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BUILDING. INSPECTOR RECORD
<br />SITE.WORK DATE ID/SIG.COMMENTS
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subfloor/VenVlnsulation
<br />Roof Sheathing
<br />Shear Wall
<br />Fram ing I t.. Irs-.- (ato
<br />lnsu latio n/Energy [ \">t 6l)
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />lt4asonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Report
<br />Enqineer Final Report
<br />Flood Zone Certif.
<br />I
<br />I tt
<br />FINAL r I t7rl,r\a '47/
<br />Certificate of Occu an o1
<br />Notes, Remarks, Etc.0
<br />OII NEi EtIILDER Df, lTARATIoN
<br />I h.r.by rllm !.d6 pfllrr .rp.rury rhl I d .r.mpr 6ofl th. conlrdou Lr.B. trw ln rh. lollo*ins r.rsr (!f,.7011 t
<br />Burn6r .td ProfBrn Cod.) Anv Chy or Coud, $hih r.qd6 . p.rhi ro d"rnnd. .lrn. inpro( d.ml!fi or r.rud&,
<br />srtudd.. t'.6. r nr i!!uu... ibo r.qun6 thc .ppliqn! for such Fmil ro fi1. t risn.d r.md rh.r h. or rh. is li..m.d p6ulor
<br />lo rl! ForitioE of lh. Codnddi l.'e.r.d t E ((]rflE c, Con,ffiin3 tnh S.nbn 7000 .l ltrir6. I otrrE BN'n* mrl
<br />Prc l*i..r Cod., o. ihr' h..rrh. ir.r.mpr U6.lion.nd lnc lxrn turrh. rlLs.d.rmpln,n Anyviol.hnofSdhnT0ll 5by,n,
<br />rpplc.ntfor!p.mh.ubral!rh..ptlkrtrortuilp.ohr.rmrm.crhrnfiv.hun<,rcdd.l16(1500)
<br />l. B orEof ln FnFny. or my.mployG *nh r'.s6 s tlEn ok.onip.c.rioq *ill &r tll BGt.,n lll rltfu. ! d
<br />in,!rd.d d 6t[.r.d fd uk (Sc 701,1, B!.iB ud Profdio6 ('od.: TIE coindri Ltd. t * d.6 mr.rply to 6 oxB oa
<br />lh. pEFly who hlill or inFsv6 thoEtr !d *h. doa r*h wo* hmr.lfor h.6.lto. rhmuah hn o. hd o*..Bploy.a,
<br />prslit d rhr 3*n hq saa E d ir6i.d 6o,Iq!d 6r rt lt ho*N. dr hlid4 G irFlEEr i'sld rrhho* )sorcdphio( rh. (xn6 Builda will h.rt rlE hrkn ofpolins rhr lE or fi. dit d hlild or impDE fi. PlDpory 6r rh. p'rpos ol
<br />L a .uffi oarh. FFny. m .r.l6iFry .odr.diry enh lic.6.d .odn.lon ro .oturu.r rrr pn'i..i (s< ',Dr4. 8uB.d Ar6.m Cod.: TtE Co.h.'oa! Lic.B. l.B d6 Bn .ppl, r. u o*ns oaEop.ny wh. build! n inpo.s rh-6tr
<br />.nd who .onlnclJ aor ru.h prcr.* wnh t Co rrcio(,lid.d pu6ud ro rh. conrrdor'! l-i..@ lru)
<br />I a'ner.r trnd.r S.(rn,
<br />traBaE85:(aUtElSAIIO!
<br />SECIA8AIIaN
<br />I hE.byrmrr und.r p.n.hy oapajury on ofrh. l.uo*in3 d<Lr.lioN:
<br />I h!v. Dd s ill einr.in r ( .nilio'. or CoBdl ro S.ln IBUG for Mrkar omp.nsnon. is lmvid.d aor by S.ctmn 1700 of rh.
<br />lrt'o. Cod.. td rlr Ffo@E. of rh. $o.l fq rhah rh. Fnir ir iirucd
<br />I hrE.rd willmid.i. w6 Er' ..ap.6rrir iNurd.. s r.qun.r! by Sdion :r 700 ol rh. Llhrr Codc. for rh. p6fl]lM..a
<br />th( eort rir lhth thit Fnil . iro.d My wlar' @r'Fuion iBmR ffir rn roliy runb.r &:
<br />,*,-4<ar/
<br />,o,*,n"-o, ' g/44 /to:t{"11 116_
<br />lcd,Irrh.t o rh. pfrormft. of rh.rorl torrhrh rh6Foi ! ntu.d. l$rllrel6tlor.nt p.sn r.nyD.nn(
<br />$ c ro tEa* ruhid lo
<br />'h.
<br />*0.16 omp.Er,on Lvr orc.lilomi,.ld rR rhl rfI ltFuld tl.om 3uu6r !o rlr
<br />wod6' comp.Mtion pmvnioG of S.clion 1r0O of rh. l rbor ( od.. I *rll. lonheith coBply * irh rt F Dmyitioc
<br />WARNIN(; Filc ro a@ *otd shttdlnn Nr.rtg. ! unL*tu|. .nd !h.l! rubr.d a qnphF lo mtul FrlB ..d
<br />.ivil fmd up b on. hundr.d rhoulnd d.U@ (tl00.0(rl), in rddnion ro th. corr ofcomr.N.rion, dinrrs* a prcrid.d for lh.
<br />s<rbn 1076 0f rh. btr, c.d.. idd.i rnd.ror*! ro
<br />D."t_ ///Lv/(
<br />DISJAATqN
<br />I hRby .llm undd FMlly ol Fjory rhd t e l,c.!E d utrlr Forili.tr ot( bFo c ( onn*iB *ith s(tbn 7m() or Oirilrn I
<br />of lh. B6iIB ud Pmlisio6 Cod., .d Dy li.G. iln tull fore rnd.rd
<br />'A 7q 3f, c)
<br />D.. u/[lA{ ...,.,.V +zV-ct"*l r..--,t' r,
<br />,l
<br />CONSTRU('TION LENDINC ACEN(-T'
<br />I h.(hy lllm u.dd p. hy.rllrurth! rh6.i!.@Grrudnn bide8,gmt lorrh.Ff.mnc.ofrh.so forrn'chrn6Frr6
<br />nsucd (s( 11097, cir c )
<br />AELIATLDESIAAI,IN
<br />I holby lffln und.r p.n.lly ofr.rjury on oflhc followiry dRl.Erion.l
<br />D.mhion Pmn.'A!b.rM Noliakdnn F.dalR.auhrbN ( rnk {O. P.n6l
<br />R.qut.d l.n6ofNqitu.lM
<br />I c.n'trh.r rh. f.dol r.ruhlnB ,qudrne ab.sto!.mr.lR not lrplK Llo rhL,nojd
<br />lcqlirythal I l!r.rddthirlpplicrionrnrl .lhi th. .ho\. inaomlion i! @n.( I .sr6 to .onpl, * ilh ill City !d Cou.tyod x6..d Sr.r Lrsr r.Lug ro hlildilB..intudin id ha.b,v.db.n r.,.6.dn6 oathn Cnt.,n C.ury ro 6rE rpon rlr
<br />M
<br />Rev 08-07-2015
<br />.bo\. IHri,,n.d DmDdy lor iED..Lioo ourD.rd
<br />^;;;;-:^^7 Jfu,aZy I ^,, 4y's/tl
<br />P.m.crtrrpri,l g- ,244h^ D a,^^fV,-
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