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Alternative Service Agreement
Project: DR Horton-Creekside = 9601, Potomac Drive. Fort Pierce, FL 34945=Lot 1.7
Private Provider Firm: Universal Engineering Sciences..
Private Provider Name: John Carl Peterson
Address:.607 Commodity. Cove, Port St..Lucie, :FL-34986 .
Phone: (772).9243575 :. Fax: .(7.721924-3580
Names, LicenselCertificate Numbers; and License' description of provider and: duly authorized :agents who will be
providing services for this project.
Name:.: . '. :..
License/Certificate No:: -
License/Certificate-Type:
Matthew Chaney '::
BN# 7342 ... `: .': ':
_-Inspector= Building. "
'.Don Determan..• : ", ;, '
BN# 4688 : . •
Inspector.=:Bui1ding„(1- and.2 family),.- Plumbing.'.
6seari Duprey.: ..
BN#:7330 ... : ' '
.Inspector=.Bbildin 9:
-.Carl Peterson .... : '. -
BN# 5555 RPX#.243 ' - -
Inspector,; -'MEP,, Building: -
Michael Benton
BN# 8067
Inspector- Inspector -Building (1 and 2 family),
Mechanical, Plumbing..
Donald -"Green.
BN#7301'.
'Inspector -Electrical'
Vincent Burdo '. ..
'BN#5337 '- •
-
'Inspector -Electrical,: Plumbing Mechanicalml
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;-- _r-
to quality as a:duly authorized agent, you will be notifi!W vuritin mediate
AZ
Representative Name: -
Signature
State of Florida, County_of Palm Beach, /�
.Sworn to (or affirmed) and subscribed before me.this �-�q. day of �t I .. -, 2021, byy • ��-1 �-�
who is personally known tome.
J.
L. C�ZC,�ift S
Printed: name of -Not ry: Signature of Nota
Notary Public Stamp:
5RIrrpNV LYNN JOSAMJ2025
Notary pubic • State of Flo
ly 1 Commiasicn'iHF10645
My Comm. Expires Mar 2t. tary