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SITE.WORK IDiSIG.COMMENTS OWNET BUTLDET DELCARATIO!{
<br />I h.Etry rsEm uklcr lEn.lry (f Frrury rhr I m .r.hl,r ,ion rlr G)dr$rs Li.ns L.r lirr rh. nnbrus c.er (S:( tul I 5
<br />BurE$ .,n PDtdrir Ccj.): Any Ciry or Counry uhrh Egln.s 0 IEmr n, .otrdtur- rlr.r. iqrok. &n isn or EF{ e,
<br />lhtle. lri, ro iB is!u*.. ilo hluc, rr. rmllo' tdr rEh Itu b nl.. rSrd .rdffir th.l lE or nE n lc.trrJ pu^u.
<br />h rhc ntuvnx,ns .r ltE Cont[ulG r Li.n*d t w (ChrFd 9, Co,tmErs w h SalFn ]@ ol OirirrD .1 of rlr Burr!! .nd
<br />P^,rc$sns C,iL)orrt.t tEorlhc rs crcq,i tlrrcft'n{d dr b.is nn r rlLs.rl.r.n{r6n ary v*,ldrh or S&r.. 7ol1.5 hy y
<br />rml.r.r ror r FDr suhj.lil rlE rlt r{.n o r crv,l Fnrlry ol 't fr,c thm fiv. hun&.n doUE ($5lD)
<br />_1, as owEr o, rh. poFny, or m, cmploF.r w h w.8d rr rlEr $l .u{.Msn. *lll d, tlE sn rd dE rErc ! Dl
<br />,r.nldl M orf.rJ rd sl. (Se nX4, Buimss rtul Pbf.rs.ns Cir.: T1l. G)nrr&tr'r Lj(cB t,q.l&r d +rly tu i o9ff o,
<br />ilEF'F r, wl$ txUr! q lqnB rlEd{ ,n shr dE tulr srt hrrell or h.rFlr or rlmu8h hr q h.r oh.illrLrcc!.
<br />tbv cd lhd rurh mt'mEmnls c d i,rftbJ or ofioEl frtr sl.. ll hoEE, th h|llllr r ltlnrfttr n $! *alrn 6 Fr
<br />ofLlrq'ldu E OwEr Builir w l h.€ tlE bunln otF,vu{ lh.r lE or nE dil nn hilt or qr6r {E FtEry tm tlE F{F. ot
<br />_L.sowftrorrhc F,txdy. rn.rclusrv.lyconkrdht *nh liccn$i! .olllrdn'F t' connd! rrr F,Fr lsd. 1x4. a(ms!
<br />!i ftrL{l$Cdj.: Th. ci r-l 3 l,k.ns Lle JiEr nn .pfly ro !n ovncr ol l'l'rnr eho bu,ldr or 'nlnrv.s rh.r.on.
<br />r who .r,Illrurr ttr och ntrFt *irt! Conrrr|qlt lr.trEl NBUd n! rlE Cddturd's LEne L.w)
<br />I.ncx.m0ru Lr Seron-. E &PC rorlhNE&)n
<br />.ua8aE8s:rolltElisarlo!
<br />DDCI.AR TIOIi
<br />I h(chy rtrrh unJcr FmlryolFru.yok ollh. nnl'wDt deld.ronr
<br />_l hrv.,r will nrinrrin r C.nnr{. of C..( h S.lalnrlrc f(, sxlsr lr)r{Eneron. r F)vacd ir t'y Sdk,n .ulll of rh.
<br />Lh, Cdl., for !h. Frfomrtu. ofrhc s'* ntr*hichrhc !.rn s lstu.d.
<br />_l h.v. .n! will minl.'n w rt.R (dn(E.r.lrn insmBc. .! rcqulEi ty Sdr $n lnIJ ol UE t:lrtr C.rL, r,,r !h. Fno.mtu. o(
<br />k n, vh(h rhN p.mx r ssal mrrah!.frr zrl F,liy nunt*. d.:
<br />I (nrrt lhr' in rhc lErformrr or rh. work for whih lht Frnir ii rskJ. I thillftn dipr,r.ny Fq,. 'n.ny nErr
<br />$ r io tnr)ft 'rhFr b rhc q d .l,nFnslx,n Lws of C.ldotu. r.d raN lh.r if I shuld lEoE lrbFr k rll
<br />*, qr .nr{Etrqri,n F yrir6 or SdDn l?u) of rlx L,rrtr Cot, I tull. rdh* h Li,rply wnh fi* Jmlrrnr
<br />WARNING: la ur lo wuc wo .r'cotrltrtrqrin LoEr.sc n xnLqtul, r,rl slEu 3ubFr nllhFr t! lml Iml'B.,ri(N 6rcs up n' ox huBlr.n lh,usrtrd dolhn ($100,0( ), m adJnbh ro rh. uon or dr{lnqlion. tl.m8.i.r ltdvn.J i!tr llE
<br />Sc.ri,n 10?6 ol rlt l/lr, C,rlc- trrc,cn .ll rnomr's l(i -/r,x
<br />L!!l;I$!r.(lrlJBd(r9[urctt&uta!
<br />I lrEby rnnh u.dd I'.mlry olF jury rhli I rm l,L!trEj u j.r ltoviinr ofchzpro 9 (Lrm 18 qirh Sdir 7u[] or DNRkr J
<br />ol llE BurEs .,n Pnn6r$N Cqi., r,n my l..ns 6 i. tu,| n)G! sn l .fidr
<br />c
<br />1111-/ ?)x L--'1-
<br />'/ -/ I
<br />CqM:BIqIAIIIBDAIiIGENII
<br />I lEEby .r'frh uDj. F li, or Frry rh.r rlEr ir . otrdB*rnn Ldlrs r8.hy rd rhc Frfomm. ol thc wrk rir whrh lh,s Fml i5
<br />rru.d (Se. 1097, CN C.).
<br />l.nl.i! Nrm:
<br />-
<br />At8UT:ANLDECI{EATIO!
<br />I hod',r$imunlcr Fnrlly oIrErrtr,, om of E nrb*m8 ,lsl2.rr bns:
<br />t).fr ,lri,n P.rmir.Aibc*x t&riff,.ri'n F.rlcr.l R.8uhrs.r (T[lc 40, Prn6)
<br />-R.9u!.1l
<br />lJrl.r ol fiirr.r0
<br />_lcn irhr rlr riLL0l rcSrbrx)N l.Bxdin8 ash.(or Emrvrl & n, {lll.$k l,' rhf FrFl.
<br />/lz{ !d,ry rh.r I lwr r.d 'tu{.mlkri,tr nn (rr. rturrh.,h)vc rnr{trtull,i r (odtur Llrer, con{r, wnh dl City.nl Cou,ly
<br />ord,'rB4 rd sr.rc trw. Elxi,v to buill[S onirBrr& .,n Er.hy .ulhtre EFrrnr.ttca ol lhr Cn y .il counry b ..rd uF)n rh.
<br />.h,vc mnrn,rcd 0n)Fny lir nrxpccfu'npuF)rs
<br />Appliunt or Agrnt Si*Mlor
<br />v
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenVlnsulation
<br />Roof Sheathing
<br />Shear Wall
<br />Framing
<br />lnsulation/Energy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />IVlasonry
<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 Ll4 ,7, \DW6"/
<br />Certificate of Occupancy
<br />Notes, Remarks, Etc.
<br />XJ,I..UND PRoCEssFn
<br />Orn^ nl DI
<br />(1. I
<br />BY: Qa(
<br />BUILDING- INSPECTOB RECORD
<br />DATE
<br />L.ald r.u!Er
<br />-
<br />L-.--
<br />^,,,' l,/rzzl,/27
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