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BUILDING. INSPECTOR RECORD
<br />SITE-WORK COMMEITTS OWNER BUI LOER DEt-('A RTIIoN
<br />I h6.tr rlIm undd F..hy of Frjtr,r. lhd I m .rmfl 6.h in cod.do6 l.k.e l j\ for lhc follo* ins rt!.o.r l s( 70 t l !
<br />uu'n6s ud ftnrsion CoJ.,. Any Cir) or ('ounll trhth ,.qui,6 r rsri to coNlrucr. ihG. ihpro(, d.,nolish or qhn .n,
<br />srudur.. Fbr !o d! isum., .h. rqrn6 rh. edkd ao.3u.h Fm $ nL r si3n.d sldmol lh6' lE or si. i, li.d*n pu6dr
<br />ro rh. ForuioN oI rlE ( o.rrelv s Licdrd lr* (Ct 1116 9. (t6,usi.rr rirh s.rti.n 7(io0 of Dnisnrn I or rh. Bosirs rnd
<br />frofsrnr Cd.l or thsl lE or nE n crdpl lhac&oh ed th. bds lor lhc allcs.d .rcnFn'. An-vriol.rionofs..lion 7OrI5 h !n)
<br />lrtli.d lor rFnn suhjdrilh. rprli. r kr r.rvilp.Blrvolnor mor! rhM fiv. htr.dr.d &lld! (l5m)
<br />l. !s 0116 olth. rop.ny. or Dy mdoyB Lvth tr.16 6 thd $k comlnid6n- *illd, rrE {rI tn rE ddG i! mt
<br />i odai or olTd.rt fM $lc (Sd 7(x4, aGh6 Md Aoadiod Cod. Tk (n.rdois Lad b$ dE ml d'plr_ ro d o\K or
<br />rhl InrIEly tr ho t!rl& or r{n)v6lhqFtr ad n ho dE st ulri h',ulf or h6*lf or ihroulh hB or hd .m mnlor.6.
<br />pio\,&l ih.r rucfi imF\ffirlft to{ idall.d or ollqql lo, sL lt lru6E rlr ttui[in* or inprovffi s $Ll {'nhin "n. rs
<br />of.o'rldFtr rlE ( it nq tt]ilds u ill h,E rh. htrdd ofForilu tid h. or ir. did ml hntl or mIro!. 1fi. FrFt, aor ih. Fria of
<br />l. ei or n6 ofrhc F.pcry. .m .(lusir.l) codrrros s ith lic6E d con&1o6 ro codru.r
<br />'
<br />h. p6j.d lsft 70,1,1, B6ins
<br />frl PrbFsih( od. Ih. ('odGkr'r Li<dk Lr* d.c nrr qrl! ro d o\.. o f FoFnr" $ ho buil& or inprc vd lh6Nn.
<br />lnd $lI. co ds lm sch proj.di snh. Contrxro(, lic.n*d nunu, rothc('onrr!do.! I ic.N lar).
<br />I r r.\.n' ud{lr S(rnnr
<br />D!r.: ()ind
<br />uonr(F[s-a oNrti iisafl 6ii
<br />DECIIAAUA!
