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BUILDING. INSPECTOR RECORD
<br />SITE-WORK DATE ID/SIG ()wn6-lluild.r O<l&lion
<br />I h.r.byrlt'r unds p.Ehyofp.rlury ltul I.m.r.mpt form th.( onr ndoB' LEnr. lrw for rh.folLer.g ra$n Ga 70]I 5 Asin6!
<br />t d Pref6tion (od.): ny (
<br />'ly
<br />or Coun'y whi(h Equn6 r p.m {d coBttud,.hn. imrror.. &ml,rh.r r.p.n.ny.tucru.. FE, \, trr
<br />ir3uft.. .L. r.qoir6 rh. .npl(rn' lor h.h Drmil 16 lil. . raEd rrr.:lmt rh.l n o. !h. n lt.rd !l!ru to rhc Dm\ 'rF6 ollh
<br />Cod,rdor t l-'cE d l,* (( h.d. e, Cono.ftrB *dh Sd6n )firl ofDN6b.I of rh. aus.6..ra P.of6i6d ( od.l or rh.t b. or
<br />sh. ir .r.n/ rh(lnon .nd rh. lLrii for
<br />'h.
<br />.rle.d .rdflh. Any \ dllion or S..rhn 701 I 5 by .ny .rrh.dr ror . Fod rubj.dt rh<
<br />lPpliclnlIoicivilp. nyotmlmor.thlnlivchundrcddollaR(15fi1)
<br />_1,a orn.r of rh. DNpdy, or ny mpby6 p irh *.36 d rh.i. $k .onp.n hn, s ill do rh. w.rl .nd rh. rtudu. i mr i.i.nd.d
<br />or oft .d to, qL ( S< 70.11. BE,c! rd Prof{EB Coi. Th. ('onhdd r l.(.e l.* d6 Dr |prll ro e owr.f ih. pop.ny
<br />*ho hil<L or @prc\ 5 lLron. .n l *lF dG tEh wo* ninElf or h.elf or ll[ou8t hn or lEr @n mployG. preriLd lh.l ruch
<br />inprovmdl. e. mr i,u.nd.d o. olIdrd tor .L. lf. ho*.vd. rlr turld'ns or idpror.d.nr ir eld *nhi. o* ]..r of conlPldsn. rh.
<br />O$.a-Buildd will h.rt rh. burd.. ofDroring rhrl h. or3h...t build or imlnov.lor rh. purpo$ ofel.}
<br />l. e owcr of rh. prop.n), .m .r.l$ir.ly .o.trcring with Ii..N.rt conlrr.toE ro .oNlru.l th. proj.cr ( S< 70,1.1, llNm6! ud
<br />P@fd6n ( od. rh. Conrr.ro. r LK.nr uw dc @i .pply io .tr o*nd of plopdv *ho bu 'lit or ,.,prov6 lh.r6n , .nd *ho
<br />contr.E fo, lufi proFrtr * h r Corhdo(!| l(qu.d pu6u rorh.Con6doir I E.nEtr*,
<br />I im.\.nrpr u.ddS.rrtrrn
<br />laatifalc0itfjJtAuor-uE(1aaarro!
<br />I h...b rmrm undd l,.mlr, ol pdlucv oF orrh. rolb*na dc.lrr.ri,,6
<br />I h.r..nd *ill miinrri. i (-d ifi. . of (-oB.nr ro S.lt-lnsur. for erk.G' comp.nsr
<br />'on,
<br />r prov'd.d aor by 56ron:l?00 olrh.
<br />rlb.r ('('d!, aor rh. p(aortun.c ol rh. wort ror which rh. pmnir n irlu.d
<br />I h.!. td *nl mrt.r wrt6 6np.dr.. rculftq o i.qu.dbySd.nl70Oofth.lib.rCod..lorth.r.rfo.m.c.otrlE
<br />Mrt for *hKhthr Fh ! '.u.d My *o,k(r' @mp.nsl En 'ellle. crn od !oli., nuib6 &
<br />t-r, Ce ///y'.'/ ,1, q -Tng-,,-a,ur-<--
<br />Poh!,.{umho . ?6 -X217 A}-.-1,.",-'oS(ItE ft'!,n k..l mr b. c.nDlcr.n ifrh. Dm E ror ork hund'.d dolltF ltl0{l .r k*)/'tlz
<br />! ccn'ry rh.r m lh( Frfodm. of rh. rul,o. *hich rtis F.h...n. ruhd ro rh. Erldr '.onp.nrrrn Ltrr ufCrl.fomu.
<br />.onp.nsr io. pmviri.ns or s(rhn 1700 oirh. llbor (ndc.l rh.
<br />nn a isu.d. I ihru ml dploy.nr F..on in uy tutud e a ro
<br />.nd .B.* lhlr rf l nEoU beom Nbrdi lo rh. wo .R
<br />ll. lonh*irh cooply wirh rhos. peviriom
<br />a3r/aZ/t 7
<br />\AR\lli(i lIltrr.ro tdur. *orl d' ronln.rur rn co\ Fr8. tr ui L*ful, rnd lhrll ruh)crm.mplot{ to diniMlp. lrrd.nd.r'l
<br />liB ur ro o* hun<!I.d rhournd doll6 (t l0O-0&).'n .ddir bn ro rh. cox ofconp.drDr, dlmsB u p.ovid.d for rh. sdrhn 1076 ol
<br />rh. t bor Cod.. 'nr.r6r ind rnDrn.y-l ld
<br />usrltrDr{lNraAga8lllcla8Ar(r!Ihdcly.mmunddF lyorFjuryrl l u lic.N.d urn6 pEvtr. of Ch.fld 9 (o6E*inB rnh Sdill 70(xJ) ol DN irion I ol
<br />rlE BcrBi Dd Fmf6!b6 C.&. &d Dt li..e ir ir iill torc..rld cttd
<br />...*rr^* (71
<br />*,. o)/az/zz
<br />(a!srBI(r0!-Lf!D!!ctGE!(r
<br />I h.r.hy r[]m u.ddp.nllryorpdjuryrh lhn. t !.oBrtucrion ladi.s rgcey fnr lh. pofomnc. df !h. *o.L aoroh'(h rhis pcmil i!
<br />is3u.n (SE 1097-Cir. C )
<br />APPLICAN]'S DfCLARAIION
<br />D.mol(xrn Pcnnir$Aib.stor Norifi.arion F.d.rilR.!ul io.sI Ink {0, Pdn 6)
<br />Rtqut d lt rof Notiiur()n
<br />I ..n'r, rhl th. t ddrl r.rul.r 6.r r.!!drng ab6h. r@\ .l rr. @l rp?hobl. ro rhB pro)<.r
<br />,ft rhir I hr!. .ad rhr lppl{lri)n i.d Mr. rh, rh. rtbr. 'nforni,on B .ornl I +rd lo .onlily w ih rll (_ v rnd (bu.ry
<br />.s ind Shr.li$! r.l.ring ro buildins.otrsrtu.rion, Md hlr.by rurhori,. i.Irsirari!.s orthi\ ( iry !.d ('ounry $ cnr.r upoi rh.
<br />alx\c n,ctrrtrn,.'l pnrpcny i,tr rtrdn)n
<br />f(mir( tr D.(lr' ): t(
<br />?,/ez/tf -
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subfloor/VenUlnsul
<br />Roof Sheathing
<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 />Deputy Final Report
<br />Engineer Final Report
<br />Flood Zone Certif
<br />FINAL Tf k ltc .D6,rf loi
<br />Certificate of Occupancy
<br />Notes, Remarks, Etc
<br />4
<br />M1WP51\P6.n.l-hspecton Fdoi\Buildrng-lnspoction R6co.d do. 03 31 06
<br />COMMENTS
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<br />tr.tr\c\Lnh.r ?o-915.?
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