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HomeMy WebLinkAbout6-9-20 REALS-REVISED-SIGNATURE REPORTElectronic Signature Report for Engineer of Record Project Name: ____________________________________________________ Project Address: ___________________________________________________ Project Description: ________________________________________________ Documents Submitted (Document name, Number of sheets, SHA Code): _________________________________________________________________ _________________________________________________________________ _________________________________________________________________ _________________________________________________________________ _________________________________________________________________ _________________________________________________________________ _________________________________________________________________ _________________________________________________________________ _________________________________________________________________ _________________________________________________________________ _________________________________________________________________ _________________________________________________________________ _________________________________________________________________ _________________________________________________________________ _________________________________________________________________ __________________________________________________ Professional Engineer’s Signature / Seal ___________________________________________________ Professional Engineer’s Name ___________________________________________________ Professional Engineer’s License Number ___________________________________________________ Date ___________________________________________________ Firm’s Name and Certificate of Authorization No. (if applicable) //5$2''1 *$(5 560(1&6,(/ 67$7(2) 1R Reals Residence Pool 5180 NW Dunn Road, Ft. Pierce, FL 34982 Pool Plans and Specifications - Revised Sheets 2 & 3 1. Pool Plans and Specifications, 2 Sheets, Revised Sheets 2 & 3 SHA-1:6C116F637EC131FD2746436E7566F5FC899C3A8D M. Randall Rodgers, P.E. 68212 10-12-2020