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ENGINEERING • INSPECTIONS
CERTIFICATIONS * TESTING
July 13, 2018
Jacobsen Homes
600 Packard Street
Safety Harbor, FL 34695
RE: Manufacturer: Jacobsen Homes
S/N Size & Occupancy: M1426 MCP-3037; SFD
HWC Plan#: 2540-0432(M1426)
To Whom It May Concern:
This is to certify that the plans for the referenced manufactured building have been
reviewed and approved as being in compliance with the 2017 Florida Codes as noted on
the approved drawings, subject to the following limitations:
1. Approval covers factory -built structure only. (Note: Any alterations to factory
built structure on site voids state approval)
2. Items installed at the site are subject to review, approval, and inspection by
the local authority having jurisdiction.
3. The Chapter 633 Plan Review and Inspection shall be conducted by the local
fire safety inspector.
4. Signed and sealed plans shall be on file with HWC Engineering.
5. NOT Approved for High Velocity Hurricane Zone (i.e. Broward and Dade
Counties)
Sincerely,
HILBORN, WERNER, CARTER & ASSOCIATES, INC.
HILBORN, WERNER, CARTER AND ASSOCIATES, INC.
1527 SOUTH MYRTLE AVENUE CLEARWATER, FLORinA 33750
(727) 54.4-0151
FAK (727) 5S5-3343 ! (727) 505 2= / (727) 587-0"T
MGM" 044 - impwfbm
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