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BUILDING. INSPECTOR RECOBD
<br />SITE.WORK DATE ID/SIG.COMMENTS O\ NER BUTLDET DEL(]AR TION
<br />I hr.by ilrrm u6d.r p.ndry or F !ry lhal I m .r.q)t tum ttt Co od6 liq- hw r(tr 'h. lolbwi.S uon (S.c ?0l l.J
<br />Burin.s .d Pmf..rion Cod.) Any Cily or County wii.t rcquiEr i pdmr r{, 6nr.Et .lld, inqtrcE. &mlih { EFir y
<br />trtutuc. rir to ir! i!rll.r, rL EquG itE {rl.d ro. rEtr Frn lo 6l. r ritEd (r.nml rrrl lr 6t dE ir li!..n Fmd
<br />ro rlE FD6i.r6 or $. Cdt dor'! Lr.!.d b* (at+E 9, collwriI! sat Salb. 70(l, o, Divirbn I ol dE Butirs rld
<br />Pn,r.ssns C.<t ) or tlul lE m iE n .r.nDl llElflm .,n 0E b(ir ,or rli dl8.d .kn{rbn A,y vnhhn .r Sdion 701 I t by uy
<br />rrpli.rdror.FmirsbFBrrE.tpliconrtor.ivilFdlyofnormErhdfir.hu'r,r.ddollas($su)l
<br />l. .t owE of rlE FotEry, or ny.nplorEr *nh *.,6 a tlEir -l onFidh( wil.b tlE wi.!il tlt strE i rcr
<br />lrdid.d d ofr.r.d fd d. (Sd.7oaa, BBiB.rd hof6si'B Co&: Tlt Cqrr-rd . L.Ee Ls d,.i rDl.rply lo x o*E ol
<br />E FrEry vln hlitl r irT.DB dda !,n *b d.a uh *,t hirelf q lE*lf d rlNl.h ht d tr os..pbF6.
<br />Fovi.,.d rhd.uch uqmEE rE , i'rordcd ofisld lbrnL.ll rxME rrrtxiling r inF)Ettll ! bld rahh * y@
<br />or.orphbB E owEr BuiEd will llr dE brdq of r.vir8 tlur lE o.3h. rft d hliB or inpmE 0r pqmy for llE putlns ot
<br />4 d6wEoroEFoFry. m.kbriElycdrErins wnt lt.nril N rxr6 b odM rlE F.F ISe.7(}L. &riEs
<br />Msin Cod.: T,E C.nrr-t . Lienc hw dEr mt tpply lo e o,mr of,rcFny etD blild! 6r i,lpmw. Em..
<br />and rho.onru.r!l,n\uchFrjccr\eirhacoft"cntr(rli..n\cdturrua ro rlf, (id.r.lor's Lt.nr l r* )
<br />I xm.cmpr unLr S(*., ll- r1 -'zo
<br />IECI.AAA]IITN
<br />I lEr.by lifirn u c. rEMhyofrErruryotu ofrh. folbwi4 d(lddi'is
<br />I t.E rn ril Ein.in . C.nif..rc otconhr ro s.lf-l.m rr v{il6 on{.n!ri,c 6 FDviLrl rd by sdb. l7m or E
<br />l-lh(,r Cod., fd r,t Ffolrre ol rlt 6i fd *nin rl. Frn i is',.d
<br />_lhDvcrnd*illmn.i.uorkc .omp.ns.rion msuBmc,6 rc1luir{ l,yS(rhn l}?m ofrh. btxrr Cod.,Ior ttE r.lformtr. of
<br />rh. *olk lor qhah lhir lErnir ir i$rEl My worka .a,ry{neri,a in\ohm.ffi. !n Flty numba e:
<br />IW' _
<br />'dniry rh.l inrltF.ftfur.6lrlE mrr l whrh rha F.ml t irru.4l nrll ml.npby ur F$. iruyruE
<br />$ ! b hd.E $tis b rlE qar6j 6dFEri,n L*r of cllifodi rn r8E rhd i(l nn! bor n6Fr lo dEq,t6 @trFdrion FDririo6 6f Scri.IID of E rilnr Co&. I fi[ 6rrh*ith otrPly *in dE FoviriB.
<br />W^Xlllllcr FntuE b ffi wt6 orp..nlion oEru! ir un!.*tu! rtt rdl .ubFt m dphF to sinir.l Frris rn
<br />('!'l 6trcs u, r, onc hundrcd lhotrsund doll{s ($l(xr.(xx))
<br />Sc(r()n:1076.lrlI lih,Codc. rnrcrsr ull rnortuy \ [{s
<br />n,n, ,lanu8cs os ,novilcd lor lllc
<br />{^*.11-tq /o
<br />l)l:llt&ural
<br />LrEbr.mrm unl6 FmxyorFrjury lhcl I am liNnsd undd Fovisi,tr .a Chaprs 9 (co,mkins enh salion 7flIJ) ofDivision ]
<br />or rlr AusiFr lnd Ptnt sionr Cod.. rd ny l...M ir ir tull toR lrd.lIEl.
<br />cot to.:
<br />qllsla&guqrr.Ellrlnc-acE!1f,
<br />t lErby.,lm ud.r Frny of Frrury lhd Er ir r mnrndbn LdhS rg.ry nt rlE FrfM. of !h. *n* for rtth lni Fnn ir
<br />k{.d rsd.lm7. civ. c )
<br />AIII.TCANLI}ECIdMI]O!
<br />I drlfm unds p.,!lryof p.rrury oe 6r rr. folbwan8 &{hnrl,n.:
<br />D.mliri'n P.rmirG^slEic floriaErri,n tu6rl RqriLthns (Iirk.l0, Pd6l
<br />_RstuiEd llE ol t{difdim
<br />lr.nrryrhir rhc rrdcnlrc8ulrri('n!NB din8 $tEno\ rcn,vrl rrc nornntlrrhlc h)rhi\ PoFll
<br />M(.^o#--..y tllc I h.E cf,l rhit rprh.rbn !n s.k rhd dE ltoE inlo,rlDn n snEr I r8r ro onply w h rll Cly .'d Couty
<br />.rn SLr. lrsr ELIIA ro lDrl]mg rd Hry rdrbriz EF.srdi6 of th'r Cir y 8d C6!nr, ro drd upo. r,E
<br />sh,c 'ftnr6md fn,Fny fc irs?c<rirn pr4os
<br />(r"-
<br />(n*u-^,, U:11-29ttrl -t4?\
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFEB Ground
<br />SLAB Floo!'
<br />Subf loor/VenVlnsulation
<br />Roof Sheathino
<br />Shear Wall
<br />Framinq
<br />lnsulation/Enerqy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coal
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req.
<br />Deputy Final Report
<br />Enoineer Final Report
<br />Flood Zone Certil.
<br />I I i_
<br />FINAL
<br />.L ,Ll \)K4 '6"1
<br />Certilicate ol Occupancy
<br />Notes, Remarks, Etc.
<br />Rev. 08 07 2015
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