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Alternative Service Agreement
Project: ' DR Horton-Creekside- 9508 Potomac Drive: Fort Pierce, FL-34945=Lot 117
Private Provider Firm: Universal En-gineering Sciences..
Private Provider Name: John Carl Peterson
-Address:. 607 -Commodity- Cove. Port SL.Lucie::FL 34986 .
Phone: (772) 924-3575' -, - - Fax:17.721924-3580 . .
:Names, License/Certificate Numbers, and License description of provider and:duly authcirized:agents who will be
providing services for this project.
-Name:.
License/Certificate No::.
License/Certificat e:Type: :
Matthew Chaney
BN#:7342 - ' _
..'Inspector_= Building.:
Don Determan -• :
BN# 4688 : .
Inspector.=Building. (1. and 2 family), Plumbing'•
Joseari Duprey .. ': -
BN#.7330 ....... :.:
Inspecfor=.Building :
-.Carl Peterson .
' 'BN# 5555 RPX# 243
Inspector,= MEP, Building,".:
Michael. Benton - ` '
..
BN# 8067 ='
- :.
'Inspector- Inspector=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 pro..visions. of State
Statute..553.791. I further:agree and understand that only the above listed personnel may perform jhspections 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 i siting i ediately
Representative Name:
Signature
State of Florida, County.of Palm. Beach, ((11��
Sworn to (or affirmed):and subscribed before me this 2`7 day of 2021, by V
who is personally known to. me.
'Tit
JcZa
Printed: name of N tary:. Signature of Nota
Notary Public.Stamp:
�'jir"ov.,• BRiTTANv LVNN JOZAMS .
l�•. M1 � Notary F,sbdc •.State of Florida
NIX Corrission 0 NN 106455
'?'y^a n;=• My Comm,. Expires, Mar 21, 2025
• kreee :rrcugr vadonai Nctary Assr..