HomeMy WebLinkAboutAPPROVED 3-22-21 FELCH-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
Felch Residence Pool
5419 Stately Oaks Drive, Ft. Pierce, FL 34982
Pool Plans and Specifications
1. Pool Plans and Specifications, 3 Sheets
SHA-1:6C116F637EC131FD2746436E7566F5FC899C3A8D
M. Randall Rodgers, P.E.
68212
03-23-2021