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BUILDING. INSPECTOR RECORD
<br />SITE-WORK DATE ID/SIG.COMMENTS O\I Nf,I' AUILDEN DiK'ARATION
<br />I hd.by.mrm und6 Fn yof FruD_{hr I m.rmpt ftomilE(o .i.loE l.r.e l.s for th. folld*trB r.en (Sa 70l l 5
<br />tlorinds d ProfNion Codc): Any City or Counly $hich r.qun6 ! Fni lo (nitud, .n6, improv.. &ftolish ot q&r .ny
<br />ruclu.. Fk! kr ir! i358.c, llo Equn6 rhc rtt li.Ml for skh Fflil to fiL . 3isn.d ridmfil lhlt h. o, .h. ; li.d*d pummr
<br />ro rh. F shB ofrh. Conr.rr.i! L'cas.d liu,((lupr6 o. Comd'ry rah sdio.7((x) of Dili.ion I of th. BG'ns lnd
<br />P,nrsirtu co&) or rh.t lt o {r n .rdnpr thdtnom ,nd rlr hd6 6. rh. rlk!.d .tdraiFn Any \ rhrhn .rsdi,. 70r M:_ .ny
<br />itt,licdr for . Fmi llblcri rhc nlllkd lo.osnp.Etlof mt Nr.lha firc hundcd &llm(l5m)
<br />l. d ownd of r hc proFlr. or sy dplotc wnh w!t6 6 ih.n arr comFiBslion, w l do th< wod and iE dME i! mr
<br />idod.d or ofis.d aor sL (SE 7044, BNins sd PrnfdioB Codq T1'. Co,nrdor'r lic.e tr* do6 ml !,ply lo o o{E ol
<br />rh. FnFl! *lb lliLh or iqfrlc llEa4 -d $ lb rtq $t mn hirelf or h6*tf or lhmu8h ht q hs orn atplrrB.
<br />FoviLd lh.l u$ !rF!rqG'l! G d nqd.d s otu for 5l ,f, lbrEs. rh. tnildilr3 r ings.td it sU rn,I; w tr
<br />or oiFldia lh. orE hilds $il lsr llE hnb' oa,milE $r. lE d !n. dn d brB ltFir! ln. FrFiy it dE F,FE or
<br />l. so*ns oarhc pmpaly. m crclusivcly.o.rr&rin8 {ilh lica*n (oitrcrouto codtu.t lh. l,ojc.l(Sd 7044, B6ins
<br />rd Enisin Codc: Th. Conrrroar l-i.ak lrw do6 nor ip?ly ro x orhE ofFop€ny trho buil<Lt or inpord rhaon,
<br />sd $ho 6nk3 for $ch rroJ.dt wnh. C.lndo(J) lksu.d InBuar ro lh.Cddri(or'r Lkde llw)
<br />I m.\.mr{ ual6 Sdrn tr &P( a,xrhirraei.
<br />D.l. orr.r'
<br />WORXFR]S' CO[IPENSATION
<br />arclaaalIa!
<br />I hqq{ amrn und( pcuh.- otFlu^ oE ofrh. f(nbs;E &ch.rx,N
<br />I hac an Nrll E.l.h r Csr'fK.l. oacon5l lu s.lf-lEE rd *0116' comFMDn, 6 FDrid for t'! scli.n :7m of lh.
<br />I-ahor Code aor lh. Fdfolruc. ol rh. so* for u hicn lh. Fnn ir Bu.d
<br />I hlvc rnd *ill hlrhii world' conrEB.rion i^rur..cc. s r.quiEn iy sdion l 7(x) otlfic L.bor Codc. lor I h. Ffomc. of
<br />$. worr aM s hth fia Fmn i! sGl M, *0116' ..htEErio. i6!re. cni, dd ,rlr) ruib.r ft
<br />C*:
<br />"*",..;- ,tlgilf ar"l* F,pr6 . (r/rO
<br />IIl.ditlh,l in lh. Flornl4. olllE $o* fo, whkhlhrs Fmn ! N.d I slull mr drh) My Fsi ri xt huE
<br />$ 6 to b..oE $b,.rr ro rlE *nid'odFiiion L$! otc.l'tod. rnd .BE thd 'f I nFuE b..oE.ul,..l lo llE
<br />f,orld' snF!.lion F$ririoB of Sdlio! 1700 otlh. l,bor Co<l. l !tdl. hdheih 6rpry whh rhor FruilioB$,\Rll)i(; lIlur. t. ku'. $,!\.s b..ornrs. s utrb\ful. ud 3firll lubjal 6 @plotn ro mmdDl Fuix.nl
<br />.iril fr.. nl, b on. hun!,.d rho!{nd dolle rm,uxr), in .dd'lNn ro lh..o!l .rLonp..urio.. d!fr.s6 6 a,orid.d tu rh€
<br />'\4-i
<br />I hsruy rf6 unjq Frx, o f Fjury rht I m lia!.d un& FrLnn of (fup16 I (sf,ffi'ns * nh S..lb. 7m0) of D$i:ion !
<br />of rh. auiB ed Prcf*iou ( od., Md myli.@ Bin tull lor.. d.ffdl ,
<br />,,."...,,"-. O C31
<br />""" n-f wlfi
<br />I h6cb! .m n und.r Fn,lty .{ pcruD_ rh5 rh6. 13 . mnirud retr! forrh.Fl(tllM..of rh.$n forsnthli!Frmr a
<br />ie.dtsr 1097.civ c,
<br />l-xls! Nd.
<br />ATIIICANLDDSJEAIIO!
<br />I Eq"q .rEh un<kr pdrhy of Flu,, .E of rh. folli$ins &.Idnr
<br />Dsmhion P6n(eA!ti.r6t M1!'ij(dFn F.d.ml Rqruhr(d (Ink.D, Pd6)
<br />R.{ltrn.d Ld16 of Ndifi cdbn
<br />I cd ity ltd thr Lddd rcBuldra Gsednin atElos .dor d e. dn +plktbk ro rhs FoFd
<br />I cdit rhd I l$. rad rh6 rrplrdFn rrd s'r. rhd rh. .to1. htotuFn a sr..l I .srr
<br />.diw6 $d Sr!1. rrs Eh uB to buildils conerudn'.. rn hacny lurlr'rnt .!F.6rd ir6 o
<br />.hn n6riomd FrFn, aor iNttdinn plrpos
<br />)
<br />s^t 5 (4)W
<br />166ndt rnh.ll (-i'!.nd Coon!\
<br />f rhn cn y !d Comry ro 6tq urDn iE
<br />-'," ,vlrurltl-1:
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Roof Sheathing I \', [2otx t"lv lYl
<br />Shear Wall
<br />Framing
<br />ln s u lation/Energ y
<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 />Flood Zone Certif
<br />FINAL t4 4t '6 4't>4 Ll(^+*
<br />Certificate of Occupancy
<br />f,,lotes, Remarks, Etc.
<br />I
<br />.".'...4.=-l
<br />Set Backs
<br />Subfloor/VenUlnsulation
<br />I
<br />I
<br />Engineer Final Reporl
<br />I
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