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HomeMy WebLinkAboutPPP Compliance Affidavit0U.N.1VE1F-_-_hPAL� ENGINEERING SCIENCES DR Horton-Creekside California Model -Lot 87 3423 Trinity Circle Fort Pierce; FL Private Provider Plan Compliance Affidavit California Model-3423 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:. .7727924-3580: _ Email: ieterson(a,uriiversalengineen*ng'.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, A2C; El,.P1; Ml,.D1_D2, WAL WA2 WA3 WA6 -S1 S1 lA S1.2 S1.2A S2 S2.1A S2.2A S3, S3.lA, S3:1B, . S3.1C, 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 me _ or having produced a's-identification- and who being fully sworn and cautioned, state that the foregoing is true and correct to the best of his/her knowledge or belief. &ROM -.6- 51-gnature of No �' Print Name Notary Public: ARY STAMP BELOW My commission expires: R1iTAN-^rJQt�C'�Ei % ''v- Bc`.c:. c Ga Notary "nc V S hoc MY Comm. FxF'��sa vct r! Assn.. 9andedthrpugh a.