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UNIVERSAL ENGINEERING SCIENCES, INC. <br /> 9802 Palm River Road <br /> Tampa, FL 33619 <br /> Phone: 813-740-8506 Fax: 813-740-8706 <br /> Private Provider Plans Compliance Affidavit <br /> Private Provider Firm: Universal Engineering Sciences, Inc. <br /> Private Provider: Mark K Hardy, P. E. <br /> Address: 9802 Palm River Road <br /> Tampa, FL 33619-4438 <br /> Phone: 813 740 8506 <br /> Fax: 813 740 8706 <br /> Email: Tam pal nfo(a-)Universal Engineering.com <br /> Project Name: PT Solutions-Zephyrhills-7403 Gall Blvd, Zephyrhills, FL 33541 <br /> Sheets: A-0,A-1, A-2, F-1, M-1, M-2, E-1, E-2 E-3, P-1, P-2 <br /> I hereby certify that to the best of my knowledge,information,and belief the referenced plans submitted were reviewed for,and <br /> are in compliance with,the Florida Building Code and all local amendments to the 2017 Florida Building Code by the following <br /> affiant,who is duly authorized to perform plans review pursuant to Section 553.791, Florida4S%�ftlqngQQlds the appropriate <br /> license or certificate. The design professional is responsible to make any necessary adju s-en�gFp'(6y ions to ensure <br /> code compliance. >>� Q. .••°•• ��.99 <br /> •. <br /> Mark K Hardy, P. E. No.57233 Signature: - afe:S• �� <br /> Private Provider <br /> STATE OF • <br /> O•°• -ZOR10'°•�� �� <br /> S/ONAI.ENG����� <br /> State of Florida, County of Hillsborough, li 11 <br /> SWORN AND SUBSCRIBED before me on the day of ,2018 by Mark K Hardy being personally <br /> known to me and who being fully swom and cautioned, state.that the fo egoing is true and correct to the best of his/her <br /> knowledge or belief. <br /> e�69111111111//0� <br /> v���'0p\PEE RI VFW// <br /> •�,Missl%•.• > Diane Rivera <br /> cj 20 <br /> aty , FAA o 0 <br /> Signature of Notary ro e printed Name <br /> e• #FF 920274 :Qg <br /> Notary Public: NOTARY STAMPST <br /> �9�°•®ro. ��rN ,,;oQ <br /> 6t0/II0Cli11011� <br />