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HomeMy WebLinkAboutPPP Compliance AffidavitUNIVERSaP�® ENGINEERING SCIENCES DR Horton-Creekside California Model -Lot 29 342.0 Trinity Circle Fort Pierce, FL.. Private Provider Plan Compliance Affidavit California Model-3420 Trinity Circle Private. Provider Firm: .Universal Engineering Sciences,-, Private Provider: John Carl Peterson Address:.. _- 607 NW Commodity:Coye, Port St., Lucie, Florida 34986 . Phone: :. 772-924-3575 Fax:..:: :772-924.3580 .. Email:., ieterson &,,uriiversalengineeririg.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- 553.791, Florida Statute. and : . holds the appropriate license or certificate: Name: John Carl Peterson Revised Plan Sheets., C-1, GX,.AL AM El, P1 M1,.D1_;:D2, WAl, WA2; WA3, WA6; S1, S1.1A, S1.2,-Sl.2A,.S2, S2.-lA, S2.2A, S3,-SIM SIM S3.1 C, SN 1:. Florida License/Registration/Certification #(s) and description:. John, Carl Peterson RPX 243 Signature of Reviewer: SWORN AND SUBSCRIBED before 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 fore - oing is true - d. correct to the best of his/her.knowledge or belief .. an Signature of VC0 Print Name_Notary PubliARY STAMP BELOW My.commission expires: yiy•,. BRRTANY LYNN JDFOdsa �F�?S°Sji Notary Aublic State1�ICommission ± s M64 (((JJJ/ SMy Comm. Expires Ma9eneee areugr ,atienai