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ENGINEERING SCIENCES
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Building Envelope
Alternative Service Agreement
Project: DR Horton-Creekside — 9609 Potomac Drive, Fort Pierce, FL 34945-Lot 18
Private Provider Firm: Universal Engineering Sciences
Private Provider Name: John Carl Peterson
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
Inspector - Building
Carl Peterson
BN# 5555 RPX# 243
Inspector — MEP, Building
Michael Benton
BN# 8067
Inspector- Inspector -Building (1 and 2 family),
Mechanical, Plumbing
Donald Green
BN#7301
Inspector -Electrical
Vincent Burdo
BN#5337
Inspector -Electrical, Plumbing Mechanical
Dan Divan
BN#4041
Inspector -Building, Plumbing, Mechanical
Richard Schofield
BN#2710
Inspector -Residential
As the private inspection services provider 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 listed personnel may perform inspections on this
project and that if for any reason the inspection person 1 should change, or if any person listed above should discontinue
to quality as a duly authorized agent, you will be nqW in imm�rliately.
Representative Name:
Signature
State of Florida, County of Palm Beach,
Sworn to (or affirmed) and subscribed before me this ;�3 day of 2021, by John ee11!>ry0r
who is personally known to me.
q1_1++0()C4 L, JOW1+0
Printed name of Notary
Notary Public Stamp:
f�yiy••. BRITTANY LYNN JOZAITIS
�t Notary Public • State of Florida
.� Commission d HH 106455
�.� My Comin2025
g. Expires Mar 21, Assn.
9ercec ;rreu h National Notary
(/�; e -;� P_ � �/- - )
Signature of I I96 // -