HomeMy WebLinkAboutPPP Compliance Affidavitg]U.NIVEr`0A'@L
IE ENGINEERING SCIENCES
DR Horton-Creekside
Hayden Model -Lot 83
3349 Trinity Circle
Fort Pierce, FL
Private Provider
Plan Compliance :Affidavit
Hayden Model-3349- Trinity :Circle
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: jpeterson(a uriiversalengmeenng.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 anCall: local
amendments . to the . Florida Building .Code by the following affiant, who is duly
authorized to perform plans reviewpursuant to Section 553.791, Florida Statute: and
holds the appropriate license or certificate:
Name: John Carl Peterson Revised Plan Sheets: C-1., GN, A1;:Al.A, A2,-A3H; A4G,: El,
EI Pi P2. M1.-M2. Dl. D2..D3.:WA1: WA2. WA3', WA6.-S1< S1.lA. S1:2, S1.2A. S2.
S2.1A, S2.2A,.S3, S3:1A,:S3.1.B, S3.1.C,.S4, S4.2, S5, S5AA, S.6,:SN1
Florida License/Registration/Certification #(s) and description:..-
John Carl Peterson
RPX 243
Signature of Reviewer:
SWORN. AND SUBSCRIBED..before me by John Carl Peterson, BU 1721
being.personally known to or having produced.as identification.
and who being fully sworn and, cautioned, state
that the foregoing -is -true and correct to the best of hi s/her.knowledge or belief
JO
Signature of Print Name
Notary Publi . OTARY STAMP BELOW
My commission expires:
0,9
BRrrrANY LYNN.Owlis
Notary Public= Sta:e o' F:cndA�//� ^�) %/� I . Canmissian t -r r�6a5SP p`a O`'F MY Ceram, Exp��es ua' 2'..202!
. / . " 3cnaed throujh �a_c_a. %c;ary Atiin.