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BUILDING. INSPECTOR RECORD
<br />SITE.WORK DATE ID/SIG.OWNFI BTJILDER DELCARATION
<br />I hdct, rlfrn ud.. Fdiy of Frtlr] 0u I e .r.ng lim llt Col.*r6 U.tM L.r lor rlr folhwn8 e$n (Sc.7011.5
<br />Burirc* dnj Pr't6skln C!dc): Any Cir, or Canry ehkh EquiB ! Fni ro 6inBr, .xo, inpbw. &mlj.!h v EFn d,
<br />{rE16c rir ro iri (w..ko E$tiB rlE .prlt.trr for st Fmn lo [L . tllnd lrr.Ml rh.r lr d {r it li6!.d F rEr
<br />ro tli Flvirions of r,E ContEcror's Lirnsd L{* tclr.pr.r 9, Conftrin3 sirh S*rbn 70q) o, Divilion I ol rli B!,icri &d
<br />Pmf.3.i'ns Cod.) d rtu ll d rtE ir.krpr rh4trm rn ih hs f.r rh. dl8.n.rdrl'(in Ary yblrlbn or Sdion ?031.J byDt
<br />rpplklnl ror i pdhn $brdl! rh. qlrlic l ro i civil FMhy of nd mr th.n nrc hltdrd doltd. {$qJ)
<br />l. 'r osB ol th. FbFny, d my .'r?kiFs *nh u36 8 rlEn $k 6nFrdh.. sll do 0E wt .,t lh. ftBiE i nx
<br />iddrLd q ottctd td d. (Se 70,L, Buries '.d Pbfaibft C(*: Th. Ctud i Lkss lrv d$ mr .I'ply r. u ow6 of
<br />rlE F{Eiy vho h,k q ngDB rtFqE ,n whD dG uh sn hi'er d h.*tr o. rhDud hr d tE.e..ntt y.6.
<br />Fovii.d ilur lkh nFovfti! @ ei ii.id.d qoardd fu oh lt lbwB. tlr b,ld.l8 or oFErEd h nB *thin m F,
<br />olcDttTbi4lllol*FBtdrbwi!hrrtihr&nofF&,trrLlE.lidilmrb.iudilFlEdrtqdiytordrF{rEoI
<br />-l.
<br />.! owEr of lh. pmFny. !n.xclurilcly c!ntr!.Iir8 wilh liccnEd contEclo^ k, (trs|to€l rlE Imirl iss 7014. BGiEs
<br />.d Pr\IsrinC.d. Tlr Contr-ror'r Latns t * do.r Dr .ptlr lo x orE of F{dy rlx: hlildr or inpmE,llENn,
<br />rnd *ho mnM! l *h FJ.<r wnh r Co Bronll lirnsd plild ro ih. C.dnftrr lirrc trw,.
<br />_] d.r.mF ui&. ScriJ'! ,B APC f6rha Ee.
<br />D.L: O'E
<br />!ax[!B,fsJur]:Nsd-ua!
<br />t [clAaar!]ti
<br />I lrr.hv Jtlm und.r j^-rulry or tu|Ury on. or rhc nill,,sn,x d(lrrrr(h
<br />I h.w .,n will didrin t Cdifr& of Cons
<br />'o
<br />S.lr.lBurc rc {lt6 o,pcnsnion,.! IFviLd for b,Sdlion l7mof llt
<br />llbor C.d.. td dr Frf(m of tlE wt ld vhrh llE F ril i. isu.d.
<br />_l h.r {n will tui'r.in hrl$ onrFNrbn inrulE., .r r.quird b, Sdbn l'70) orrlt Lrhoi Co&. r llt Frf(rljs.ofrlt \rl fo. w,rih rhi\ timn i nc,.d My $qt6 onliB.ri'n id.rN crir !d Flty nunnE elcm- aA -<14 fz /*J
<br />72? //29 1-1- 4<)
<br />l.dify rld in rlE Frln e olrlE srl l, *hih
<br />'hL Fni i! is!u.n. I rhll mr .q't y.ny Ftq in uy lME
<br />:, d ro rEs,ft otFrr ro rt! @16 otrFodion h*r olcrlirodi., .rn +B rhi if I .tbut b.r.E srjt'Fr ro rh
<br />mnd otrFNlion FnvtkB ot s..lix l?m orlrE titEr Co&. I td! n:nh*ilh onlPly willl d.r [Dviri6. .
<br />WARNINC Fnhrc ro rdE *at6 oqEtrrrior o68c t lnL*tu! ,n t,rll $bFr d d.rloF ro oirt.il Frxi! rd
<br />.'!il rlm\ uI h o'r hundrd rh,u$rJ &nlnA (!l(xj.(xr
<br />Sdi(r 1076 of rlE L.kr Cod.. inr@e .rn dt(my r f
<br />,--/o:)o4o'
<br />I h.kh!rllinnuftld Ftr.lrtofJ.rurrrhdr I !m lninkl undr prd 9(onrrkm8 wirh Seri,n ){xr) ofl)ivnnrn ll
<br />rt rhc ArtrBs.Jd Pt r.sirnr CsL. rd myli.rc n i.lullftlrr ! .ficl
<br />l- 3/3/ '+
<br />-/"-te.?D;A\
<br />I dy .fr@ udd Frny ol Fi,, dd th* h . @nrrdirn lodt .gd, ld llE pqfo.lrc ol IIE *rt tu Ettt lii! FEt i
<br />i.nEd (56. 1097. Cir. C.),
<br />AIEI.IIIINLIIICIJSAIION
<br />I hotby dam' undcr Fn.l'yolFju,omol'lr folh*'n! dcLn'rn!:
<br />D.frn m. P.rmit$A4.(d Nd irrdsn tu rrl R.glld tun! (T L 40, Prn6)
<br />-R.quirn
<br />Ldrcr otMrif.ci.,
<br />-l
<br />.cdify rh, rlr t&tcEl rcslLli,N E8sdins 0rlEsr r.mrrl m ,r E?lial . tu rhir pmlei
<br />-l
<br />csiili thlr I hrv. rcld lht q,lltarion uxl ltatdhar dE atrrc informthn is ff.<1. I .3re ro owly wnh rll Cny .id Cou',
<br />ordmrftr\ r srnrc ll*sRL!tr!R. or rhn Cir,.rn Cou yromrdu,rnrtE
<br />ltr,vc nEnri,rc(l no|Eny n, iFFd
<br />At,plirnnr or ,1a,.r \ixnnl rt /a-)a:2D
<br />Set Backs
<br />Forms/Steel/Holdowns Ir t.r lzo v**t1
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/Vent/lnsulation
<br />Roof Shealhinq
<br />Shear Wall I
<br />Framing lz 0 Dtr*{f
<br />lnsulation/Energy
<br />^Prwvall ltnEx1,lnt. Lath > J*+l YT-6rown Coat
<br />Masonry
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Report
<br />Enqineer Final Report
<br />Flood Zone Certif
<br />Lt
<br />FINAL I 0.u lr+x,1
<br />Certilicate ot Occupancy I
<br />Notes Remarks Etc
<br />Rev.0B.07-2015
<br />COMMENTS
<br />Erection Pads
<br />Pool Fence
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