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S - - Building & Regulations Division
Product Review Affidavit
Building Permit #
Owners Name c� Pe+ ra$ Applicant: }Eo mmP ✓ �o n�w ; s�zxc v�
Product
Opening Design
Pressures
Product Rated
Design Pressure
Manufacturer
Model Number
Product Approval
Number
Glass
Type
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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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: