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Alternative Service Agreement
Project: DR-Horton-Creekside- 3300 Homestead. Drive, Fort Pierce, FL 34945-Lot.97
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:.(7.72) 924-3580
Names, License/Certificate Numbers, and License.description.of:provider and:duly auttiorized:agents.Who will be
providing services for this project:
m
Nae:.
License/Certificate No::, -
License/Certificate.7ype.:
Matthew Chaney ::
BN#:7342 ::.. - ..Inspector.
—Building: _...
DonDeterman ;•
"BN#4688: :,
InsPector.==Buildin 1'and2:family)Plumbin
9 ( �. 9,
Josean Duprey ..
BN#,7330 ... : °:: _ J.Inspector
-Building
Carl Peterson ;. _ .
' BN# 5555 RPX# 243
Inspector. -:MEP, Building-..
Michael Benton
.. ,
BN#.8067 - .
. • ..
Inspector- Inspector -Building (4 and 2 family),
Mechanical, ..
cal., 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. I 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 be notified'' siting ' mediate :. .
Representative Name: .
Signature
State'of Florida, County;of Palm. Beach, y
Sworn to (or affirmed) and subscribed before me this day of :>-J I , 2021, by : .=. Pe
.who is personally known to. me.
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Printe :name of tary:. ignature of Nota
Notary Public Stamp:.
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=w�i= Netary Pyblk - SUN of Fioriaa
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�s n s MY COmm• E%P�res mar 21, 2025
. e:CeC'"" r' %deCnal 4t0fy ASS:•