HomeMy WebLinkAboutPPP Compliance Affidavitg]U N li/E Ay,_�AL®
ENGINEERING SCIENCES
DR Horton-Creekside
Hayden Model -Lot 33
3404 Trinity Circle
Fort Pierce, FL
Private Provider
Plan Compliance Affidavit
Hayden Model-3404 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: ietersonauniversalenRineering.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, Al, AlA, A2, A3H, A411, El,
E2 P1
P2
M1 M2 D1
D2 D3
WA1 WA2
WA3
WA6 S1 S1.lA 51.2 S2, S2.1A,
S2.2A
S3
S3.lA, S3.1B,
S3.1C,
S4, 54.2, S5,
S5.1A,
S6, SN1
Florida License/Registration/Certification #(s) and description:
John Carl Peterson
RPX 243
Signature of
SWORN AND SUBSCRIBED beforp me by John Carl Peterson, BU 1721
being personally known to me or having produced as identification
and who being fully sworn and (cautioned, state
that the foregoing is truUAaA#�6k� e
/and correct to the best of his�A&mt /her knowledge
'knowledge or belief.
^,,
�;.� 1%L MO(/�0o
Signature of Notary Print Name MM1ssi r
i NUMBER ••.
b} ; GG 914118 : 4t Z
EXPIRES
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