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BUILDING- INSPECTOR BECORD
<br />SITE-WORK DATE ID/SIG.COMMENTS OWNER EUILDER DEL(AXATION
<br />I h.Eby .mrm und.r Fnshy ,,r l.rjrry rh,r I d cr.'nfl rn,n rh. (bnt&t'F Lacnr l2s for rlr aoll,*hg r.on ls.r tull J
<br />Busimrr .rn Prolcssion Cod.) Any Cny or (iMry whi.h rcrlutrcs { Itmi' t,, orn(ruc|. alrcr. ifl{,ovc. r,cmnth or EFi rtry
<br />n.tlc. Fr, nr ir. irulE. als r.rtuiEs rhe lrdic! tu such ,rmir ro fik ! risncd narcmnr rh,r h. o. sh. k lr.n\cd luruon!
<br />to llx Fl*ibn. ofrlr Co.lrrrr'r l.i!.Gl tlw lchdc.9, ComrNrn3 wnt Scclion ?(xX, of Divi{bi.l ol rh. Busih.* ind
<br />PR,fcasioni (bd.) or rhrr lr or rlr i. dcn?i rlErfrcn , l ilr h.rn tu rk rlL8tn .r.rrythn Any vhl.rbn o, S.<r bn 7O:l l 5 by !try
<br />.ml,.rnr ior r Fmn sut'Fls rlE .pplt.nr kr r (iril Fdhy of m' mtr. rhar nrr tud,.d (hllr ( tt(I),
<br />-1.
<br />!s owmr of lhc pmrEny- or my c,q,loFcr wirh *os.s !\ lhct v,k con{f,.d in. will do rh. rut rd lrE rulw i! d'r
<br />id.ri.d d orIrEd for nk ( Se ?(X4. BuriEs lnd Pmf.riirnr Cod.r TIE C.nl.ldoii Lkcnrc lrw der not .pply ro !n owmt ol
<br />rh F)Fn, sln tlilk 6 intmB rhcr.. .rd *ho &F uJl srrt himEtl or rEr-lt or rhmoah hi or h.r own.ryftrcs.
<br />pmvil.d rh.r \xh uqr'ltm'r! F r irdxLd olH ftr qt Ii hrl!6, rrr hiEitt d iqmEffi n $ld sihin m Fr
<br />of .mnl,Lrbn. rtE ol,mr auru.r eill h.E llE hr Ln ofF,i.g
<br />'hll
<br />lr or nE dn ml t[iH n intmE ti.ImrEly frr lh. rnrIIE oa
<br />_l- $ o*B ol rlE t,r'rd y. ,m ci.lurikly co rd in! rnh licnkrl co.ndrn ro d,nnrud rlr fmrd I Sd ?(Itl. Bunmss
<br />lnl lh)L{rn CRL rhc Contrlrtr'r Li<..€ Law d(B mr .0flr lr' .n o}mr of DmFnr r no hlild\ or impm!.t rhddr,
<br />0n{l who conrmr r for ruh I,oFl\ *irh c CodE x,( sr ltenrd nununr ro rlr (b turoil l.i..n< bf,)
<br />I)ule ()xner
<br />II()AK!&L(aUf[Nlil]IaN
<br />I2l;lLASdmlN
<br />I h(h\ nrrnnr u.(lcr Nnilr) ol lta|[t oN ol nE r',ll,trnrf derh,rfutr\
<br />-l
<br />nlvc !,n wirl mirruin ! C.n if.rc of ConEnr r. S.lf lnruE ao. $orkdr' onF.dion. I Forii.d for hy Sarhn 17m or rlr
<br />t$or Cod.. fitr trE Frfomm. of lh. wolt lor Bhich rh. Frmir ! n\Ed
<br />n!( hrE .-j *ill @inrri. *,rkdr coqf,neri,n inlrrrmc. rs rcqniral b, sdnn r7(D ot rh. tjtitr Gnt. ror I hc lE lmuK ol
<br />rlE ktr* trehihihn F mir ir irsrn My*irld' oqf,nqi!. inruhfr...tra,.rn F)lty nun{s e
<br />c,.., . Ab\zr iCaA >v{Lc]"
<br />Iurk \ Nu nl . \Jrc'r'oqQors . rr/r/Zo?o
<br />-l
<br />ccnillrhol inrh. pcraorrolcc of rh. snrk ror *hthrhh Frnir ir t\kl,I \hall *n.nPLyrnyFRrn in.nylMEr
<br />$ 'r t, bdom suhFr io rlE eoltdc NnrEndnrn h*. of ( !linn{, .nd .88 rhlr if I ch,uki lEcot !ubj.{r e) rrE
<br />uo.tds d,mlB{rbn pn!$k nr ol Sdrirn l7u) ol
<br />'hc
<br />lrhn Cdc.I rh.ll. ronh$irh ompl, , irh rhne tdvn6n<.
