HomeMy WebLinkAboutPPP Compliance AffidavitOUNIVE_
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ENGIMEERIMG SCIENCES
DR Horton-Creekside
California Model -Lot 20
3456 Trinity Circle
FortPierce, FL
Private Provider
.Plan Compliance Affidavit
California Model-3456 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(oDuniversalengineering.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, GN,.AL A2D; EL. P1;:M1',.DLM,
WAl, WA2; WA3, WA6; S1,-S1..lA, S1.2, S1:2A, S2, S2.IA,. S2.2A,. S3, S3:lA, SIB;
S'3:1 C, SN1..
Florida License/Registration/Certification #(s) and description: -
.John Carl Peterson
RPX243..
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 foregoing is t:tu and. correct to the best of his/her,kriowledge or belief.
fan wt
Signature o o Print Name
Notary. Public: NOTARY .STAMP BELOW
My commission.expires:
', BRMANr LYNN J02AITI5
P b", ; State of Flo
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