HomeMy WebLinkAboutPPP Compliance AffidavitOUNIVEF"4AL6
ENGINEERING SCIENCES
DR Horton-Creekside
Aria Model -Lot 121
9624 Potomac Drive
Fort Pierce, FL
Private Provider
Plan Compliance Affidavit
-Aria Model-9624 Potomac Drive
Private Provider Firm: Universal Engineering Sciences .
Private Provider: John Carl Peterson
Address:. ; 607 NW Commodity:Coye,-Port St._ Lucie, Florida 34986
Phone: 772-924-3575. Fax:._ :..7727924-3580.
Email: ipetersonaumversalengineering.com
I hereby .certify that tothe best of my knowledge and -:belief the plans submitted were
reviewed :for . and are in compliance with - the Florida. Building Code and :allAocale,
amendments �to the Florida Building .Code by the following affiant; who is duly
authorized to perform plans review pursuant to Section. 553391, Florida. Statute: and
holds the appropriate license or certificate:
Name: John Carl Peterson Revised Plan Sheets: C-1, GN,.Al,A2C; El,.P1 M1, D1,.D2,
WA1 WA2 WA3 WA6; S1, S1.1A, SL2, S1:2A, S2, S2.lA, S22A,.S3, S3.lA; S3:1B;
S3:1C, S.N1..
Florida License/Registration/Certification #(s) ,and description:
John Carl Peterson
RPX 243
Signature of Reviewer.:
SWORN AND SUBSCRIBED. before me by Johii Carl Peterson, BU 1721 _
being .personally known to me or having produced.as identification
and who .being fully sworn and cautioned, state
that the foregoing -is true and correct to the best of his/her knowledge or belie£
iahC/ 1 e Low.f4 .
ignature o t = Print Name
Notary PuIAK N TARY STAMP BELOW
My commission expires: x �� •.. Bltauw LYNN JOzamS
,ArIM-11t Notary Public - Rate of Florida
jCommission t HH 106455
My Comm. Expires Mar 21, 2025
Bonded :hrougn Nationai4otary Asir,