15C-15.004. Form: Certificate of Inspection for Homemade Vessels


Effective on Tuesday, October 16, 1984
  • 1STATE OF FLORIDA CERTIFICATE OF INSPECTION FOR HOMEMADE VESSELS

    10Control # ___

    13I, _________ (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 44327.01(21), FS.

    46Name of Applicant: _________ Date of Inspection: _____

    54Length: ____________ Fuel: [  ] Gas: [  ] Diesel: [  ] Other: _______________ 

    67VESSEL TYPE

    69HULL MATERIAL

    71PROPULSION

    72[  ] Runabout

    75[  ] High Perf.

    79[  ] Wood

    82[  ] Fiberglass

    85[  ] Outboard

    88[  ] Inboard/Outboard

    91[  ] CabinCruiser

    94[  ] Sailboat

    97[  ] Alum.

    100[  ] Wood/F.G.

    103[  ] Inboard

    106[  ] Air Prop.

    110[  ] Bass Boat

    114[  ] Fishing

    117[  ] Steel

    120[  ] Other _____

    124[  ] Sail

    127[  ] Other _____

    131[  ] Airboat

    134[  ] Center Console

     

     

     

     

    138[  ] Houseboat

    141[  ] Dinghy

     

     

     

     

    144[  ] Trawler

    147[  ] Other ___

     

     

     

     

     

     

     

     

     

     

    151Specific Comments: _____

     

     

     

     

     

    154Organization: [  ] FMP [  ] GFWFC

    161Region # _________ Badge # ________

     

     

     

     

     

     

     

    167__________________________

    168Signature of Inspecting Officer

     

     

     

     

    172DEP 20-126-FMP

     

     

     

     

     

    174Rulemaking Authority 176327.04 FS. 178Law Implemented 180328.01(6) FS. 182History–New 10-16-84, Formerly 16N-34.04, 16N-34.004, 62N-34.004.