|
BUILDING. INSPECTOR RECORD
<br />SITE-WOBK DATE COMMENTS OWNER BUILDEII DELCARAIION
<br />I hcrchy altirn undd p.iahy of Frjxry rhrr I d cxcnpt lmn rtc (i,nrrcb6 Li.dn* li* t r rh.lnlbwine rca$tr (S&.l0.ll5
<br />t,usincss ond Profcsion Codc): Any Cil, nr Coutrry vhich r.qutcs r t mir lo consrfl.r, altcr. imprcvc, dcmlish or rcpai . /
<br />srtocrurc. priorro it\ nsurrc. rko r.quncs rh. q'plicant lor suchFrmir to filcasi8ned srarcnf,nr rhlt hcor shc n liccnscd pur\u0nr
<br />lo Ihc pmvisions ol dc Conkr.ktr s Li.ci*d bw (Chapru 9. C.mmn.ine *ith Sc.rn,n 7000 of Divi\ion -l ol rh. Businc$ rtrd
<br />h.fc$ion\ Codc) or ltar lrorshc iscicmfl Ihcrcfromlnd thc b.sis ror rhcallcscdcrcmnlior. Any liolarion olSccli.n 7rr.l I t hy!n)
<br />imli.,fi ror n !.rn'ir \rbjeh rhc rpplicrnl lo acililpcnrltyotnol rerc th,n rivc nlnlred dollaF(S50O)
<br />l. rs owncr oflh. fmp.ny. or nrycmtlowr\ snh kaEc\ as rtun v,h conucr\rrion. willdo rhc work md rh. {trtrtr. is.ol
<br />inrcn,lcd o, ofcrcd for ele (Se 7({,1. Busincs mi Pmrc$ions C.dc lhc C nki.nr's l-iccflsc ljw d..s not 0t'!lyro m o\'!cr ol
<br />rh. |m)|xny wlrc boilds .r irp(,r\ rh.rcn, rnd who d{rs suci s(,rk hnns.lf or hcr$lf or rhrough hh or hcr own c lrlrDrcs,
<br />B)vidcd rld srch i! prolcm rr rt Rn i' cndcd .r orTcEl lirr elc ll howcw rtu huildin8 or i'nprorcmnr is wld wirhli oic rrar
<br />ol cotrDbri.n. lhc OBncr Blihcr will h0v hc hurdcD ol pmlilg 11""11 lr or shc d trol huikl or inprorc lhc pm[l(-ny for lhe puqnsc oi
<br />l.rso$ncrolihcpmj^-ny,r.xclurivcly.onrrdingwirhliccnrcdcofrBcnr\k,cotr{ru.rrhenmJccrlScc.701.4.Businc*
<br />rRl Pnrlssbn Codc Thc Conr0cntr s Li.rr\r Lrw docs iorrtplth rnosncr ll(,rrcdy qho build\or nnprovcs thcrcotr.
<br />rtrd qho conti.h rin \u.h pn,jccl\snhr (bntrickrG) liccnscd pusurnr kirlrG).rrrttr ! l,i.cnsc L,*)
<br />I Dcr.'nfrrftlo S.rri,)
<br />-.4
<br />&PC rbrlni\ rcr{,n
<br />Drle (r*ner
<br />\!oRxEis' cr)NtPrr\s,\rroN
<br />l)E!:L!-8[IIOts
<br />I h.r.hj"iftnnutrdcrIt rlr!.rl,crury.ncorrhcfrlkNi'rgdrclxrJ.otr\:
<br />lhrvcuJxi sillnrinrxii a Ccn ifiore ol Consenr n' Scllln$rc l'or $orkcriconDctr\riion. Bs ptr,idcd r'or hySein,n l7(X).frhc
<br />lJhnrcrrl..'n' rhcncrlnr'r'n(orrhc u.rl i,tr trh\h rhr Fmi tr F.unl
<br />lal hrrc Jnd sllln'rinrtrin tr. rlc^' o'nNns8r i,n irNrorcc. as rcquncn hyS$li,,n:17(X)ollhc Lanor Codc, nrrhc pc.fumirc oi
<br />rhr tr,{\l:r rl..hrl-;.t\-ntr'.i. rnl lir.rle' ..'atrtr.,'/itr
<br />,.,., %va'.*l oJ *ho,.J
<br />iNurr...roid' rxlt,.lirynunrhcrlc:
<br />tlra,ri.yr,.r*.-E5l9L I .l1181-r9
<br />SE.'rion l{)?6oflhe L!h, Cfrlc, inicrcn ond (tbrmr's fccs.
