HomeMy WebLinkAboutAlternative Service Agreement®. Geotecnn cal Engineering "
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Construction Materials Testing& Inspection
ENGINEERING SCIENCES
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Grounded In E cellence .. • Building.Envelope,. .
Alternative Service Agreement
Project: DR Horton-Creekside- 3436 Trinity Circle.. Fort Pierce, FL 34945=Lot 25 .
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:, . ;,
LicensW.Certificate No::..
•License/Certificate.Type .. :.
Matthew Chaney `:: .- ..
BN#:7342 .'.. : ; •
Inspector=Building
Don Determan.,.' .
BN# 4688 : ;, .
I6spector'=:Building,.(1 and 2 family),, -Plumbing;.
Joseari Duprey..,' :..
BN#:7330 := :: -.
Inspector:=.Building.. '.
Carl Peterson .' .
BN# 5555 RPX#.243 ::
Inspector.=:IUIEP,
..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,
As'the private inspection services provider for this project, I have,tead .and agree to be bound to the provisions. of State
Statute 553.791.. Vfurther agree and understand that only the above listed personnel may: perform inspections on this
project and that if for any'reason the inspection personnef should change or person listed above should.discontinue°— --
to quality as a'duly authorized agent,. you will be notif' wrif medi ely
Representative Name:.
ignature
State of Florida,' County of Palm Beach,
Sworn to (or affirmed).and.subscribed before me. this �- day of -i P , 2021, by _
�'��r .
who is personally known to me.
Printed name of I Wry-,. Signature of Notary
Notary Public Stamp:
ORI7TANY LYNN JOZAITI5
Notary Public -State of Florida
Commission d NM 106a55
�Iq •°! MY Comm, Expires Mar 2t • 2025
3onced :nroupr �at'crai rctary ASSr,,