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BUILDING. INSPECTOR RECORD <br />SITE.WORK DATE ID/SIG.COMMENTS OWNER BUILDET DEL( AT'ATION <br />I ho*y rlrm unlq F.n, of Fjuy l,h! I fr.rcf,q lton rlE Co rrlon l,rcE Lr* forth. folos grmd(Sd7oll5 <br />Bcild .,n Profdion Co&): Any Cn, or Cou,ry xhth rcquiB . Fmi ro siutuct. .ns, mFoy.. doElirh or qu ay <br />.ude Fdtro n! isec...hoJcqui6 tlc.pplicdr for iuch pdmir ro nlc..i8n d {dddl lhn lE or sh. n licd!.d pu&at <br />to rh. FDrii.B oldr Co r-1r's tk.N.d t w (ClllFa 9, Comtrins rrh S..lion 7000 of Div6i.n t ofrh. Bo!i.6 ed <br />Pr!ftsioB Co&) or rtd lE or !n it qdrfl rhadrcn dd rh. h6it lor $c ,lbcd .rdprion. An, vi.ldiotr orsdbn ?01 I 5 or! tuy <br />.pplicdr for ! pcmit llbjdtt rlr applicd ro a .ir'l p.dhy oa to'r norc rhr. fi!. hundrcd &lles (1J00) <br />l. s o$E of rlE FEFrr. or sy drlqE wdt e.g6 B rlEn eL otrrFlr6t w[ d] E *dt lrl UE tuR i! Nt <br />,.,r6xtn r of6rd to. sl. (Sa Ix4. aullB sd Piobrio6 Co&: Ttc co.lftoir Li.G Law &,6 ml4?ly lo d o*G oa <br />th.rropqlr wlb hil& or inproE thou( rd wh. &B sch srt hitwlf or h*ltor deush h6 o, hd own oFlorr6. <br />F,vi&d rhc sh ilqorElEt Gbr dofi orofisld i)r.& lt tnrB6, drh,ild,B.r 8p.lrlffi t,ld }ito oE rr <br />olNipkia rlE O$E &itia * bE drhdd orFnrins rh.lrddE din d huld flr.lElh. FlFry fo, rlEFIFEor <br />l. d ow oarh. FoFry, m qcl6i!.ly @d6r6a u nh kd.d .odrdo6 kr confud rlr For.t]l (Sa 7or.l. &6nB <br />.,n Ptlk in cod. Th. Conrrlort l-Ed. L.p tlo6 ml qlPly ro D o*n( of Fopdt) * h. boildr or inFoL 6 rhdan. <br />and who co r.dr for 3u.h pNJd3 snh r Co.r6.ro(3) li.dtsld p6ur to th. ( onlroclor3 LtN ljw). <br />I @ .r@F u(k Sdion <br />l).le O*o.r <br />$otu(r:ir\' ao[t!r:,\lsATrcr <br />DI(IJAAIION <br />I h6cby lmm undd po.Iyolpdjuryon. ofrh. fdlowins ddlu ioB <br />I hr!. !'d vill tudr.i! r ca'fr.i. of co@! ro s.lf-lBuc lor $dtd' 6mr6rbn. - Fo\d.d for by s€rnn l7m ot0! <br />Ltor Codc for llE Ffotu. orllE wrt ld *trn lh. Fsn it isucd <br />I h.v. rd \-ill 6r6r.in r$16 .omFMi,n i.sdq B r.quir.d tv Sdrion lrm ot0E Llbor ( o&. for llt rEforl'4. of <br />rlE sork fd shkh th. Fntr ! isld M, *ort6 .onp.drn ierk. ffi rn Flt) rub6 & <br />I cdrf} rhd in th. FlolMc o[ll! *ort tor $hrhlhB Fmn ir eel l sbll Fr mrhy oy Fsn in mr_ nlllE <br />$ alo b<re et ..1ro rtE s.t6'NmFMhn l,*. of c.l'aomq.d +rc lnd if I nruu baoft $q.d lo llt <br />*olt6' comr'6sri6n pmviiiom of Sdion l70o of rlE tabr ( od.. I slull. aonhwilh cooply sith lhoF previ.ioB <br />WARNINC llilu. ro sE wrl6 conp6$i,on @rds. n @hstul, ed rh,ll subier o dphrd lo @rirul FBhir ud <br />..il am6 cp ro oE hundEd rrnGad dnlm (t100.00o). 'n ldnh. b rn co, olonFMior d&!a6 s Foyit d ror rrE <br />Se-1ion :1076 ol rh. l.lDr Cod.. mrdd <br />ucrlsill(l)l-t&rlaB <br />I hs.by ilfinn unda Fnahy oi psjur,! I unds Eovision ot(haprs I (e6nd.ins wiih sdlhn 7(100) ofDNtion I <br />ol th. lrdi6.nd Pmfdi)c ( od.. an m! i<.N ir h full foic.,ri €lTd <br />I hdlby .ltm udd FrXy of Fjury dld rh6 b . oastu rion lado3 .gfty for th. psfoffi. of llr wort fit *ti.h th6 rEmit 6 <br />k!.d (S*. 1097, Civ. C.) <br />l.db r Nm <br /> PPLICATr DrCI.AITAfl O!{ <br />I bqlly !trnr !.do Fuliy of Fjury oe of lh. aollowi.8 d!.l[alion!: <br />Damlirioo Pmi'A.b..ro! tJorificrir l-cda.l R.guhioN ( ttL 40, Pd6) <br />_R.qun.d t 16 ofth{iftdb. <br />I cqliry rhi ln. Lda.l nllhioE qrdDg B!.nd lgDd e d'l Tplt bL lo rhu Foj<i <br />I Gr' b 'ha [,{Evc od lh! lgplduoi lrd ca. rhll th. 6b.v. i.fomdion i! con41. I .{r* lo cohply wnh oll Cily ud Coulyqds&6 rid tAc LrE ELit ro hrildlu o!3a<r.|! Ed H, uhoriz E .qrii!6 of rhn cny Ed couly lo dr l4on 0E <br />.to". &rD4 FoFry rs NrarDr F,po.6x <br />^pp <br />o,y,/d <br />^'16r <br />slr[lm lht.-*Tr'', <br />Set Backs <br />Erection Pads <br />UFER Ground <br />SLAB Floor <br />Subf loor/VenUl nsulation <br />Roof Sheathing <br />Shear Wall <br />Framing <br />lnsulation/Energy <br />Drywall <br />Ext./lnt. Lath <br />Brown Coat <br />Masonry <br />Pool Fence <br />T-Bar <br />Handicap Req <br />Deputy Final Report <br />Engineer Final Report <br />Flood Zone Certif <br />FINAL lL/i tlil 5.1X lL'a+ g <br />Certificate of Occupancy <br />Notes, Remarks, Etc. <br />Forms/Steel/Holdowns I <br />I <br />I <br />I <br />I <br />I <br />I <br />)I