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UNIVERSAL ENGINEERING SCIENCE, INC. <br /> 9802 Palm River Road <br /> Tampa, FL 33619 <br /> Building Inspection Department <br /> Manager: George Dixon <br /> Phone: 813-740-8506 Fax: 813-740-8706 <br /> TamoaBID(@UniversalEnaineerina.com <br /> Notice to Building Official of <br /> Use of Alternative Provider <br /> Project Name: PT Solutions-Zephyrhills <br /> Parcel Tax I.D.: <br /> Services to be Provided: Plans Review Inspections <br /> 1, Robert.Ford (PT Solutions) the fee owner, affirm I have entered into a contract <br /> with the Private Provider Indicated below to conduct the services indicated above. <br /> Private Provider Firm: Universal Engineering Sciences, Inc. <br /> Private Provider: Mark K Hardy P. E. <br /> Address: 9802 Palm River Road, Tampa, FL 33619 <br /> Telephone: 813-740-8506 Fax: 813-740-8706 <br /> E-mail Address(Optional): TampaBID(o)universalengineerinq.corn <br /> Florida License, Registration or Certificate No.: Professional Engineer-Florida License No. 57233 <br /> 1 have elected to use one or more alternative providers to provide building code plans review and/or <br /> inspection services on the building that is the subject of the enclosed permit application, as authorized by <br /> S.553.791, Florida Statutes. I understand that the local building official may not review the plans <br /> submitted or perform the required building inspections to determine compliance with the applicable codes, <br /> except to the extent specified in said law. Instead, plans review and/or required building inspections will <br /> be performed by licensed or certified personnel identified in the application. The law requires minimum <br /> insurance requirements for such personnel, but I understand that I may require more insurance to protect <br /> my interests. By executing this form, I acknowledge that I have made inquiry regarding the competence <br /> of the licensed or certified personnel and the level of their insurance and am satisfied that my interests <br /> are adequately protected. I agree to indemnify, defend, and hold harmless the local government, the <br /> local building official, and their building code enforcement personnel from any and all claims arising from <br /> my use of these licensed or certified personnel to perform building code inspection services with respect <br /> to the building that is the subject of the enclosed permit application. <br /> I understand the Building Official retains authority to review plans, make required inspections, and <br /> enforce the applicable codes within his or her charge pursuant to the standards established by S.553.791, <br /> Florida Statutes. If I make any changes to the listed private providers or the services to be provided by <br /> those private providers, I shall, within 1 business day after any change, update this notice to reflect such <br /> changes. The building plans review and/or inspection services provided by the private provider is limited <br /> to building code compliance and does not include review for fire code, land use environmental or other <br /> codes. <br /> Page 1 of 2 <br />