennNerJeanneFuhnsr
Q 011 Notary Public
o z -State of Florida
$ Commit HH035937
Expires 8/24/2024