HomeMy WebLinkAboutPRODUCT REVIEW AFFIDAVIT Planning&Development Services Department
Building& Regulations Division
Product Review Affidavit
Building Permit# Owners lame Applicant:
Product Denning Design Product RAW Unnufactow .Model Number Product Approval Glass Modiod of Attachnuat
Presauss Design pre"um Huey biw T
Wilma NK NN
:doass N ft N-k
MWAOM 9ft N-�,
N y4
MGM On" 0.o P A8' i-(o (A0 VWWeU
sc o- -� .o T t 1A - l G7 —(st"� 50 q. Nh #�,ID 1N0 LA.)r-$NnrhDoors 3��A 5D 50two o. t 4�w 0o SCE
exage Doors NA
�� Nv t
' uaw"
F t5U 15 Clulfcc* 2(s,gc- n-Mort. -- H OOO Ic"WS
Revised W/22120t 4
I have reviewed the above components or dadding and I bane approved their use in this dtruchume. Tbese products provide adequate resistance to the
rid Jim&and forces specified by current code provisions.
tbt!►E: l �fLls L!!- - Signatum SCSI
Dew pro r��1/LS�C�' Cerl.No. �S Date: l h k
Digitally signed
by Edward F
..-. N..47515 �-=
This item has been electronically signed and sealed by
Edward ;arc e Edward F. Shinskie,PE on the Date and/or =�o'.. STAM" :'��,
Date:
g`,f<moP.. 2021.07.23
4707 Wild Sur"-,,y Rd. Time stamp shown using a digital signature. °''S IAA E�,
Timms,Florida 32754 Printed copies of this document are not considered 09:08:54-04'00'
FE#47515 signed and sealed and the signature must be verified
on any electronic copy.