<br />wAl,NIN(; t.ilurc ro t@ mrk6 s,lEn6rirn olma. il unhrlil- rnd \h,ll hFr .n mtbF ro qimiul FMiir rnd
<br />.iil fincs un ro orc nundr.d rh,uund &,llirs (3100. I)J. in .ddiri,n r, rh. .o{ of coqxnqrio., iLB3ct !r Forii.d fo. rlE
<br />Se1n,n 1076 nr rh. l inr C.i.. inrc6{ rnd atr.rrv \ fes
<br />.t4?:Ztzt nrr,,-,, K- Oartcl
<br />Llr;f.!i$lrr!)!iraal:I1)a
<br />IIIIIASAIIAX
<br />Urtrg a,,
<br />I h.rchy 0lfirnundd Fnslryofp.rrurr rh.r I am li..n{rl u Lr pnrvn6. of (-h.nrq 9l.onturiry *irh sdr hn Ttxlr) of Dirsi'n
<br />of rhc Btr\ircs r.d PrDf.*ion\ Codc. dJxi ny li..n{ n in fullfoi(r urt.[.cl ra
<br />,*^".n*. ,C(o rh.nr.Numrn . n?J? \Q
<br />grlslf,.ucloNt EUDlaii-AcENqx
<br />I tEEr,y ilIm undcr Ftulry of trrrrry rhr[hd. is . d,netudb. bndi.8 !8.My for rlE Fnormmc of rh. sork for *hah rht Fmn ir
<br />ir3Ed (s6 ll(r7. civ c)
<br />l.nd.ir N.m
<br />AIILICANLIEI;Id8A1IIJ!
<br />I hcrd'y afim undcr p.nalry o, rcrru.y oR of rh. nnk,trini d<h6rio.r
<br />I).frrirrr PfinirsAihcnos Nooficdion l..d.r0l R.Eulrri(rsIf L.l1). l'!n6)
<br />-RcquiEti
<br />l!t(cr of M'lif*clion
<br />l!.,rilyrhxr rl'.,.,1r n'AulntritrR'!r,1n!r\rrno!'rlixtrrlnr or .r|l,lFrh[: i ] rhi\ tx, r'(
<br />, l/ll cdiry r hj I h,'. -d rhn llplid i.n ml isr. rh, !h. !h^r rnt rmri('n r cotre1 I rsa r. mmpl, s irh lll cir, ,nd (-otrnl}
<br />odiEtu.\ .il Srzr. lr*r Ehting r. trildinS ..n{M ioa rn h.Ery .urlnriz rcFcrn2rnB of rht Cay ird C.unry kr .nr( u[[n llE
<br />^*:l:H il::-' i" Vettu9- t3
<br />rLm,e'mrp.tno: tL !2an|cl u1rc7a, )
<br />l't-i^7e2"
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenVlnsulation
<br />Rool Sheathinq
<br />Shear Wall
<br />Framing
<br />lns u lation/E ne rgy
<br />Drywall
<br />Ext./lnt. Lath
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req.
<br />Deputy Final Report
<br />E ngineer Final Report
<br />Flood Zone Certif.
<br />FINAL
<br />Certilicate of Occupancy
<br />Notes, Remarks, Etc
<br />-+
<br />Set Backs
<br />Brown Coat
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