HomeMy WebLinkAboutAlternative Sales AgreementLOCATIONS
A Universal
Engineering.
Sciences
Company
Geotechnical Engineering I Constructlori Materials Testing and Ipspeetioris.
Building, Code Compliance I Emrironmental, Health & Safety. I. Facilities Consulting
Atlanta, GA
Hagerstown, MD -
Pensacola, FL
Buford, GA
hr lne, CA
Port St. Lucie. FL
Chantilly, VA
Jackson VdIe, FL
Reno, NV
Charlotte, NC
Kennesaw, GA
Rockledge; F1
Lewiston, FL
WVegas, W
Sarasota, FL
Daytona; FL_
Miami, FL
St.Petersburg, FL
Delray Beach, FL
Ocala, FL
Tampa, FL
Douglasville; GA
Orlando, FL
Tifton, GA
Fort Myers, FC
Palm'Coast, FL
West Palm Beach, FL
FortP1erce; FL
Panama City, FL
Gainesville, FL
Pelham. AL.
Alternative Service Agreement
Project: :7801 James .Road
Private Provider Firm: GF.A.International
Private Provider Name:
Address: 607 Commodity Cove, Port St. Lucie, FL 34986 .
Phone: (772)-924-3575 Fax: (772) 924-3580 .
Names, License/Certificate 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 Determan
BN#.4688 .
Inspector = Building (.1 and 2 family); 'Plumbing
Josean Duprey
BN#:,7330.PX#�4208
Plan Review - Building, Inspector -Building
'Richard Jefferson
BN# 1164 PX#513 BU#
.1368.
Plan Review_ Electrical,Inspector-All Trades
William McColman
'BN# 7752
Inspector = Building
Carl'Peterson
BN# 5555 RPX#
Plan Review — Residential;.lnspector - MEP,
-Buildin .
Michael Banton
BN# 8067 .
..
Inspections = Building, Electrical, Mechanical,
Plumbing, 1.&-2.Famil:., ...
As the private inspection servicesprovider for this project, I have read and agree to be bound to the provisions of State
Statute 553.791. 1 further agree and understand that only the above fisted personnel may perform inspections, on this
project and that if for any reason the inspection personnel should change, or if any person listed above should discontinue
to quality as a duly authorized agent, you will be notified in writing immediately. I
Representative Name:
State of Florida, County of Palm Beach,
Sworn to (or affirmed) and subscribed before me this Up day of MOV&'K W - , 2020, by 12IU►GU A . j jf e r9Vh
who is personally known to me.
�gn Ywn ft*"
Printed .name of Notary
Notary Public Stamp:
Signature of Notary