HomeMy WebLinkAboutPPP Compliance AffidavitOU ' NiVE FIAL
ENGINEERING SCIENCES
DR Horton-Creekside
Hayden M - odel-Lo.t. 16
9519 Potomac Drive
Fort Pierce, FL
Private Provider
Plan Compliance Affidavit
Hayden
Model-951.9 Potomac Drive'.
y ..
Private Provider Finn: ..Universal Engineering Sciences
Private Provider:. John Carl Peterson
Address: 607 NW. Commodity: Coye, Port St. Lucie, Florida 34986
Phone: 772-924-3575. Fax:,. .772,924-3580.
Email. iDCtCison(&utiiv*ersal'enRineenng.com
I hereby certify that to the best: of my knowledge and belief the plans submitted were
reviewed. for 'and are in compliance with the Florida. Building Code'and -all" local
amendments ,to the Florida Building Code by the f6flowing-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 Sheetse C-I, GN, Ali AlA, A2, A3G; A4G,- E1,
E2.Pl. P2..Ml..NU.D'1.D2.'.D3.WAI;WA2.W..A3.WA6. S14-SI.IA,'51.2,91:.2A, S2;
82. IA. S2.2A..S3. S3; IA_ S3. I.B. S3. IC. - S41 54.2, _S5, 851A, 5.6,:SN1
Florida License/R6gistr.a.tioiVCei-tification#(s) and -description:
John, Carl Peterson.
RPX243:`
Signature of Reviewer:
SWORN AND SUBSCRIBED before me by " John Carl Pete'rsori,.Bu 1721
.
being personally known to me or having produced -as iddhtification''
and who b6ink fully sworn• and, cautioned, state
that the foregoing is true a d correct to the best of his/her knowledge or belief
A c
J (3 2,44 1 _f
Signature of N Pfint Name
Notary .Public: 'KOTARY STAMP BELOW
MY commission expires:
efitTTANI LYNN J02Al IS
J0 �s No - State of
Notary Public Florida..
Commission # Hk 106A55
My Comm. Expires mar Zi, 2025
. - ih h uadonal Notary AM..'
eondedt roux