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Alternative .Service Agreement
Project: DR Horton-Credkside--3415 Trinity Circle.. -Fort Pierce, FL 34945-Lot 85-
Private Provider Firm: Universal Engineering Sciences -
Private Provider Name: John Carl Peterson
Address:. 607.Comr-ftodity, Cove, Port SCLucie, fL'34986
Phone: (772), 924-3575' Fax:, (772) 924-3580.
Names, License/Certificate Numbers, and License description of provider and: duly authorized :agents who will be
providing services for this project.
Nlame-:'-
Li.censO.Certificate'No.'6.:
ertificat T_
License/C e- ype::-.-
Matthew Chaney
B.N#:7342
u
'Inspector- B_ ilding,_
-,D6n D6terman - -
BN# 4688
IhSpe'dtor.=:Bu.i.1din'g.(1'and 2:farnily),.-Plumbirig;
.46sePh Duprey..
BN#: 7330 -
Inspector -'Bbilding
_.Carl Peterson
''B.N# 5555 RPX# 243
Inspector Building.--:
Michael Benton
BN#-8067
Jn§pector- lngpebt6rmftilding (I and 2 family),' -
Mechanical, Plumbing..
Donald Green
BN#7301
Insppdt6rmlElectrical
Vincent Burdo.
�BN#5337
Insp !ectormElectrical,:'PlUmbing Mechanical
As the Orivat6 inspection' services •p : rovide' r for this project, I have.:read and agree to be,b6und to the provisions: of State
-Statute 553.791.1 furth6r:agre, 6 and understand that only the above listed personnel'may performinspiec'tibris,on this
project and that if for any reason the inspection personnel sho d cheinge,,br if anypEirson listed above should discontinue -
-to quality as 9'.duly':authorized agent,.you will be ng i f di9tel
pp
Representative Name:
Signature
State of Florida, County of Palm Beach,
Sworn to (or affirmed) and subscribed"beforb- me th is day of T.I Dr y 2021, b
who is personally known torfie.
nu(J f T 77:
Printed:'name of Notary.. . -Sqnature of Not
Notary Public Stamp:
BRITTANY LYNN j0ZAITIS
: fl*I& Notary Pubtic - Stale, of Florida
4 Commission # H1,1066
My Cofrrr.. Expires Mar 21.,iO2.
Boricec -.rtrouir Niaticna, Notary ASSP.