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BUILDING- INSPECTOR RECORD
<br />SITE-WORK DATE ID/SIG.COMMENTS
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />UFER Ground
<br />SLAB Floor
<br />S u bf loor/Ve nUln s u lation
<br />Roof Sheathing
<br />Shear Wall
<br />Framing
<br />ln s u latio n/E nerg 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 />Engineer Final Reporl
<br />Flood Zone Certif
<br />FINAL
<br />Certificate of Occupancy
<br />Notes, Remarks, Etc
<br />O$NER BI]ILI'Ef, DELCARATION
<br />I h@by .rm und6 pquXy of poury lhd I m qdB tDn rh. conl[.ldr Lic.M trw ft'r tlt aolktwng r&n (s.. 7ql I 5
<br />Bso{ ald Prol6!6n C.d.)r any Cily or Coud, whth ..qui6 . Fnil lo Ntrrrucl. .lla, ioprov., &tFlith or qln dy
<br />dMc Fi, ro irt isuse .l& EquiG rlr ?9lk&r for ruch Fnn ro 6L r riS..n rnaDd lhd lE or rt - lic6!.d F,.rd
<br />h 0E FlairioB of E CoDr.rd', !En&d L.tr ((tuprs 9. CoMdins *nh S<rir 7Go of Divkio. I of ltE B6i!6 d
<br />PmfdbB Co&) d rhr li or rlE u don9l Udifrom aid dE bGa tor rlE.lk8.d ddp(iln. Any vioLriot of s<r!n 701My uy
<br />@tlicinl for i dEn rubjdr! rh. .pplicer ro ! ciril l!@n, of ror mr. fia liv. hun&.d &lle (t500)
<br />fufio orm nrrhc gqary. d mr mphyd *nfi u!a6 6 tho, nhtumFd.n. " &rlEktltn rf'(l(.d
<br />,I;d.d qoftocd i, $l(S< 7u4. &lG&d Prof6i,E(-rn TlEcon,tdd't tioe trr do6.or tpdyh &otrFof
<br />It FoFty *'lD hil! 6 irrrod llEEil. nn who d6 Bn slt hi,!.tl6r lErlf or rhrc!8) hit m lE os arPlotG
<br />prolid.d th6i Mh imFb\drEa n d ilndrd.d or.tu ror rL I[ lbrw.lrE tlildilR q iqio\tl1d i sld slhin oE ]E
<br />ofcomplaio.. lhc Ownq Bullda vil havc rh. hda ofFDvnU thi h. d !h. dn nol ttrild or inprDv. lhc FoFly for E Frroe oa
<br />-1.
<br />sow of rh. FoFr, m a.hsiEly cori'-b8 *ith lkd!.d colnrriGlo ollriud tlE Foitr (Sa ?044. Bui6
<br />rd hDkir Co&: Th. cotu.dd r LtGc L.w &6 mr +ply to @ o*M of propaly vho boildr or iE mE thdan,
<br />md {ho conr.dr aor suct F!r€l! wnh ! Cofferorl3) ltd.d puRun ro rh. cMhcln r Lk.ru L!w).
<br />4
<br />_l @.rdfl un.ld s*lio
<br />,"" 6rl.,a1:+q
<br />DECIASAIIq!
<br />I hc.hy rmnn u.dd Fiahy ol pEjury on. otlh. folh$ inr d(tu nrN
<br />-l
<br />h$c ed $ill niIrli. . Cdifrd. otcoNd b sdf-lw [r wI6 mFdixl' d FDrit d for by Sa:li,n ]700 of lh.
<br />Llhn Co<k fo. rlr Ff()ll1'.c otoE elt for *tkt rh. Fnh i! ie.d
<br />-l
<br />hdv. a6d sill maintair wolt.n .otrrp.Mtioi iNursnc.. s rlquircd by sd io6 :1700 of rh. t,hor Codc. for th. pdfommc. df
<br />rh. sort for which fin p€nir ir isld My Mrr6r mmFsdntr iNurdcc.rir en polty nuntE r.:
<br />6fldairy rrrn nr* xrrom. ortlE sorl rq *'hEh thn Fnr n is.rr.l.tullmr aDphr oy F$. r &] i1ilE
<br />-tl 6'0b6omsbdro't srtd odF.rbD hs. ofc.lifom( rrd .8E rhr ill iEutl heoB stirr b E
<br />w d' ohFE rio. Fovirird of S6rb. 1700 of $. Lrtd ('6&. t Crll. fdhwnh mmply *nn lhor FovirirE
<br />ltrARNINC: Faild. lo s.<@ E.!a' onFMi.n 616.S. i rk$tul ad d'dl rubid u @!hF lo oimin l pqEXB dd
<br />c'vil fin€r ut k, o.. hun&.d thous dollds (t100.000). h fulditii n ro lhc c.{ fr kn,. d.m4.s i$ t''.\ d.d ln' rh.
<br />sdi6n :1076 of rh. hbr Code hrcd ed lnoEv !
<br />lrr!L\&ulQ]
<br />I hd.b, .mm !nd6 Fndly of Fjury lhd I d liGs.d und6 Foeirion oaftq E s (.omtri.s qith Sall,. ?fix,r) o I Divinrn l
<br />or 'h.
<br />B6inB.nd PiofBio6 co&, {d my lk.M ir in full for.. an.UB'1
<br />qqISIAJJC]IA!J.I!DIiG.AGI!(}
<br />I hs.l,y lttm und6 Fndrry of Fjury rh, th.. n . codrud irn Lndins .socy lor lh. pcf.,m. o I rh. worl ft. *hich lh6 Fn'l .
<br />ir!ud (S(.1097. ( iv C.).
<br />a.S8flcArut!c!68aua!
<br />I lEdv lem n|.r r6.ty of Fjury oc ot rlE follo*ing deLr ioc
<br />D.trnlnon Pamnr.Arb.cor Norifici ion F.ddal Rcsuhr bN (Tdlc .lo. Pd6)
<br />-R.qun.{
<br />ldrs of tlorifi.rio.
<br />I cdliry rh,i rh. r.ddrl r.!ub n,N r.A&dinr rnEtos En'vil & ml apDlrlbl. ro rhis pml<1
<br />G#**:;xlI h.r. r6d rhi'.rolr!.n !d d.i.iht rh.$oE 'n6rdion i!.md I lara to .oq)ly u irh tll ( dt .nd Cou )
<br />!r. l,*! chr{ ro t{illi.g @,rntu.rir( a.d lw.ht qr*fldit6ofrh*( ymd Court to otq ulxh rlt
<br />altr. nmrion.J n6tdy lor Elfflqr puno!6 ,/
<br />n,o'-"t * n* r *^,,fud*
<br />,*^,* ",*0n",4ip4 ClE / fl
<br />,,,,A/:22- /?
<br />I
<br />Erection Pads
<br />-",0t -+1-' l1
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