HomeMy WebLinkAboutPlan compliance Affidavit_Ses Tier II AntennaA Universal
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Private Provider Plans Compliance Affidavit
Private Provider Firm: GFA International
Private Provider:
IACAMNS
Address:
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Private Provider Plans Compliance Affidavit
Private Provider Firm: GFA International
Private Provider:
Thomas Montano
Address:
607 NW Commodity Cove
Port St. Lucie, FL 34986
Phone:
(772)924-3575
Fax:
(772)924-3580
Email:
Scheduling@teamgfa.com
Project Name: SES / United Teleports Tier II Antenna Installation
Sheets: A-1.00, A-1.22. CV -1, Roof Antennas
I hereby certify that to the best of my knowledge, information, and belief he reference plans
submitted were reviewed for, and are in compliance with, the Florida Building Code and all local
amendments to the 2017 Florida Building Code by the following affiant, who is duly authorized to
perform plans review pursuant to Section 553.791, Florida Statute of holds the appropriate license
or certificate.
Josean Duprey Signature:
BN, 7330 PX4208
Plans Examiner
Thomas Montano Signature:
PE 84146
Private Provider
State of Florida
COUNTY of Palm Beach
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SWORN AND SUBSCRIBED before me on the (S`I 4� day of DcT b? -Y- , 20 ZO
by Richard Jefferson, being personally known to me and who being fully sworn and cautioned,
state that the foregoing is true and correct to the best of his/her knowledge of belief.
Signature of Notary
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Print Name:
Notary Stamp:
607 NW Commodity Cove, Port St. Lucie, FL 34953 • 772-924-3575
772-924-3580 www.GFAinternational.com