HomeMy WebLinkAboutPPP Compliance AffidavitgjUN1VE",SAL`
ENGINEERING SCIENCES
DR Horton-Creekside
California Model -Lot 26
.3432 Trinity Circle
Fort Pierce, FL
Private Provider
Plan Compliance Affidavit
California Model-3432 Trinity Circle
Private Provider Firm: Universal Engineering Sciences
Private Provider: John Carl Peterson
Address: 607 NW Commodity; Cove; -Port St.: Lucie, Florida 34986 . .
Phone: 772=924-3575 Fax:: 772-924-3580:.
Email: teetersonna,universalengineenng.com
I hereby .certify that to. the "best" of my knowledge .and .belief the plans submitted -.were'
reviewed for and are .in corriplianee, with the Florida Building Code and :all:.local: .
amendments : to the Florida Building Code by. the .following 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 Sheets:.C-1,.GN,.A1.,.A2C; EI,.P1; Mi,.D1,:D2,
WAl; WA2; WA3,-WA6; Sl, S1.IA, S1.2, S1:2A,.S2, S2.lA, S2.2A, S3,-S3.lA_S3:1B;
53.1 C, SN1..
Florida License/Registratiori/Certification #(s) and description:.
John: Carl Peterson
:. RPX 243 .
Signature of Reviewer.:
SWORN AND SUBSCRIBED before me by.. John Carl Peterson, BU.1721
bein ersonall known to me or having, roduced as. identification
gp. Y be and who ing fully sworn, and cautioned, state
that the foregoing is true and correct to the best of his/her.kriowledge or belief
Signature o r Print Name -
'Notary Pubic: TARP STAMP BELOW
My commission.expires:
BRITTANv LYNN JOZAITIS
'ae Notary'Putlic • State of Florida
�y_7l Commfssi6n'4hhi0b45S
? RP My Comm, Expires Ma•: 21, 2025
Sonaed :.rough tiarcrai .rotary Ass