<br />,,.,.: z/tt/rt
<br />DICI.AMUAN
<br />I hcmb, affirn undd p.Mllydrl.rjury lhd l,'n li.ciscd lndcr ptr)vni{{ ofChrprcr 9l..nnndicirg wnh Sccrion ?000) olDiuision.l
<br />or rhc Busines and Prolcsions Codc. lnd myliccnsc h ir tull lorcc ond cficcr
<br />B s7.-{ L1 B
<br />7 u-tu&rytar+
<br />CAN,IIBIJI:IIONII'IDING-&AINCI
<br />I hcNhy aftlr nnd.rF.rlrrofp.rjuryrhnrrlkdisscon{tucri,nh.din!{gcn.tforthcnrfonunccofrhcworkforwhkhlhhp.m[h
<br />issu.d (S.c.1097. Ci! C )
<br />A.TPIIIANIDA;LAEAII!}N
<br />I lrnby finnundcr pcndlryorFrjnry onc ofrh. fi,lk'tring Jccletrrnnrs
<br />DcnDlirion Pcflnn\ Ash(nos Nolificrrirnr Fcdcrrl Rcgnhrn,n\ i lirle.t0, P 6)
<br />Rcquncd Lcn$olN.f lirdirrr
<br />-l
<br />ccrriiy rhar thc fcdcrulrcgulorions rc$rding,\trsos r.nmv,l rr. no' apdi.lblc ro rhi\ trelccr
<br />.216-.iffiI r,^" ,*a,r'i. llplicart,n {xr sr.re rnd fi. ahovc inrormrion is cotrccr r.E e ro comrry *irh ar c'ry,nd couniy
<br />o i!Ln.c\rndSrrrcIrs\rcl itrg bbuil,li!!.on{ru.rior. and hc.ch\ iurhorizc r.[cs. rrnsofr
<br />rhnc Enriorcd propcny lir
<br />iDpli(ntrlor lE€nl siln.lo
<br />P€mrilN namc(prinl):FL{4fi"J
<br />:',"'if;li*-
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/Venl/lnsulation
<br />Roof Sheathing krzi.O.Ll2-lK flits)
<br />Shear Wall '1I t.
<br />Framing
<br />l nsulation/Energy
<br />Qrywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />l\/asonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Report
<br />En ineer Fi nal Report
<br />Flood Zone Certil.
<br />)tlzcl t (t1/rr'44€L4 I ?2)
<br />Certilicate of Occupancy I JI \=r-
<br />Notes , Remarks, Etc
<br />ID/SIG.
<br />FINAL
<br />-lccnifyrhil
<br />inrhc pcrformkc of rhc *.rk f.r whicl rht n(rfrir n i!\x.d.l sh lltror cnlrlor..rt tron inanynunncr
<br />$ al k b.<,ft subjccr tr rh.,olker u,mpcn$rion la*\ olcili,i,mia. and aercc rhar ill sholld tic{om su}'j.{r b rtr
<br />*odGs' conli.nerinn pmlisions of sccr ion l7(x, ol rhc ljtnr Code. I rhall. lonh*irh comply *ilh rh,r pnrision!
<br />l{ARNlNc: railurc ro $.urc sork * .omt nrarn,n.ov.asc ir lnltrrrxl. u.d shdll lubt.r ,n cmlltD$ ro.nninrlFnrlra\ lnd
<br />civil fincs up ro onc hundred rhousrnd dollfs (S|0O.00O). in nddirn)n tu rhc.o{ ol.onp.nsdi.n. darMScs.s prorid nnrtu
<br />---T------
<br />I
|