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BUILDING- INSPECTOR RECORD <br />SITE.WORK DATE ID/SIG.OWNER BUILDEA DEL('A{ TION <br />I ha.l,y .Irm unds p6aly ol Fjury filt I e dofl nw rh. Conl{clo6 Li..nE Llw for th.lollowinB tlen lsc.?011.5 <br />Bqins Id Profdioo Cod.), Any Cily or Coud, sttt rqlir6 . Fii ro col<tu( q. tr4rov.. &ieljsh or lc.a tv <br />*ude Fnr to 'tt arsq .Ib r.qri6llE .lplkel fm uh Flo lo 6lc. t8,.d lrlffi] lhi lt or aE it lko!.d Fri,rd <br />b rlE FDviioB oa rlE Cotudd! Lian&d L.w (ChBa c, Co@i.s *nh Sdion 70@ of Dviihn I ol rh. BUIB md <br />PhtdioB Cod.) orrhll lEdrhc i dmpi lhd&od dd th. b.!i! for in tll.s.d.tdnFi.n nyviol,lhnotsarbn70ll5bymv <br />lppli.si for . ponit rubjEl! lh. <br />'ppli@t <br />lo . civil p@lty of not morc lhe livc tundr.d doUB (1500) <br />-1,6owofrh.FlFry.dEyo!plo)6*nh1186!$.ir$LomFEiF(r,I&tEsf,ttnd.int'Gimridoi.n or ofiald fr 6L (Sd 7oaa, 8€1lB ed ftDftsbE Co& TIE Codrd- ! ti(@ L!f,'&6 6l t9try to a otrE or <br />rh. pmFty vho hril(k or @mr6 tlE6( id qho d6 scn md hilNlad hd*lf or llmlsh hi! or hs om arylovG. <br />pmvrl.d lhal such iDFDEc$c @r iddd.d o.ofi@d aotuL.l[ ho*Bq. tlE hridif,s or in'provffir a $kt *irhin on. Fr <br />ofo'rl,krba dE (xr6 a{r& wiu lEw tlE t{r&r olFurB thd lrr tE dil Dt hild o. irpmE dE F0FV for in FrFrof <br />-1. <br />s omd of rh. Fopdy, m dcluiv.ly codrsrse wnh licc6.! coftn 106 lo codruct llE Fliri (S< 7Or4, &a!6 <br />sd hrkix Codc Th.Conhcloi! Liccnsckwdo6oot 6pplylo & own6 of ProFry who blild! ot imptovBlhdhn, <br />md *ho @dkt for Mh FoFrt *irh ! ft'(rslo(s) ltduai puEuu !o lhc Co,tr.ld r Licde trs) <br />I m .rmpl undE S6lF <br />D.l. O'n.r <br />wdf,xrRs'( oit!].\iATtdN <br />DecuSarla! <br />I hs.br lfrm un<k, p@rlry of Frury oE of ltE follouitg dtLrnioB: <br />-l <br />h.vc dd *iU @i lin ! C6lilEal. ofcoEol ro Scll-lBu. for m.k6t @mp.nerio., B F.vid.d for b, SElio.l7O0 6aih. <br />Llhor Co&, for lh. pqloIrl@. of rh. m* lor whth lh. Ft il i isucd <br />.i. wt(t otrpdsllnn i6l]Js., s Gt0t.d bt S.dion 3700 of tlE tlhor Cod.. for llE Ff(,rl&. of <br />@nFM6. iM. .ffi ed polk, nlmbcr e. <br />-6 <br />-l <br />cqiiry th.t in rh. Ffolruc. otlhc worl lor whicnifiir pdhil is isu.d, I !n!llnor mPloy dy ps$o i. D, tuuDG <br />v, uk! bdoN 3uu6t ro $. $0lt6'compqE lio. hsr ofctliromrr, Md.8E thll ifl3lbuld b-oDc aubiEl to lh. <br />*olt6 @rposrior FovilioB of Sclio, 1700 orllE Ubor ( o<le I .h.ll fonh{'ilh o.rpl, *ilh lhos F.viriE <br />WAR]IING: trlur. ro su. *vld orqturn o\@*. i, unh{tu|. &{ shnl qtploF r. mid, Fdi: u'd <br />'o.. tl,r46 6 Ford.d l lbcn fr6 up lo oE hun&c<t lho(and d.,ll6 (lr <br />Sct6n:1076oath. ljkrr Cod., imdd <br />I hcby amm u.ds pdalry o f p6iutr thd I m 9{coMd.m! wnh sdion 70oo) Df Dnirtun l <br />of thr liBind ud Pror..sion3 (i'd., &d trry lkda.f41 <br />"",,/ l :/:t <br />I halty.|tm ndn pq[hy of Fjuy lhd Od. n. codMhn Lndins !sd, for dE Ffolrllft. of lh. *rl 6r *tit lh! psni i! <br />isrucd (S(.309?, Civ C) <br />Ladd'! Add6 <br />- <br />AISUCANLtrECI,A8AIIq! <br />I ha*t .trrb u.da polly or FJ!ry oE of rh. follo*itr3 &.lI.1ioB: <br />Ddmhbn Pmil^tb.sd tlolili.ab. Fc.knl R.auldioB I rnk {, Pd6) <br />R.q!n d L.x6 of fiorii.nir <br />-l <br />cdiry ln rh. t d..rl r.8d4hB Egrdins Bb6los dR\ dl e mr 4plE$l lo rhi F!)al <br />I .o1ri rhr I h.!c red rh! lppluton rrxl 6.ffi I .sra ro ompl, *nh tll Chy.td Coulr.l <br />r.Fsndi6 of rhs ciry .rld coonly lo c.l6 upo, irEonlinao.6 md Slarc l,ss rclartg <br />atrv.hdrion d poFay for <br />: rhr./0- 2y-/ <br />Set Backs <br />Forms/Steel/Holdowns <br />Erection Pads <br />UFER Ground <br />SLAB Floor <br />Subf loor/VenVlnsulation <br />Roof Sheathing b/d2//.1 f-zzzn/h /A,- <br />Shear Wall <br />Framino <br />lnsulation/Eneroy <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 />Enqineer Final Report <br />Flood Zone Certif. <br />FINAL r /x/ilr A44sZ ./d*-' <br />Certificate of Occupancy <br />Notes, Remarks, Etc. <br />COMMENTS <br />-T <br />tl