HomeMy WebLinkAboutPPP Compliance Affidavit[DUN1VER,,,',AL
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ENGINEERING SCIENCES
DR Horton-Creekside
California Model -Lot 31
3412 Trinity Circle
Fort: Pierce; FL
Private Provider
Plan Com liance Affidavit
California Model-3412 Trinity Circle .
Private Provider Firm: ..Universal Engineering Sciences
Private Provider: John Carl Peterson
Address: 607 NW Commodity: Cove; Port St.. Lucid, Florida 34986
Phone: 772-924-3575 Fax:. .772-924=3580
Email:. .' ipeterson(&,universalengineering.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 :ail 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 Caff Peterson Revised Plan Sheets- :C-1, GN,.A1,, A2-C; E1,.Pl-Ml,,.D1, D2,
WAL WA2 WA3 WA6 S'1 S11A SI 2 S1 2A S2 -S2.IA S12A -S3',S3.lA; S3:1B; . .
S3.1C, SN1..
Florida License/Registration/Certification-#(s) and description:
John. Carl Peterson
RPX 243 .
Signature of Reviewer:
SWORN AND SUBSCRIBED before me by.. An Carl Peterson, BiJ 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 correct to the best of hislher.knowledge or belief
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Print Name ...-4
NotaryPubliSTAMP BELOW
My commission expires:
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NetarY public w State of Florida
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tiMy:Camm. Expires Mar 21. 2C.:
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