STATE OF FLORIDA CERTIFICATE OF INSPECTION FOR HOMEMADE VESSELS
Control # ___
I, _________ (Print or Type) hereby certify that I have personally inspected the vessel described below and that it meets the legal definition of a homemade vessel as defined in Section 327.01(21), FS.
Name of Applicant: _________ Date of Inspection: _____
Length: ____________ Fuel: [ ] Gas: [ ] Diesel: [ ] Other: _______________
VESSEL TYPE | HULL MATERIAL | PROPULSION | |||
[ ] Runabout | [ ] High Perf. | [ ] Wood | [ ] Fiberglass | [ ] Outboard | [ ] Inboard/Outboard |
[ ] Cabin Cruiser | [ ] Sailboat | [ ] Alum. | [ ] Wood/F.G. | [ ] Inboard | [ ] Air Prop. |
[ ] Bass Boat | [ ] Fishing | [ ] Steel | [ ] Other _____ | [ ] Sail | [ ] Other _____ |
[ ] Airboat | [ ] Center Console | ||||
[ ] Houseboat | [ ] Dinghy | ||||
[ ] Trawler | [ ] Other ___ |
Specific Comments: _____
Organization: [ ] FMP [ ] GFWFC Region # _________ Badge # ________
__________________________
Signature of Inspecting Officer
DEP 20-126-FMP
Fla. Admin. Code Ann. R. 15C-15.004
Rulemaking Authority 327.04 FS. Law Implemented 328.01(6) FS.
New 10-16-84, Formerly 16N-34.04, 16N-34.004, 62N-34.004.