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BUILDING- INSPECTOR RECORD
<br />SITE-WORK DATE ID/SIG.COMMENTS Ol{NER BUILDER DELCARATION
<br />I habt artrn uida Fdry of Fqjury rhr I d .rai{i frem rh. Conl.dN Lkdu Lrw lo, lh. follosuU l@n (56.701 1.5
<br />Bcil16 rn Profsbn Co&): Aly Cnt o. Coun, *til' r.qun6 . Fni lo o,!rn4 .IE rpote dEEliih or tq., ey
<br />rrud@ Fs ro il] isle., .&o r.AriG rlE ?dkd for uch Fnn lo fik. lisad nroEr lhr lE or tlE s licd..d Fetfl
<br />ro rh. FDvnioN ol tlE Cof,r.doir Lkdi.d tlw (C-hipld 9. Comocing wilh S6lion 7000 ofDieiibn I ofllE BsilB !d
<br />Pt fdio Cod.) or rhrl l! 6 rh. ir .x@F rh6.6om dd rlE bdn for lh. dks.d crdFion. any liolrlion of SrlioD 701L5 by tuy
<br />.rpltdt ao, rtEnit sbidr llE @liqt ro!civilF lyotbt mr.lh, fN. nsndftd &rlbt (t50O).
<br />l. 6 ow ofrh. tropdry, o, my @plorc *th *.{6 s 0Eir *L .otpdlshn. will d. ilE *r,} rd dE n lE . ml
<br />irtdrlcd or oftdcd fo! slc {56 1044, BBi.{ ed PrcldioN codc Tic cont6doa! t](t@ Lu do6 nol !$ly lo d omd ot
<br />rh. FDFty *ho buiklm iqmEdEs rd wlb &6 sn F& hmdaor hdlf or lhsush hn or hs om 6n9h!6.
<br />Fovd.d rh.r sh mFotu E d ndx,.d do,H 6! sl lr.lDlrtc. rtE t! dir or inprrlffi.nBvrtidE )a
<br />of ..trpldb^ tlE ()wE Boildd *iU t!6 tlE hnlc! 6f Ftrvi,B d. lr n rl* dA d h,!d q itt .t. dE Ftpqty 6r dE pl Feoa
<br />I,NrsGofrn Fopsly, m.xcBn.b coffsrins *nh licoB.<i cotudoB to.!Mel llr Fllal (Sd 70a{. BdilE
<br />dd rhkn Co& ftE Cornrsoi! L(qE Lle .106 mr mly ro 6 ow orD.oDdry qlb t
<br />'ldr
<br />or inpm6 lha@G
<br />..d *no codds for tuch Frials wnh ! Conclcimlr) laEEd ,Ead io
<br />'h.
<br />(ttudort Ltc le)
<br />I d.&nfl unda sdion
<br />!485!EgraMtldral10!DlclaSallo!
<br />I hs.by rllm u.ds Fi.X] ofrEjury on. of th. follovi.B {k lsllioNl
<br />I hrw d will Nir !b. Cqrif..r.6f CoE! to S.lf.lEE 6r lql6 @trFddioi, . Ircvidqt 6r by sdir 1?00 of tlr
<br />t hor Cod.. ror th. Ffollffi. of tt wt for trtlth [E Fmn i! is{.d
<br />I hlrc.!d will n.inrain *0116 .6nFMion Num., s rcquiEd b! S61io.1700 oi$. trbor aodc. fot lh. Psfolrffi. ot
<br />rh. ro* lq }hah rhi! pdnn . &d Mt $0116 omFsrion Il!tr. tui, .d Fla, tunbd r.:
<br />,",," Kt MeYZrc,4^1 tNsu2** / I
<br />,.,..,,,,,,^.uJM, .ctlt5trbbn3 rr (. fl o'\fu
<br />I.d'ft,h 'nrh.pdf(nhn(.ofrh.r"rlf(y\htr[rhtrp<rnnr'1sn'al,IshrLl frd plo!in! pcre,n
<br />'n
<br />nn) 'nrnnrs, rls ro b..un. sul,l(t |o rlr. sorl6 nnnto$hoi lnss rl( alrfdnu. ind.ER Ihdr 'fl should l{(rr srbld h rhc
<br />Bolld compcnolior pr.vtio6 ol S<l6n :1700 or th. lrtv slEll, lonhr hcohply*irh
<br />qrDloF lo mird DdlE rd
<br />iof,. d,rs6 ! prov'dcd for llt
<br />w/\RNlNG. tarluE ro sE. rorr6 (.mFrsrion (\s.8.
<br />to oG hu!i.d! rlhuiad (t)l16 (1100.0Q). h
<br />It
<br />I hs.by .rtrh undr pnDlr, or Fjury rhd unda lovBhi of Chlprd 9 (.6n1lmin8 qnh S6lhn '7(D0) ol Divitn n l
<br />of lh. B6in< ud PtufBnB Codc, ard m, li..u i! i. alll lo,.c &d .llel
<br />"^" lZ
<br />'Clc)I oV{
<br />It
<br />i h.Etr aftm unds p6rXy of !.rlury lhn
<br />i$u.J (56 lO9'7, Civ. C.)
<br />i! s coNrucrion l€nditrs d{fty for
<br />'h.
<br />p6fol1ffi. of th. work n)r which ltB ratit a
<br />affu(Attrict atArlot
<br />I lErby .ftr !n& Frry of Fjury oF of
<br />'lE
<br />fort *i4 &.L' nN
<br />Onnolilio. Pmnr-Alb6ro! Nolificelion F.&r.l R.suLr ioot (Tirl. 40. P.n6)
<br />R.qun d ld's otMnilicdbn
<br />I.drb lhd !h. fsr6l GrlbtnN 6h6t8 rmr.l r. Brl itptlf,tbL o lha Ftrldl
<br />il,ln r*r4ro! ndy *(hlll Cr).n, (',runty
<br />n6 olrhlr (irv.nd Coorv ro trrrq Nn E
<br />"',,Lzf t1fuo
<br />1/?Lkt
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Ereclion Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loorA/enUl nsulation
<br />Roof Sheathinq
<br />Shear Wall
<br />Framing
<br />lnsulation/Energy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />Depuly Final Report
<br />Enqineer Final Report
<br />Flood Zone Certif
<br />I
<br />FINAL //rl/to lrCertificate of Occupancy
<br />Notes,Remarks Etc.
<br />l1
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