HomeMy WebLinkAboutAlternative Service Agreement® -Geotechnical'Erigineering
[PUNIVERSAL Construction Materials Testing & Inspection
Building Code Compliance
EN.GINEE.RING $CfE,NCES
oecuPational Health & Safety
Environmental
Grounded in iexcellance Buildi.ng.Envelope.
Alternative Service ..Agreement
Project: DR Horton-Creekside- 3416 Trinity Circle, Fort Pierce, FL 34945=Lot 30 .
Private Provider Firm: Universal En
aineerina Sciences.:
Private Provider Name: John Carl Peterson -
Address:. .
607.Commodity. Cove, Port St..Lucie, .FL34986 .
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:
Name:
' LicenselCertificate No::.
License/Ce'rtificate.Type:
Matthew Chaney .:
BN#:7342 ....
pector _ Building, Ins. .
DonDeterman. _ :.
•'BN#4688
Inspector =•Building.(1 and2'family), Plumbing
JoseanDuprey
BN#7330 ':
Inspector:- Building.'
.Carl Peterson
BN# 5555 RPX# 243
Inspector = MEP,,Building .
Michael Benton
BN# 8067
Inspector- Inspector -Building (1 and 2 family),
Mechanical, Plumbing. .
Donald- Green
BN#7301
'I nspector-Electrical
Vince..nt Burdo :.
BN#5337
Inspector-Electrical,'Plumbing Mechanical.
As the private inspection services provider for this project, I- have read -and agree to be -.bound to the provisions. of State
Statute 553.791.. I further agree and understand that only the above listed personnel mayperform inspections on this
project and that if for any reason the inspection personnel'should change, or if any person listed above -should discontinue - -- to quality as a duly authorized agent, youwill be notified in jpoting immgdiately„
Representative Name:
State of Florida, County of Palm Beach, .
.Sworn to (or affirmed) and subscribed before me this L"1. day of - Abri 2021, by �Q(�
who is personally known to me.
(& dn .. L - - doafts
nnted,nameof otary-
Notary Public.Stamp:
iJr'r BRfrrANVLYNN:OZAI-n
Notary Public • State z Florida
;y. Commission?hh 106455
,,�y` F My Comm... Expires ka• 21; 2025
Bercee :rrcugr raecrai Notary ASS:'.
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