HomeMy WebLinkAboutPPP Compliance Affidavit•g]UNIVEr-1. AL� . r
ENGINEERING at"'EI NCES
DR Horton-Creekside
California Model -Lot 11
9405 Potomac Drive
Fort Pierce, FL,,
.Private Provider
Plaii Compliance Affidavit
California-Model-9405 Potomac Drive
Private Provider Firm: Universal Engineering Sciences .:
Private Provider: John Carl Peterson
Address:.. .607 NW'Commodity:Coye;-Port St.: Lueie, Florida 34086 . .
Phone: 772-924-3575 Fax:. 772-924.3580:
Email: ieterson(a,universalen�ineering.com •
I -hereby certify that to the best of my knowledge .and belief the plans submitted were
reviewed for_ and. are: in • comp. liance• with•..'the. Florida. Building 'Code and :all. local•
amendments to. the Florida Building Code • by the following affiant, ' who is duly
authorized. to perform plans review pursuant. to Section 553.791, Florida Statute and
holds the appropriate license or certificate:
Name: John Carl -Peterson Revised Plan. -Sheets:. C-1,,GN,,Al--, AM, El, P1-Ml,.D1-D2,
'WA -, WA2; WA3, WA6; Si, S1.:lA, S1.2, S1.2A, S2, S2.lA, S22A,.S3,.S3:lA, S3:1B..
SMC, SN1.
Florida License/Registration/Certification #(s) and description:
John. Carl Peterson
RPX 243
Signature of Reviewer:
SWORN AND SUBSC ED..b re me by John Carl Peterson, Bi71721
being personally known to me or having produced d§ identification
and.who being fully sworn and cautioned, state
that the for oing is true d, correct to the best of his/her.knowledge or belief .
Signature of N Print Naive'
Notary Public:�.-OTA"RY-
STAMP BELOW
My commission expires:
�v'e! •.• BRITfANY LYNN JOZAMS
/// ® /�9(• Howy Palic'• Slate of Florida
�CommiSSion?HH 106a;S . a My Comm. Expires Mar 21. 2025
i4or ced ;nroup Naecrai r Ctary ASSr.