PL-08-21-2190 DROP TESTAny Gas Services
Plumbing &Gas Service
Any Gas Services Corporation
14625 SW 47 Terr. Miami, FL 33175
Tel: 786-312-8378
Lic# CFC1428467
DROP TEST CERTIFICATION
Florida Building Code, Fuel Gas
SECTION 406 (IFGS) INSPECTION, TESTING AND PURGING
406.1 General. Priorto acceptance and initial operation, all piping installation shall be
inspected and pressure tested to determine thatthe materials, design, fabrication and
installation practices complywith the requirements of this code.
Owner Information:
Permit Number:
Name: Hi -eAAALI-Aq 2aiOk
Address:'5-C7�l.i�_ q3 A4 S./
City: hjl iState PI Zip Code
Type of Installation
Amrl� ew
33 i 3P
O Upgrade to Existing
Description of work: (Most include test details and include piping and appliances)
1-/
&Y
Lockup:P-YWaterColumn d Test Duration-� r1J'Iy�5ate Tested: 3'
Contractor (Qualifier) Signature Print Name Date
State of Florida County Of 1
Sworn and subscribed before me this day of 20x--� by
O Personally known
O Produced Identificatioii,,.—T-yipe-ofJ4gtAification
Signature of Notary P
ISELLE K SOTO
Commission # GG2E4
pares erember16,2022=
BmdedThmsud""' yBe�'I
Date: 3-//- 2 as 2