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BUILDING. INSPECTOB HECORD <br />OWNE BUTLDER DELC]AIANON <br />I lErtby rfiim ud.r 0. Iy ol D.4rry dld I 6 .rnvi fan rE C..fd6 Li.w t * for llt folb*il! H$! (Sd rul I 5 <br />B6i6r rd Pror..$n Cod.,r Any Cny or C.uny Etth EtuiE . Fnr lo .dd!5. rra. hp.lE &mli,t d EF n, <br />itftntq Fi ro irs i..u,m. .!. rcquiB tlE .pplid for sEh Fmn lo 6k r tisi.<l tt..ml dd lE n .lE ii lientd Fr iri <br />ro rlt ptuvil.)m ol rrE Cinrrerd! Lic.iEn L.w (Chrpr( 9. C.nmEirS wirh Scrio. 7@ oa Divnbn 3 ol0E ausiE$ ud <br />Pmlcasionr Cod.t d rlrr lE a {E ir GEr$ rhdrton lt rlE tilb lor tlE tll.g.n .rd,prim. <br />^tr, <br />li .rb. 6r Sdli'n 70:] I 5 hy ],.prlt fl for r Fnn sbirrs llE .ppli:, !o r civil p.dlry oa Fr mE lho nE hudr.d .k lLrs (tJOo). <br />-1, <br />s osE. of th. Fntrdr. tr nr .nplot6. *nn er86 a{ rlEi. $l onpcB.lion. wil do r w* !d llE ldrtlE b Dr <br />icrLd d ofi.nd fd rL (S< ?(l..{. ButiB! .!n PDi-ioB Co& TrE Cddd t tiw t s ilo.. &l ql, ro D o*E or <br />rrE FoFiy plb b,Ll r -ttmE dEq rn *ho dc rtn s* hi,Er d lEElI d 'Iftlth ht a tB os.,!phr.6. <br />fhvk|d rnd $ch i,p.nmnL! E d idcd.d ffoftild for st. lr, lrME tlE biBing or inlrlNm n$tqittinwJd <br />of.uFkria lll OwEr Adldd ! lrE tlE h!&n of FovDg thr lt or {r dn iFl bitd o, irFE dr p.qEry for tll Frpos of <br />_1, rso*srof dr F,Fny. m.ktusivclyconrrdinS *irh lic.nsd cn ndon to mtr{rud rlE Fsid (se.7Or4, Burms <br />rdl ElaBrio Codc:1h. C6ntr-ror'. Lk..c Lrw d6d n'l +?ly lo movK oaFoFrly*tu, hrild! ot iopotr rh.6n. <br />r rln ortu! rq rh Ftrirr3 ritt . Co'rrddn licn*d purlld b rlE Coffi t littr l,*, <br />-l <br />amcicnrpr !ndc. sdton- <br />D.r. OrE <br />rvoRxrlls' a(l tPlnsarroN <br />DECI.A8AIION <br />Ihcrchv rllnr undcr Il(Mlry df Frllrlotu nrrh. LllowirS JLrh. irnr! <br />I h.k in will midrin. C.nrfEd. orcord to S.lr.l.sw ln ,qt6 oqidri,tr 6 Fovlhd ld by Sdbn l?0o or tlE <br />Lakn Codc. lor rtr Fd,{ffi ul rlE *ort lor whEh rh. Fnir 6 Bru.d <br />NL#*., *', -,r." *rt ^'rcqrMln. iErN.. s Etui,rd by sftrhn sTmorrlE bbor Q,<b. to' rlE rdttu or <br />rlE lo.t rr uhah lnn F hi n lqEl My,6 cds .,n pohy nunbd e <br />Lan V ID(oO 70 U Zo <br />t-!F*,1:.lll in rhc ,Erlnrnusc of lh€ work f(n *hth lhir l.rdir r\ rrlu.{ I rhsll mr.irl)hy rny Fren in any nunrcr <br />$bF( ro tlr sdtdr mqrndbn l,wr olcllifomi.. r,n .eE lh.I ifl stnuld tEom nlhFr t, rttqrtd onpcMrb. I'ovti,B ors.dm l7O of itE t h, C.de I ldL tnih*ln @nply sarh rlc Fovnb.r. <br />WARNING: FailuF to sE wrldr @qmrlbn o6sc k unLwful .rd shd subFr a arphF lo cimiml tErir.td <br />civil fiftr un io oft hundrcd lh'u\$d dolhF ($llD,Orr), r <br />)::'t ntrra""ffi; " <br />I ffiy rrm u..lr Fr&, of Fjur, tld I D li6.d u'G Fodrbo of qrFd 9 to'llltrht rih Scrb. ,O(l|) ot Dnkia l <br />of E Blsimss .d PrDf.si,N Cod.. un ny lt.M ir i, tull foc .d crdrc l0 <br />^73-7 <br />s1avrvr+7 / te lz-a 9o Iar <br />1jOISIBI]I:DIIdIJNDIIG.AIiIB'(:T <br />I hcFhy rfltm udcr Fnalr, o, |ilury rhd rhrt k t 6ndrult6n bfrl!.8 .8.8y ft llEpct(trMe o,rh.hrk fd *hkh lhk Fmir i! <br />nud (Se.1097. Cat C ) <br />AIILII/TUTDEqdSAIIO! <br />I hddry rtrm u.d.r Fllry of Fiu, om ol llE rolbwin! &rb.lionr <br />D.mlirh. P.rmn*A$.{or Norifr.rion F.d.nl R.ruLrnN OirL 40, Pan6) <br />R.qrmd tdkof l*riftu <br />I!.d'ryrhxr rltr l.,lrful r.!uhr(,n\ rcSJrltr! i\b.no\ rrtrr,vrl ri. 'rn rppl'.:'ln. (,rhtrt,r'r(r <br />decd,rl,hi r h]..rc.d rh'.+pr <br />IrJ'nJftc\ rnl Srarc b*\rbrDrr, <br />rtxrc nr ixrdln,pdy itr i.st'd1 <br />AppI.it o. AEal Sk t@- <br />rhd rrE rlsr inlorndsn is coft.l I r8r ro orply *nh dl Ci, .d Coury <br />SITE.WORK DATE ID/SIG.COMMENTS <br />Set Backs <br />Forms/Steel/Holdowns <br />Erection Pads <br />UFER Ground <br />SLAB Floor <br />Sublloor/VenUl nsulatron <br />Roof Sheathinq <br />Shear Wall <br />Framino <br />lnsulation/Energy <br />Drywall <br />Ext./lnt. Lath <br />Brown Coat <br />Masonry <br />Pool Fence <br />T-Bar <br />Handicap Req <br />Deputy Final Report <br />Enoineer Final Report <br />Flood Zone Certif <br />I <br />FINAL h-fl ,4 <br />Certificate of Occupancy L,.. <br />Notes, Remarks, Etc <br />Rev. 08-07-2015 <br />N <br />'.,":^:: )7;;l;', <br />I <br />,$dd r AddrciL <br />-