HomeMy WebLinkAboutPPP Compliance AffidavitOUINIVEIRSAL�
ENGINEERIN(a SCIENCES
Pallas Residence
2504 Kerr St. Fort Pierce, 34947
Private Provider
Plan Compliance'Affidavit
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: .. gfaschedulin auniversaleii2ineerina.com
I hereby certify. that. to the best of :my knowledge _ and belief the plans submitted were
reviewed ' for an& 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 Plan -Sheets: A1,'A2; E-.CALC
Florida.License/Registration%Certification#(s) and, description:
John Carl Peterson
.SPF243
Signature of Reviewer:
.90
SWORN AND SUBSC BED before me by John Carl Peterson, BU1721
being personally known to me or having produced as identification'
and who being fully. sworn and cautioned, state .
that the foregoi is true and correct to the best of his/her knowledge or belief.
Signature o otary Print Name
Notary Public:; .NOTARY STAMP BELOW
My commission expires:
LINAMARIA SIFUENTES
,oinPir�f
:.
_# ,,; Commission # GG 262173
Expires September 25, 20.22
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