HomeMy WebLinkAboutPPP Compliance AffidavitUNIVEIA�_�;AL®
ENGINEERING SCIENCES
DR Horton-Creekside
Aria Model -Lot 85
3415 Trinity Circle
Fort Pierce; FL
-Private Provider
;Plan Compliance Affidavit
Aria Model-3415 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:. ieterson(o)universalengmeenng.com
I hereby.. certify that to the best of my knowledge and .belief the plans submitted' -were
reviewedfor. and: are in compliance with the. Florida. Building Code and :all local .
amendments . to - the , Florida Building .Code by the . followingaffiant, 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 Plari Sheets:: C-1,.GN,.AI:;:A2D; El, P1, MI, DI, D2, ..
WAL WA2; WA3, WA6; S1, S1.lA, Sl.2, S1:2A,.'S2,.S2.lA, S2'.2A,.-S3,"S3.lA,.93.M
53.1 C, 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 X or having produced.as 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
Signature o Print Name
Notary Pub c: OTARY STAMP BELOW
My' commission "expires:
•• B0.ISTANY LYNN JOZAITIS
n 1 �,1; X, 5 . Notary Wblic= State of Fie•Cz
iy� y Commission0HH106a`.9
.' de 'MY Comm. Expims Me• :'.
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