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BUILDING- INSPECTOR RECORD
<br />SITE.WORK DATE rD/srG.COMMENTS
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />U FER Ground
<br />SLAB Floor
<br />Subfloor/VenUl nsulation
<br />Roof Sheathing
<br />Shear Wall
<br />Framinq
<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 />Enqineer Final Report
<br />Flood Zone Certif
<br />FINAL ?/zs/D evlr?a-/or-
<br />Certificate of Occupancy
<br />Notes, Remarks, Etc.
<br />O1VNER BUILDER DELCARATION
<br />I hq.b rlrm u.do Flhy of Fju' $i I a.t.to 6oE llE Co' n16 1]..M l:* lo, E foll,wing ,6nls(?011.t,
<br />BuilB .,r, Prcldin Co&) Any Cny or Coury *tih lquc . Fbn lo @rENcl, rfta. iDFov.. daDIid ot l4.t ay
<br />struc1u., rir to t3 irsus., !t!o r.quq6 th. +pli@l for $cn FEil to ilc ! !ig..d $doai fi,r lE or J'c i licda.d p@aru
<br />ro rlE FortioN of dr Cotrnxrd', Lie...n k* ((a.fla 9. Comtrin8 wnh Sciion 700.J ot DirnbD I of lh. BBind ed
<br />Prcf6ioE Co&) or rhd l: c rE it 6dF rlE Aoo &d 0E b..i5 for th. JL8.d don$bi Aiy tiohion of Sdion 7011., bl uy
<br />.riplicel6rd!.rmnrubjdt3th(.ppli.mlloacivilp.nahyoamlmor.lhufiv.hu.tlddoll4(1500)
<br />s o*E of rlE rrirEl,. or oy ddo,6 *nh r+6 a lhin $L drmFsbn, sill(h tll *dt 1l !h. ruic E fln
<br />llod lor sl. tsd ?u4, BNins ud fr.f6ioN Qdc l]8 ( onrrdoi r Li..M l,s do6 ool aPply ro m 0*6 of
<br />rh. FDFy who hrild o' iry!€ thsE( -d who &Esh m hitElf or hd*lfor rhmuBh ht o. hc os cdpr,y6.
<br />Forir.d rh.r r*h imFolalEB e d no'd.d motu 6. *t l[ tnns. dr hlildilB a ilqo\qlEr a sld qinin d ]a
<br />ofmrpki4 rlE ol,E Buildd *i! hlE 0r Unb otFolitB rhl h. or nt dil ml hild or itqoE $c FoFt, 6r tlI FrPot of
<br />-
<br />l, c orF of rlE Fatdy. m d.lcn cl, coMins s hh lkdsd .o'nrKoB lo rs.fud rlE Fiid (S<. ?O{4, BdnB
<br />drl PE&.rin ( od.r lh. Conldctd 3 Liccnc ltw do6 rcl ipplr ro uownd otprnFry Eltrl buil& or imPmvdlh66o,
<br />&d who conrrrr! fr rBh Ft{s with rCo.lrdo(r) ltdsd p{Eud lo $.Conlr.cl !LkGl,w).
<br />*EQ'+4'19 QV\!B[f,Alsl:lrr}-r.!]r9:
<br />III(TABAIIOA
<br />I ha.bt amm ond.r F$lry olFjury on. oalh. tollowins &(UothN
<br />-l
<br />h!y. al *ill Mdo. Cal'tEncof Coost lo s.lf-l6urc f wld. mntdurbn, a FoviLd for b, saiion 1700 drrh.
<br />lrbor ('od.. lor th. FaonIm. of lh. *o* for *tich lh. psnil b Beucd
<br />-l
<br />hl..nd will mim.in *utdr conFB.lion inlllffG. s r.quild q( s.(ion :UoO oiilE Ubo. ao&. for $. paftnm. oa
<br />rhc *olt ao. which thn p.mil t isEd My erk codFaalon icure. 6ia ,n policy numbd r.:
<br />_Ef,pird:
<br />Dj,ro,irr,- .t* p-r.*. orr,E *o'I rG *hEh rhn Fnh ! iBuc( I .ltrll mt drplo, my F$n i' e, tffi
<br />6 uro bcrmc rubd h rh. *ortd @dp.N{Di hMof C.lrfomit Md.sR rhd ifl ,ruld h<orc NbF! ro rh.
<br />wrt6' ofrFE rior provnbd of S..riod.lru of rh. rdd C6dc I !sll. fonhnh omply wih llbi Foviliocw ru\rNG F.il@ ro se rdl6' onpqdion @vqts. L ulrsful. ed !h.ll $bJcr - atrpbF ro onid FrrE.nd.nil nn6 up b on. hun&od lhoMd dollN (tl00.0(xr
<br />sdion 1076 olih. tjtDr Code itrrscn eld .rion9'r r.d tsdio.. drm.s6 a prclidal tor tlE
<br />3-n 20t1^
<br />uurllrL(a!r&[raltlrM&rIlQ:
<br />I bc!b, .fm lind Fdy of Fjury ltr I 6 li6!.d ulds Fovilb. dl ch.Fd 9 (@nffiins *'nh S<ric. 7un) of Dir ition l
<br />ot tn. Buii,6 ed Pbf6ioN Cod.. ud hy licoe i! in tull foc aid.fi..l
<br />COd TAI]CIIOAIEdDIICIGEMjI
<br />I ndlb rfim un& FEhy olF)u.y lhi thdc i!. sru.rxrbi laii.g tBfty for rlE Ffolllldc of llr "qt 6. whkh rti Fmi i
<br />i$u.d lsd lO47.CN C)
<br />L.tn6 3 Adt6:
<br />-
<br />aPPr rca\'rlrrcr {n TloN
<br />I h.iy lfEn udld F8h, of Fru, oR ot rlE lolh$ing &.L,.1irN
<br />D.molition Pdmits-ArtEtos Nolilicdion r-.d61 R.sulrrion! lTi 1.40, Pd6)
<br />-Roruir.J
<br />lnt6 ot l'lolifi.iM
<br />I cdtily rhrr rn f<ldol EguhrnrN Esr.diog atElo3 rdoval d. .or lpplic.bl. to lhb rmjEt
<br />DC cqriry rll, I he c '6d thn rrplE.rioi id <4. Ihi rrE .b.1r nfonnni'n n co(qr I 'roa ro ompl, tr ih .!l ( iy tni, coudt
<br />odiuN6 ud Sutc tre! El,loB ro b(ildin8 .ondd.ri.t\ dd h6.by ulh.riz. rcF.6ldi!6 of tha Cit, ud Coolylo md !F.lrE
<br />dhn. nmrhn.J propd\ ld iNp.dn,n purlx,s
<br />Apprrrrn,or^*d,sran.,ure 9.t I (0
<br />^-17- ?acl
<br />I
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