<br />I h.r.l,j.. rfirfr und6 FEh y of Fjur_! on€ of r h. nnb" i.! delar.rions
<br />I hav. od srll@inrain r ( dtrft.i. oa('n.6r r. s.ll lM. td tr0*6'.o6t.Mio.. c For ilj.n for bySdion !70(roilhr
<br />lrlr, Cod., fo,lh. pqtolrM..rfi. uo.t fq nnEh rh. psnn s isu.rl
<br />I h.\. .nd oill mlinr.in r 0116 conBEns.lion iBuran... B r.qur.n bv Sdn,n 170o o f rh. ljh.r (-o{L. for rh. Frolmft. ol
<br />thc \ort for whi.h lhn p.mn ie isu.d My !o,kd <hp.nrilion iGu.k. cmic rn r.lt) .uEb6 d..,..\(r 17_ ^ ! 'AY tP:'
<br />I',n'.) \!mlg : \t-a "< | l5j -? - \ ?/t'I*- '.{-l'i_r',
<br />l.dif!rhd in rh.Frolm6&of rh.*.rt aor sh'chrhiip.rin B 6u.d.l shrllnor mdot.D F$. inut mdF
<br />$ a to beom. luhrd
<br />'o
<br />rhc *ort6' mnFrdi'n L$ s or(-rl fomi.. rd +te rhd if I shrld tE(E srt 6l (, rlE
<br />$rtd $np.nsrion p$\ irio6 of sdion 1700 of rh. Il!)r (-.d.. I sl8ll. fonnq nh onplr * iifi lh- Fo\ iriods
<br />\IARNINC Ijiitur. ro ffic uoid s'nFB.rhn m\@s. 6 uLtrirl dd thll .uhj<i d dployd k' nimin.l rtn hi! Md
<br />cn'l li.6 up ro nE hu.drcd rlFEid d,lld (ll{x).ooo). in addition k\ rh! cosr !f .omFN'tun, drma86 I prordd ntr rhc
<br />s..ion :076 .r rh. Ijtor Cod.. inrq.! dd 6'ron*!! tc
<br />o.r., ' 5 -t. ,Ll ?tpptraar,* 72 ,y-1- t- S*.: at -2
<br />IICETSIDIANIf,AflOE
<br />DECIIBAIIAXIlEtt'y.rmun,.rFnt!ofFj!r)lhalIrnlicr.dun&rForisnrnofch.pr6e(comndcinsu hs6lx\.70oo)olt)lrishn I
<br />ol fi. BGind md Pr.l6ioB Co.k, ,n mt lk.M i! in ttrll ior.c d.rdr
<br />L.$n \trn,I\a
<br />< Nk*tN>L -z L a.7
<br />(a!flauqllalfl.EdDllc-acEN(l
<br />I hgli,y lmm u..b FEly ot FJUry $d rh6. i . .oirrudi.i b'diis rsftt for rh. p<follMc. of rh. mrl 6r shich lhn Fnn i
<br />ir$.d (Se !097.Cn ( I
<br />A[[UCI.NLDES.6AAI]A!
<br />I nody aJIm rn&r Fn.lt, o f Frory oE ot rh. folb$ ing d.(ldd ioN:
<br />I).molirion Pm *Asbcqros Norifi..r'on F.ddal R.gubrnB ( Iitl. J0, Prn6l
<br />r.q!ird kG of tJdifi.!ion
<br />l.diI lhnr rhc f.Jml r.sulsr trlN r.!turliis tr\l6r$ rdnf r il ar( norappL( 1.r)rhrI'oFl
<br />lcdify
<br />'hal
<br />I h.\. rdd rhi!.arlic.rKn el srrt.rhd
<br />'h.
<br />rtF\. rnfotuhn k ord l.rnero conpb s ilh rll(''ly ind (.un[
<br />ordmdn.6 rnd s{arc I!$: Eldtrt ro bild'n8 .odtudb.. ii hdd,' ! lFd,. rcF.*ridn 6 .lrhis ( ntddCounryt'drs utFn rh.
<br />ih.rG lmtrnlj Fcrd! lnr Nf<
<br />tperc'n,or \rorskn.rure 2<' 1<-' \"-
<br />FemirE rrn. (Dnrr): K 1 '-.*,. ,- 5-rc r,-z
<br />rht.. - 5- r-'rrr7
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Ereclion Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenUlnsulation
<br />Roof Sheathing
<br />Shear Wall
<br />Framing
<br />lnsulation/E ne rgy
<br />Drpvall
<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 VIT'ilft a.\c u-6h c
<br />Certificate of Occupancy t
<br />Noles, Remarks, Etc.
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<br />DATE ID/SIG. I
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