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Alternative Service Agreement
Project: ' DR Horton-Creekside--3452 Trinity Circle.. Fort Pierce, FL 34945 Lot 21
Private Provider Firm: Universal Engineering Sciences
Private Provider Name: John Carl Peterson .
•Address:.607-Commodity Cove. Port SC Lucie,.FL'34986 .
Phone: (772) 924-3575 Fax:17721924-3580 .
Names, License/Certificate 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.=_Building..(1 and 2 family),."Plumbing`-
Josean Duprey : ':
BN#:7330 _
Inspector= 'Building. =. ..
Carl Peterson
BN# 5555 RPX#243 -
Inspector=:MEP,•Building.•; =
Michael Benton
BN#.8067 - =
'Inspector- lnspector-Building (1 and 2 family),,
Mechanical, Plumbin • - .
Donald'Green
BN#7301*. ,
Inspector -Electrical
-Vincent Burdo :,
BN#5337
Inspector -Electrical,. Plumbing Mechanical,' -
As the private inspection services provider for this project, I have read -and agree to be,bound•to the provisions. of State
Statute 553.191. I'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 ----
toquality as a:duly authorized agent, you will be notified ' riting i medi t
Representative Name:
signature
State of Florida, County of Palm. Beach, .
a .
Sworn to (or affirm_ ed).and subscribed before me this 2 ! . day of `1 t�% t! 2021, by
who is personally known to me.
r L: J®?Or tSW.
Printed name of Notary: . ignature of Notary .
Notary Public Stamp:
2 BRITTAW LYNN :OUTIS
4 Notary Pubdc • State of Florida
Corrmissicn # Fh 106455
` by r-F, My C.,_ Expires Mar 21. 2025
3orcec :arougr radcrat ketary assr: