HomeMy WebLinkAboutPPP Compliance Affidavitg]UNIVEF 3AL� ,
ENGINEERING SCIENCES
DR Horton-Creekside
Hayden Model -Lot 17
9601 Potomac Drive
Fort Pierce, FL .
Private Provider
Plan Compliance Affidavit
Hayden Model-9601 Potomac Drive
Private Provider Firm: • .Universal Engineering Sciences.. .. .. . .
PrivateProvider: John Carl Peterson
Address: 607 NW Commodity. Cove,. -Port St. : Lucie, Florida 34986
Phone: 772-924-3575 : Fax:. - .772-924-3580.
Email:. • ipeterson(u universalengineen 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 --following affiant; who is . duly•
authorized to perform plans review pursuant: to Section 553.701, Florida Statute. and
holds the appropriate license or. certificate:
Name: John Carl Peterson Revised Plan She'ets::C-l., GN, A1;.A1.A: A2,-A3H, A4G,: El-,
E2 P 1 P2 M1 M2 - DI, D2 MWAL WA2 WA3 WA6 S 1 S I AA S 1.2 S 1.2A ' S2
„S2.1A, S2.2A,.S3, S3:1A,.S3.1.B, S3.1.C,-S4, S4.2, S5,:S51A, S.6,:SN1.
Florida License/Registratiob/Certification #(s) and description:
John Carl Peterson
RPX 243
Signature of Reviewer:
SWORN AND SUBSCIaIEE D b o e me by John Carl Peterson, BU 1721
being .personally known to me': or having produced.as identification
and.who .being fully sworn and cautioned, state •
that the foregoing is true and correct to the best of his/her knowledge or belief.
Signature of N4VA
Print Name
Notary,Public:RY STAMP BELOWA__)
. .
MY commission expires:
l i f as a s r b ;4 NV LYNN 70ZAR15
/} `� Notary ary PuPubde • State of Floiida.
lg � Commlulon # HH'106455
\\\•, grtti. My Comm: Explres Mar 21,.2025
Bonded :arou# vadonal NCUp nssr.