HomeMy WebLinkAboutAlternative Service AgreementGebtechnical Engine.ering
UNIVERSAL Construction Materials Testing & Inspection
Building'Code Gomp.liance
,ENGINEERING SCIENCES
Occupational Health & Safety
Environmental
Grounded In Excellence Building Envelope
Alternative ,Service Agreement
Project Pal las.Residence.Renovation- 2504.Kerr St.. Fort Pierce. FL 34947
Private Provider Firm: Universal Engineering Sciences
Private -Provider Name: John Carl. Peterson .
Address: 60.7 Commodity Cove; Port.St.•Lucie,.FL 34986
Phone: j772) 924=3575 •Fax: (772) 924-3580 '
.Names,License/Certificate Numbers, and_L:icense description of provider,and ddlyauthorized:agents who. will be
providing: services'for this .project:
Name:: License/Certificate:Nd:c . License/Certificate Type: _
Raymond Gendron :. :. BN#A955 lns ector- Ins ector-Buildin 1:and 2 famil
,.
P P 9 Y,
Electrical : .
Don:De'terman.. BN#:4ti88 Inspector=:Building (1 and 2 family)Plumbing.. .
Josean Duprey : BN#'7330. inspector .-Build'.
Vincent. Burdo J. BN#5337 Inspector -Mechanical, Electrical, Plumbing:
John Carl Peterson 'BN# 5555/ SPF 243. Inspector 'Building (Land 2 Family) Mechanical, -
Plan,review:1 & 2 Family Dwelling . .
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 A further.agree.and understand that'only the.above listed: personnel may.perform inspections on this
project and .that if for any reason the inspection personnel'should change, or if any person listed above.should discontinue
to qualityas a duly authorized.' ent; y will be noti ' d ' i�diat_.
407
Representative Name:
.Signatur e
State of Florida' County of.Palm.Beach;
Sworn to (or affirmed). and subscribed before me this .2day of��AcWbV-, 2021, by . C.
who•is personally known to me. .
Rcc..��
S ..
Printed name of Notary Sigriature of Notary
Notary Public Stamp:
�at%t LINAMARIASIFUENTES
_
Commission # GG262173
r ma`s Expires September 26,1022 . ®.
BwdedTMuTMyFalnIRSUMnce800.385.7019. Lul .