RF-04-21-850` - Regulatory and Economic Resources
�y�� 1 Plumbing Dvymc^
MI�►N1ll'�114aE {r I IJt i5 SW'26ih Sir"!! IC<xaI W.avv, Roam 137
miamidade_�or
This report is to be used to certify combustion appliance flue was present during re -rooting. Acceplance is at the discreulrry
of the Hurlding 04ficial.
60- lr. NC H R4uT ♦ O
RF-04-21-850.
!J7f11lc'Si
570 NE 106 St Warm Shores FI, 33138
I 6 ?l,(i,:( -` _p ��► /� ;qualifier? hereby cerlidy that:
• No alteration, repair or replacement w fuel burning appliances was performed during renTufing.
,Miter inspection and testing, the existing flue vent system has been found In lie in sound condition. wilhout ary leakages
and can safely be reused.
• The existing flue vent system has been safely' reconnected and attached as re4luired bv' FHC, FBC f FG SR2, 50..1.6 and
503.7 as applicable.
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Signature in Wthanical. Plumbing or LP Contractor
STATE OF FLORIDA COUNTY OF MIAMI•DADE
Sworn to and subscribed before me by means of
�ph5''.+IC:rI prc-wrice. OR J Online rrtitariZation4
this dwotpC - - 11)
by T"[i, Wor,L
Sig,nature(it Notary I .i
Print Narne \-,( 4?
Personally knrnvn
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STATr I ZIP
NOTARY
(SEAL)
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A tout 03, 2022