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Alternative Service Agreement
Project: DR•Horton-Creekside- 9520 Potomac Drive, Fort Pierce,.FL 34945-Lot 120
Private Provider Firm: Universal Engineering Sciences'
Private Provider Name: John Carl Peterson -
Address:. 607 Commodity. Cove. Port SCLucie,:FL 34986 .
Phone: (772). 9243575 Fax:17.721924-3580.
Names, License/Certificate Numbers, and License description of provider and:duly a uthorize'd:agents.who will be
providing services for this project.
Name:.:: :"... `.
icense/Certificate No::. `License/Certificate-Type:.,
" L�.
Matthew Chaney .: - - .:
.BN#:7342 :: , : " '...Inspector:'
Building..
..Don Determari. -, : "
BN# 4688 : 4
Inspector.= Building..(1 and 2 family), -Plumbing:'.
6seari Duprey,. ` ::
.BN#"7330 ..... . '::::.• '..:Inspector:=.Building
. =
.Carl Peterson _ „ :
BN# 5555 RPX#.2.43 -- : :
.Inspector:-:MEP,'Building.'.:
Michael. Benton ':'
BN# 8067 :.
Inspector- In9pect6r-Building-(1 and 2 family);
Mechanical, Plumbing
Donald Green
BN#7301".
Inspector -Electrical
Vincent Burdo ',
BN#5337
Inspector-Electrical,;:Plumbing Mechanical,"
i4s the private inspection services provider for this project, I have'read and agree to be,bound tathe provisions of State .
Statute. 553.791. (further agree and understand that only the.above listed 'personnel may perform_ inspections on this
project and that if for any reason the inspection pers e` l should change; or if any person listed above should discontinue= -
to quality as a:duly authorized agent, you will be in riting imm d
Representative Name: "
Signature. ...
State of Florida, Countyof Palm. Beach, "
Sworn to (or affirmed).and subscribed before me this day of Ml, by •�.• e�eann
who is personally known to me..
fro h L. d ow iPs
Printed: name. f Notary . Signature of.Notary
Notary Public,Stamp:.
fir: w k BRITTANV LYNN JOZAITIS
?sP/•"� 7 Notary Pubde - State of Florida
INd6'i COmmission 0 hi-106455
o� My Comm. Expires Mar 21. 2025
3orcee :arourr sativai rotvt. Assr: