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BUILDING- INSPECTOR RECORD <br />SITE.WORK DATE ID/SIG.COMMENTS OWNER BUILDER Df, T,CANATIoN <br />I hd.h.v lmm undd FDxt olpdjuN lhd I m.r.nF n.m rh. (tnlftloN LicN Lls lor lh. tolh\in€ r.Mn(s(70115 <br />a6ind /t Pror6ion codr) Any Cny .i Coutny q hich ..quir6 . Fnil k' Ndtu.i..16, inlnorc &ftnsn or rq6r dy <br />sl,!(16e Fnt ro it! isuft.. aLo ,.qun6 rhc '0plicDr for ruch Fnn ro 61. r sia..d ndod lhd h. or +c it lro&i turqtd <br />to lh. Fo$rE of llE (-onrrro.r Licdsd lj* {Ch.{td 9. CohEdrn8 siih s6ron TuJo of Dnkn'n I of rlE ABms ind <br />Pmfsirn! Cod.) orlhlr lEor'h. ii.rdF rh6.fros&d th. bNd f{r rh. !ll+.d .i6nt* io. Any \iolllionolSc.tionT0]\15 b!a.y <br />aprlrcd ror c p.rnn $ubJ.d! rh. +rh.sr ro r .ir il p63hr o f mr tuE rh li1. hond..d dolbs (l5(x)). <br />l, 6 o$G orth. FoIEI!. or ny mphyc rnt nqr6 a rh.n hE onFsrr $illtL <br />'lE <br />$nl d rlE ruru. ir n{ <br />inrdvJ.d oroII6.d forslc(sd 7044, BrinG sd Profsio cod. ft'. Conreto.s l.ic.M lrv do6 nol +dy to tn ownr ol <br />rlE FoFry slF hoild. or rv!6llEo sd I ho {tE rEn ust huMl, or hd*lf or ilmu8h hn or hd osn dnl'ht6. <br />prclid.d rh.! su.h irFDrffir e. mr idddol .r .i[aRI tor $k la, b6q. (h. ttrildrB or imFornEnl i] sU s(hm .m )a <br />of $nplrn( fi. ()nE t\,itb {in hk OE h,rld of F\r.8 rrd h. or lrE d! d build n in{nr! ltr. FDFV tur rlr purF* or <br />l, s 6*B olrrr F.pqir, m d.lcnrl) co rdhs *nh lic.E d co rrcloR i{, (or!.rud tlt lroFl lsc 7ol.l. &6n6 <br />ond hoftsim ('od. lh.Conrr.croi! t-i..nrcLa* &B nor lpllyr. Do{n6ofPropdlywho build!or improvdlhdon, <br />Dd \to od,ldt td $(h FrF. $nh. Co tkonrltdnnlfuEu,nhllE(olrr&lqrIa.et^, <br />I fl croo und6 sdkrn <br />Drl. Oin.r <br />rloR(i Rs' coil Pa\s,\ fi(l rY <br />DE(I AAII(]! <br />I hd.n! .mrm u.d( rEoahl.rp6juD on..{rh. folhshr d(l{ar'06 <br />I h,\. in $ill mi.r,i.. ('diarrr. ol('oMr ro S.lf-ldr. l qort6 srFEli{r(6 F)vid.rt ld brS€'nnI7(x)oflh. <br />lrhr Cod.. lor th. Flomd.. . a'h. $o fttr *hi.h rh. tErnir i! istr.d. <br />I h.L. and sill n.inrain wort6' .ohp.drltn ,.sur,(.. t! r.qutr.ti br scr ion :l7U) of rhc tibot ( odc. ror fi. pdlomMcc .{ <br />lh. ulil for trni.h lhB rcrtrn ! e.d My \r.rld .onFMrn BurMc..si6 dd Fnic) numbq rc: <br />t.dlirr rh.r in rh. l,6fom!nc. ot rh. wort for which rhis pcmii is issu.d.I ehlllnot oplor.ny F$n m lny m nd <br />$ srobdom.uhlolh.