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Alternative Service Agreement
Project: ' DR Horton-Creekside — 3449 Trinity Circle, Fort Pierce: FL- 34945-Lot 3
Private Provider Firm: Universal Engineerinq 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, Licens&Certificate Numbers,•and License description of provider and:duly authorized:agents.vi►ho will be
providing services for this project:
Name:. '. •
License/Certificate No::..
License/CertificateType:: :.
Matthew Chaney
BN#:7342
lInspector= Building. ;
Don Determan ,.. :.:
� •BN# 4688
•Inspector.= Building,.(1 and 2'family),- Plumbing.
Joseari Duprey... ':
BN#:7330
Inspector;= Building ..
Carl Peterson
'BN# 5555 RPX#.243
Inspector:=:MEP, Building,",. ;
..Michael Benton
BN#:8067 .
..'Inspector- Inspector -Building (!,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 -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 personnel should change; or-if'any person listed above -should discontinue to quality as a duly authorized agent, you will _b ifie "n writi diately:
Representative Name:
Signature..
State of Florida, County. of Palm Beach; c
Sworn to (or affirmed) and subscribed before me this day of 2021, by U .:: f e4-e-r-Jnn
who is personally • nown to me. -
OUL J.
Printed -name of tarySignature of,Nota
Notary Public Stamp:
•w••4 ..'BRPITANvLYNN;OZAMS. _ .. .. ..
Notary PuEde • State of Florida
; ye` Commission 0 0 106455
My Comm, Expires Mar 21. 2025
3weec :nrocgr melcnai Notary Assn.