HomeMy WebLinkAboutPPP Compliance Affidavitg].UN1VEF-_-___AL®
ENGINEERING SCIENCES
DR Horton-Creekside
California Model -Lot 24
3440 Trinity Circle
Fort Pierce; FI; .
Private Provider ..
,:Plan Compliance .Affidavit
California Model-3440. TrinityCirele
Private. -Provider -Firm: '.Universal Engineering Sciences
Private Provider: .'John Carl Peterson
Address: 607 NW Commodity:Cove; •Port St.: Lucie, Florida 34986
Phone: 772=924-3575.. Fax:.. .772-924-3580:
Email:. leterson(&,,umversalengmeering.com
.I hereby.. certify. that to, the :best of my knowledge .and :belief the plans. submitted we're
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. 553.101, Florida Statute .and
holds the appropriate license or certificate:
Name: John Carl Peterson Revised Plan Sheets: C-1,.GN-AL A2-C;•E1,.P14M1,.D1,.D2, •.
WA1, WA2; WA3, WA6; SI, S1.1A,:S1.2, S1:2A, S2, S2..lA, S2.2A, S3, S3.lA,-.S3:1B,
S3.1 C, SN1:.
Florida License/Registration/Certification #(s) and description::
John Carl Peterson
RPX 243
Signature of Reviewer:
SWORN, AND SUBSCRIBED before me by
John- arl 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 tru and. correct to the best of his/her.knowledge or belief.
r � nu . L . OwI 4 (.S
Signature o t Pfint Name:
Not Pu - `c: TARY STAMP BELOW ar3'�. •
My commission.expires:
1a; a BRITTANV LYNN J02A"n '
/n (gig/ � r Notary Public - State of Fir da
oi6a+ s Commission 4 hh 106a.2
My Comm. Expires Mar 21: 202:
3oneee tnroug, Nadoaai Notary Ass-.