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BUILDING- INSPECTOR RECORD SITE.WORK COMMENTS oWNER Bt]I LDIN DEL('A RATION I Hr .rm unkr Flnr of F.rury thd I o dmDi frcm rh. Cod,&ioR' Li@ t u lor rh. nnb*i.[ r(an (Sc 70!l 5 Busin6! dd Pr.fNFn (injc): Aty Cr' or Coudy wh{h r.qutrd t rrf,ir ro $Ntud. 6hs. inprorc. ddNllrh or rqFtr try rtoclrq rrnr lo irl sue.. .ls B+i6 rh. .ppli.Mt for su.h Frmil !o lilc a sisftJ slalool lta h. or .h. ! licas.J Iu6umr to lh. rmv6bN o, ilE (.onl,rlu'3 I 'cas.d t,* ((-rqns 9- ( oDhtri.s snh sdrion 7uJ0 ol Dnnior I or 'h. B$ins and Prcf*x'ns Cod.) o, rhar rE o, sh. i! crmllt rhd.6om od !h. bdri! tor !h. !lk*.d.r6riioi Any rtrLlnnoasdirn 70ll l hr .n) appli.a.rforap.rmnsobjfrrsllE.tpliconllo!cn'ilp.n.llyolfrrnnr.lhufivchundrcddolla.($500, l- ar o\n6 ofrh. prorEny. or d) otl.t6 *nh *+d a rhd s,k omp<r6rion, rill dr fic *qt un l& nMd. 6 Fr idddal orordcrl lorel.(s< 7044,IrNindand Pr.ferioB ( oti.: In.(i) ruclorrLica*l,sdo6nolappl,t.anotrn6of lh.r.orEl! {tn tlitl or i,r{mrs rlEor. rd qlu dE uct s{n hitu.lror h-*lf n rhrc!8h hB ot hd o$n mphrd. Fo\rkrt rhd 3u.h imF.\ffi & mt iddrl.d ofirdnnek ll h.q6r.rh.r!'!r{m in{mtlrd n5ld$nhmffi]w oa conpLron. rh. (xnd Buildd $ill h.* tlE hftti of Ftring rhd tf .. shc did ml hrLl or irFotr lh. Ir( rEiy ror rh. ,urBr! of l. s .*M or th. Fot6r. m .r.lci!.ly codtadirs $ nh ticdr€J conr.toR kr .olatu.l rlE pmjn1 (sd 7014, BNinN dd ttl'krtn Co&:'lh. ( onr,&r.i.I-icdr lr* do6 er rptly r. mownd orr.Fdy$ho builds or nrprovcr rhd6.. ed {h. o fti! lor r(h Fj.{t trnt. ('offi.(3) lk.nr.d pol:ld ro rh. Co'ir*!d'r l a.@ Irs ) I xn'r\c'n trndcr S.(rknl D.l. o..r \\oRkFtrs, ('(lNtPtNsA oN DECI.ASAIA! I hr.t') 'fim unds FDX\ oIFJU^.nc.frh. iolh{inr dfrl.rdi,B I hrvc {d \ ill mdinrain . Cd inclr. of( oBdr ro s.lf l{ruE hr w.tldr compdr$lion, s o{vidd ntr by sd nrn 1700 ol rh. kbor ( cL, ,or rhc Ffo'lllmc of llE lort lor *hrh llE F,.( ! rs.rl I havc ind will mai .'n s ork6 co,npdBari.n i6umnc.. 6 r.tuii.d h, S(lFn r 700 rl lhc l.ibor (iJd., fot rh. Flomff.c o I rh. *1trl fr \hrh rht p.rnir s ire5i Mj_ $o 6 comFnsi'. i6!I![..arEl dri Flicl numh.i e. I cdlily rhd inth.psfoirnancc.rthcso r fo! Lvhich this p6,nil is is3u.J,l ihall.or 6rloy.n,Fson rn atrymlnns s d b tEorc rbj.rr r. rlr trpltd .omFrdn'n htrr.lc.liLhh, a.d i$r ltd 'al shuld tE<oft $hj4{r ro rrE tro d corFlsr Fn prDrs.6 .l sdion :r 7(r ol rh( I rh)r ('o&. I 3lEll. fonhtr tn Lonplr tr 'rh lh.t Flr t6B WARNINC: l_rilur. r. KUr. $ort6'compcNrlion corfrs. ir unl.Ntul. d shall rubjer o @plorr io Eini..l FDii6 d (nil nnd up !d om hundr.d lhousnd d.lld (tl(rJ,uD). in .ddnion lo lh. co{ .f comFeriotr dm.86 a pro\il.d aor lh. S<rhn 1076 of rh. lrbor C6&, irrdd rDd dm.e!'3 fG II{:EBIEDIJINIIASAA DECIIiAIIO! I h6by !fllm unds Fnalrt o f Fjurr lhat I m lic.N.d und6 F ftion ol ftE 6 9 lcomhdciis $ir h Sdiof, 70u)l ol l)ivlsnrtr I ol rnc BuiDs ud I\oaBi,B Cod.. dn m, lide s in lull itr.. &ld.lTal (.ONSTNU('TION Lf IDIN(; GEN(1 I hchy alrm und6 Fn.ty o f Fjury thd rlEc i . codruclion LndiIs ,sd(y aor rh. FrfomM.. oarh. "irk tor tr hrch rhE rlmn ar isucd (sE 10q7, Cir C) afru(LNljrl:(IaBAllor I ho&.v dlm undo pd!h) orFjury on. ofrh. follo$in! d(lddtuf,!: Dcmknln P6mirg&b6lor Nolifi.dn Fujsll R.sul.lFB(I lG 'r0, Pd6, Requn.d l.lrd oa Notifi.altun I ccn,ry rhd rh. fc&rll (suld FN Elrdhr 6h-rn rm1 .l !. nor 4'rlr0bl. l. I hB prcJ.(r I cdi6 itut I h.!. rad fiir.rpltrlh !n n!l.ihd lh. rtFr. i.tondFn a.or.d I rEa ro onpl, u ilh ill('il) t.d (irun'! ordl'u6 !d $.r. t $: Eldil{ ro trildn€ coinrudin! rn hscby adhotu rcF6ddn6 orrlli! Cn! ed Cooly lo 6ta qhn E .bov. marion d Fspdiy for iBpcdion pupos ,t0pli.rnr o..\tmr sitn.rurr Set Backs Forms/Steel/Holdowns Erection Pads UFER Ground SLAB Floor Subfloor/VenUl nsulation Roof Sheathing Shear Wall Framing lnsulation/Enerqy Drywa ll Ext./lnt. Lath Brown Coat Masonry Pool Fence T-Bar Handicap Req Deputy Final Report Engineer Final Report Flood Zone Certif FINAL f-t't - rt JJ.ss l-o F?) Certificate of Occupancy 2 f'4 Notes, Remarks, Etc o DATE ID/SIG. I I I I I I