HomeMy WebLinkAboutPPP Compliance Affidavit@3UNIVERSAL
ENGINEERING SCIENCES
DR Horton-Creekside
California Model -Lot 123
9608 Potomac Drive
Fort' Pierce, FL
Private Provider
Plan Compliance Affidavit
California Model-9.608 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: jeterson(&,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 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,.Al, A2D; E1,.P1; Ml,.DI, .D2,
WAl, WA2, WA3, WA6;-S1, S1.1A, S1.2, S1.2A, S2, S2.1A. S2.2A, S3,-S3.1A, S3.1B,
S3.1C, SN1.
Florida License/Registratioh/Certification #(s) and -description:
John Carl Peterson
RPX 243
Signature of Reviewer:
SWORN AND SUBSCRIBED .be ore me by John Carl Peterson, BU 1721
being personally known to me or having produced as identification
and who being fully sworn and cautioned, state
that ;theqf4m*g is true d correct to the best of his/her knowledge or belief.
r
Signature of WMARY.STAMP
Print Name
Notary Publi BELOW
My commission expires:
BRfTTAN� LYNN JOZAMS
%:� Notary Public • State of Florida
11 �Y �� commission 3 HH 106455
•�`'�n µy Comm. Expires Mar 21, 2025
3/) �/ ®� 9ontleC tnrou4h National Notary Assn.