HomeMy WebLinkAboutPPP Compliance AffidavitJ
Mr. MKIVERSAL.
�-',EMGIMEERING SCIENCES ,
Consultants ln:Geotechnical Engineering �. Env ironiientaFSciences
Geophysical.Services • Construction Materials Testing � Threshold Inspection
Building Inspection o:Plan Review o 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 43
Sheets: . C1, TN Al. A2C, E1, P1 ML D11, D2, WA1, WA2 WA2, WA6,S1„S1 IA S1 2 S1,2A, 2, S2.1A,
S3, SMA, S3.1B, S3.1C, SN1, 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 St a to of holds the appropriate license
or certificate.
Richard Olds
PX 2178 Signature: L Date: Z
Plans Examiner D
Richard Hoaalin L/ \
PE 48796 Signature ate:
Private Provider
State of Florida
COUNTY ofBy-ey& CA
SWORN �AND SUBSCRIBED before me on the�41 day of ��' `' `""' , 20 vv
bY'e-CrAM EACAOkAeing personally known to me and who being fully sworn and cautioned,
state that the foregoi is true and correct to the best of his/her knowledge of belief.
Notary Public Expires:
J'Q'V1 K�tr J fwq (W-
Print Name:
Notary Stamp:
Ir'-will
Jennft Jeeme Fuhmr
Notary Public
State of Florida
Comm# HH035937
NCE RExpires 8/24/2024
!.lN:IVERSAL
ENGINEERING, SCIENCES
Consultants 1r. Gotechqlcoi,Fhgirieprind -1,nvirorimenial Sciences
Geophysical Services - Construction Materials Testing • Threshold Inspection
Bu.11diriOnspeetion,'Plan Review i BUildirigCocie'Administration
Private Provider'Plan's, Compliance Affidavit
Private Provider Firm, UniVefsal Engineering Sciences
Private. Provider:
Richard- 9 HPa 'lin 820
.,
Address:
Brevard A.m.
l3bbkledo6j. FL,32W
Phone:
.82.1 -03848,08.
Faxi
321-638-0978
Email:,
'RH6aglin_@univer§al6nginee'riiig.corb
RrOjectNAme: -:DR 14oftoh,.Creeksi'de,PlAt*Lot�43'
Sheets' C1. AL AMSI, 51.2, S2, 93
j -hereby certify that to the best,df my- knowledge, information, and belief he reference plans
submitted .. were reviewed for, and are ihiCopripliance with, the Florida Building Code and all local
ai'nendrneinti§ 'to the '20.1 7,Fl6rida Building Code by the: following. affight, who is, duly ;authorized to.
perform �plans' review pursuant , to Sectioh`65.3,791', "Fideida Statute of, holds
8; the; appropriate lic.6 hse
or certificate.
Josean Duprey
PX 4208
Plans- Examiner
Richard Hoaglin
DC: 48796
Signature:
Signature:='-:
Date:
Private Provider
STATE OF
State, of Florida.ida�
0
Xx0 RIV --%07,
COUNTY of
L EtAG
SWORN AND SUBSCRIBED before 'me, on the- ay-bf &4T!&:&24
by
.being personally known to me and who'being fully sworn an cautioned,
,state that the foregoing is true and correct to the best of his/her knowledge of belief.
Sign re of Ndjiry L/
t0tar1pubAr-Print Mime:
fjojAds
Public Expires:
—state
tary.,Stamp:
Notary
mites
�arla�Y
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