HomeMy WebLinkAboutPPP Compliance Affidavit[BUNIVErIAL'
ENGINEERING sc ENCES
DR Horton-Creekside
Aria Model=L6t-117
9508 Potomac Drive
Fort Pierce, FL : .
Private Provider
-Plan Compliance Affidavit
Aria.Model-9508 Potomac Drive
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: teeterson(a umversalengineering.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,.A1; A2D; E1,.P1; M1,.D1;.D2,' .
WA1, WA2; WA3,:WA6; Sl, Sl..lA;"S1.2, S1:2A,'S2, S2.1A, S2.2A, S3,""S3.lA-, S3:1B,
S3.1C, S.M.
Florida License/Registration/Certification '#(s) and ,description:.. _
John: Carl Peterson
RPX -243
Signature of Reviewer.:
SWORN AND SUBSCRIBED bef re me by John Carl Peterson, BU 17.21
being personally known to me or having Produced, as identification
and who being fully sworn and cautioned,. state
that the fore oing is true AW. correct to the best of his/her. knowledge or belief .
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Signature of o 'Print Name
Notary Public. TARY_STAMP BELOW
My commission expires:
BRR MANY LYNN JOUMS .
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MY Camm, Exp. .
9oneed :hraugh vadorai wcNotary Assr