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Alto rn.a.'.tive Service -Agreement
Project: DR-Horton-Cre6kside- 3444 Trinity Circle.. -Fort Pierce, FL 34945-Lot 23
Private Provider Firm: Universal Engineering Sciences..
Private Provider Name: John Carl Peterson
Address:. 607 Commodity. Cove. Port * SLLucie,:FL 34986
Phone: (772).924-3575-:, - - Fax:1772) 924-3580
Names, Li6ensii/Certifiqate' Numbers,'and Li cens'e.des6riptio n of:provider and. duly authorized :agents.Who will be
-providing services for this project.
Name:'..
Licens610eFtificaLicense/CertificateNo."
Licen'se/Cedificate -Typei.
Matthew Chaney -
BN#:7342
''66tor — Building,. '
Ins p
Don Det6rman -
''B.N# 4688:
Irispe6tor-7:Bu.i,ldin'g..(l'and 2,fgmily),-Plumbirig'
J69eafi Duprey
BN#:7330 flnspedflor
'Building.:
Carl Peterson
"BN# 5555 RPX# 2.43 1
Inspector ME,P,'Building.".'
Michael, Benton
BN#.8067.'..
'Inspector- Inspe6t6r-:I3uiIding-(1.dnd 2 family),,'--
Mechanical, Plumbing..
D6n'aid:,Green
13N#7301- -
-Inspedt6r7EI.ectrical
-Vincent Burdo.
BN#5337
I nsp pctor-Electrical,.'PlUmbing Mechanical,
As'the private inspeictioh services provider for this project, have. re'ad.afid agree to be bound to the prclvis'ionq.�& State
prol.
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 -shduld 'discontinue-
' to quality as a duly'authorized agent, you will be n6tified'in wri imme te y.
Representative Name:
L --Signature
State of Florida, County of Palm Beach, nn
Sworn to (or affifnied).and subscribed before me this'Z". day of l M-son�1, by J
who is personally known tome.
. . �-. J02� r f i:S . .
Printed: name of Notiry:,:, i6natu e of Notary
Notary P.ublic.Stamp:
BRITTANY LYNN ;OUTIS
Eary Public - sta-e of Florida
Commission # I+ 1064!!
Comm. Ex pires Mer 21, 2M
, , A
9cndeC
V'rcuir. Narf&aj wary ASSr.