*o 6 conFEdDn lN! of Crlifomir. ,d t*c rhd if I rlslld bcod rut .{l ro 'lE*0*6'comp.NrionF$i!tNats.dtunl70oorfi.lrbor(\rd..l!h.ll.lodhwnhcomply*dhrho*provaiods <br />wAnNlNC: F il!rc ro ku. srld .ohpddhf, corq.Sc ir u.l.wtul. ! rhdl rhict e dplott t' ainind F{his ud <br />cnil iin6 up ro oE hun&aj rhoend.hlls lllm.&xr). i. ridnbn ro rlE cd ofcomp.el:o.. d.h4d a lrold.d for rh. <br />Sdn)n 1076 of lh. ljtfl Cod.. inrd.{ dd dtodr)js fG <br />- t1-\'1 <br />uEClaSAuo!Lrer* lmrE und6 FEI!) ol Fjur! lnd I ffi li.rrs.d und6 Fryirion of (1uF6 9 (..min* *nh Sdlhr 70m) o I I)n i.n\. l <br />of rh. tr$in6e lnd PmfsF6 Cod.. et my ltle n <br />'n tull n'8. an dld <br />0 .Q"gtt'v <br />-?1-n i(ry <br />CONS RU('TION LIiNDIN(; ACi'NCY <br />I 'ttro:.J .IIm unJd Fmht o f Fjurr lhd tha. n . oNruclk'n l6dms rxft! lor rh. tEfollllfi. ot rh. u ql i shkhrh.rEmi u <br />issu.d ls( 1097. civ ( ) <br />ASIU(AI|LDESJSAUA! <br />I lEdry afl'm un&. Fmlty of Fjuty on. of rh. fullos inB d.cltr.i iont <br />D.nolnio. Pmhi-A3tBlor Nolilicnion t.d6al R*uhlpNtI l.,l0, Pd6, <br />R.qun.d lnr6 ol Nolifi.{in <br />I .61if) rhsr rfi. Lri<rl r<xuhrioN r.IedinB aLsft* rmo' rl u. ml lrtr tahlc to lhir t'oj.d <br />l.dib thd I ha. rad lht {plicalirn rn shl.lhd lhc stFrc infofldi.. n.ondl I aare nr smrlt rirh lll(''!v tnd ( ounN <br />ordiMn(6.,xi 516r. t e. Ekrts ro buld'n8 codru.rio( !d rF.l'! tultbu. r.F.sdn6 of rns Cny ud (i,@r) !o d'. lF)n rrE <br />ils\. mdri'n.n F('rd\ nn iNpdirn nurrr.A <br />,lppU.nr or,rqarsr*nrrurc Y L; <br />P.mr,e n.n.(pnno: CLrir 4"(*'J <br />(, -11- \1 <br />9, 7tt,t ' \.)M.l\4 <br />Forms/Steel/Holdowns ta <br />Erection Pads r 74 fl <br />UFER Ground x,7 ..1 ))l1 ,1,4/ <br />SLAB Floor <br />Subf loor/VenVlnsulation /l I <br />Roof Sheathinq <br />Shear Wall <br />Framing .i k <br />lnsulation/Energy h5 tll ,/./1c <br />Drywall r/1,t// 4i <br />ftx1/.ttnt.ta]ir,\Bfown Coat <br />Masonry <br />Pool Fence <br />T-Bar <br />Handicap Req <br />Deputy Final Report <br />Engineer Final Report <br />Flood Zone Certif <br />, I <br />FINAL ,1/t r/ <br />Certificate of Occupancy <br />Notes, Remarks, Etc <br />Set Backs <br />a.'tA lq <br />llr J vt <br />t'4u <br />2 lle tlq <br />'7- l7,o , <br />I <br />t lru /ra <br />I <br />tWthffirt