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Alternative Service Agreement
Project: DR Horton-Creekside- 3349 Trinity Circle:. Fort Pierce, FL 34945-Lot 83'' .
Private Provider Firm: Universal Engineering Sciences...
Private Provider Name: John Carl Peterson
Address:. 607.Comrriodity Cove. PortSt..Lucie;:FL 34986
Phone: (772). 924-3575'' Fix: .(772),924-3580
Names, License/Certificate Numbers; and Liicense.description of provider and:duly authorize'd:agents who will be
providing services for this project.
Name:. . '.
License/Certificate No::.
License/Certificate.Type::. '. .
.. ..
Matthew Chaney :: :.. , ..
BN#:7342Building.:
-
pon Determan - : '- -
�BN# 4688
Inspector. -:Building, (1 and 2 family), Plumbing:
Joseari Duprey .
BN#:7330
Inspector -.Building
Carl Peterson
`BN# 5555 RPX# 243
Inspector." '= MEP,,Building.
Michael Benton
BN#.8067 -
..
'Inspector- Inspector=Building (1 and 2 family),'
Mechanical, Plumbing. -
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 provisions of State
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 should'discontinue
to quality as a duly 'authorized agent, you'will be notif
jVd in writin immed e
Representative Name:
Signature
State of Florida, County of Palm Beach,
.Sworn to (or affirmed) and subscribed before me this .. .day of r i , 2021, by .
gon
who ispersonally known to me.
Z .
n-oan Jazz r i
S
Printed: name of N tary:. ignature of Nota
Notary Public Stamp:
.;►. BR17rsNN tvwy Jo2AIn5
Netary Ptlblk • State of Florida
ye�jn" Commission: E'h 106a55
My Comm. Expires Mar 21, 202s
3eneee :nree;r %prienai NC
tary Assn.