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Building Permit #
Planning & Development Services Department
Building & Regulations Division
Product Review Affidavit
Owners Name Ca-tr�,llL VneKe-r Applicant: Eia MM�/Rod�jnq#Q�51D/a:�t
Product
Opening Design
Pressures
Product Rated
Design Pressure
Manufacturer
Model Number
Product Approval
Number
Glass
T
Method of Attachment
Windows
Mullions
Fixed Glass
Block Glass
Skylights
Sliding Glass Doors
Swing Type Doors
French Doors
Garage Doors
Hurricane Protection
Roof Ventilation
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Roofing Material
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I �y Co;l t IS -Ulrs 3-
Revised 07/22/2014
I have reviewed the above components or cladding and I have approved their use in this structure. These products provide adequate resistance to the
wind loads and forces specified by current code provisions.
Name: Signature: seal
Design Prof: Cert. No. Date: