HomeMy WebLinkAboutPPP Compliance Affidavit[DUNivrISAL.
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ENGINEERING SCIENCES
DR Horton-Creekside
California Model -Lot 19
9617 Potomac Drive
Fort' Pierce, FL
Private Provider
Plan Compliance Affidavit
California Model-9617 Potomac Drive
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: ipetersonauniversalenl �eering.com
I hereby .certify that to the best of my knowledge .and belief the plans submitted were
reviewed ;for and are: iri compliance, 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,.ALA-2D; El, Pl,M,.D1,.D2,
WAL WA2; WA3,'WA6; Sl, S1.lA, Sl:.2, S1.2A,.S2, S2.IA, S2.2A,.S3, S3.IA,.S3:1B,
S3.1-C, SN1.
Florida License/Registratioii/Certification #(s) and description:
John Carl_ Peterson
RPX 243
Signature of Reviewer: ,y .
SWORN AND SUBSCRIBED before me by John Carl Peterson, BU 17,21
being personally known to me - or having produced as identification
and who being fully sworn and cautioned, state
that the fore ng is and. orrect to the best of his/her knowledge or belief..
Signature of N ,t _ Print Name
Not Public: O Y STAMP BELOW
My commission expires:
p v of •. B Notary
Pubil IyNN JOZARI r
j l aQ425 /+F Notary Public State 0 Florida
i.,'�_r 1![keec
Commission d F+N 106dcc
My Comm. Expires Mar 21, 2025 tnra.gn National Notary Assn.