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Pro4uet Review Affidavit.
St Lucie County, Public Works Department
Code Compliance Divisicrii
The. following products will be
Building Permit # d'1501
Owners Name LC 1 Ti; F66L1. l
Contractor
ed in the structure located at
Owner's Addre
Connactor's Address _
Product -T
Design
Pressures
Manufacture' Model Number
Method of Attachment
.
Windows
1st Choice -
I-_
/ �� i
119� �i ''�X
�.�7�
%►1, �i':.5 k � N m; f;m cQ �<`%`�•E��_.
2nd Choice
Fixed Glass
1st Choice
L(
NO R A N U1,-)-
LE3.�
1/1", C,, JLVX";A -bA<,
2nd Choice.,,rap
Glass (other)
Butt Glass
Glass Block
Tiding Glass Doors
1st Choice
1-
500-�4�
NR'Ow.C, i "k�%v" E (`iC.:,
2nd Choice,,.,,,..,)
Swing Type Doors
1st Choice
+�1� e
`Hi:p g 0,
ENTRY
2nd Choice
Overhead Garage Doors
1st Choice
% !�I Qv
lyA L�/
qy
/ An�� iJ�' � �•f.�fi, JCCt;Y�
.2nd .Choice „r,�,,.aa,
Roofing Material
Asphalt/Fiberglass
�-� �5G
I CER-TAkU-rCCD
C t • C
�(ZD0F11V6 Nit t) Cb PER 5Et11JGL )
Metal
Other
Shutters
Choice
I have reviewed the above
components
EAS j t✓ (jALV 28G,au�c SrEc`
and Andidina and haves �,,,,..��,o.a fba, , — .- iL ,�.....�.._ �.
-1 L"
provide adequate resistance to the W. loads and forces specified by current code provisions.
Name: PA&(- MLA Signature
Design Firm . Cc/6~LE �{ I'Nt . Cert. No. Z1111g5— DaPG 12 2004
15