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BUILDING- INSPECTOR RECORD
<br />SITE-WORK DATE ID/SIG.COMMENTS OWNER BT]ILDER DEI.CARATION
<br />I heby lllm uf,ds p6dty ol p6juy thd I m smF 6nm llE Conrrdo^ Li.* r,v for lh. aollowina ,lutr (S< 7031 5
<br />Buin< r.d Pror6io. C6&I Any Cn) or Couly *hth r.qui6 . Fii ro otdrud. .!6, d$@rr. &Dli.h or lF.n &y
<br />rMEe Fnr 'o
<br />iB isll.a. .lo Eq!i6 rlE .rpl(!n for sh Fnl to 6L . .'8ncd n.dGI rnr lE or dE a ltd.d Fnutr
<br />to $. Fosbc ot tlE Co r&tois Lt.isd Llw (ChrFd 9, Comdin8 wnh Sction ?000 of Divnion I of rh. BuiB Dd
<br />Prca6ioB cod.) or Od tE r ttE h .r@p rhEdod dd lhc ban for iE rll.s.d .td$ion. Any viol on olsdiotr 701 I 5 by ey
<br />.rf ltDr lor r Fnn sbjdt th. .!pli.$r ro r .ivil Frhy of mr mr. lh.! nlc hu,rdtd &UE ( lt00)
<br />l. s oMa ofrhc FDpdr, o, n, @plot6 *th s.s6 a rlEr sL of,poadion. wi[ &, 0E sltt &d rlE lrnflw . mr
<br />Dtad.d or olIs.d for eL (Se.7044, Buina md Pr.fdioN Cod.: Tn. Cotur.lm r Lic@. Lrw do6 @r !ppl, to e o{c o0
<br />rh. FlFry *tb biLh or inl{r!€ thao'! !d*tD d6sn w* hiMlf or hs*lf.. thrcush hn hs om dDploy6.
<br />Fovii.d lh.l {ch ltqDrsElr & ld ndrl.d notu [r rt If, hdE€, d!. hlildilE d i.q&!d ir Dld vith6 04 r-
<br />oa.dp|.riol! 'lr
<br />(xc 3oi]d6 $'i[ IEE tlE hrdn ofFsi!f, d lr or ,r dn d hiH d lqrw d. FDFry 6r tlE Frpo!. ol
<br />l. 6 of,G oathc FoFry, o qclBiv.ly co'Ir&r!'s vith lica!.d colrr!.roN to onnrucl rh. @..1 tsa 70r,1, BGtrB
<br />en hDlsit Co&: Tn. Conlr-lc r l,t.M r:w 66 mr .rply ro x omd of FoF , who brild. d iBptor6 rh.6..md *tb c.flr*$ fd $.h F$Fl! *ilh ! CooE*ro(r) licdE d pur&dr b tlE Conr.cloa! Li.oe Liw).
<br />** o)
<br />DESI.AAAIP!
<br />I ha.-by lmm !nd6 p.$l'y of pdjury on. otrh. followi.s d6bElio6
<br />IhrE!dwill i .b. Cdiad.of Cor@t lo S.laln!@ fM *dtd omFldb4 6 Fotid.d fo, bySanb.l?@ oflh.
<br />t bor Codc for rhc Ffoll1@. of rh @.t for *tth rL Fhh b i:$.(L
<br />I h.v. .rd Bill @i.tain worla @mpdlrion iMm., a r.qudd by Sd6n l7m of rlE L.!or Co&. for rh. Ffotu. ol
<br />rlE srt a whxh rhir FEir i! dr.d My *di6 6ri!6ri,n it6lfu. @ir !d polir tMbG e:
<br />,
<br />l.diryrh, in 'n Ffolrla. of th. *orl lo. *hah rh,i Fot i! ie.4 l rh.ll ml dploy oy F$n in -y nlrlE$ arob6oft3ubjellolhcm d'comFNalioo hu of Clliaomia ud,8rfin if I sholld bc.om 3uue o lh
<br />sodd'coopa$tionpovilioEofSccrionl?00otllEl$orCodelnElLfonfi*irt.oEplywilnrhorFovi.iioE.
<br />WARNING: tulE ro s@ Frt6' 6mFei.jn ordnsc i! @LwflL &d .h.ll obj<ll e o@loF lo cnntul FdE !n
<br />cr fr6 up ro oE hu ,!d thousn dold (llm.om). i. ddnion to ilE or oa conpad'o.. &D86 a F.vil.d lor rh.
<br />Co!c, rnrsd and dbrEy ! fG
<br />U ?
<br />alsl.aaalta!
<br />I lslby mm undd F dty ol Fjlry rhd I @ li.ql!.d u.d.r FDwiof, oactapta 9 (o,nllain! *nh Seibn ?000) of Dili.ion 3
<br />of th. BBilB $d PEfaioN Co&, ad my lk@c i! ii tull fo& dd.ndl
<br />coli,trBucllolrElDllicrcEtcl
<br />I nRby .fim lndd Frhy o f Fjury thd ihe b ! @.ntu.tb. lddi.g ,Bocy ao. rh. Ffolrle. oathc $oll to, *tich thit Fmi i'
<br />isucd (Sc 1097, Civ C )
<br />Ladd r Add6:
<br />-
<br />I .dit rhd rh. Lddal r.sll,rioG ctalins ab.n.t rm\ rl e d {9l.rbL lo rh6 Aojcd
<br />I .slify thal I h!r. @d lhir +pli.arion r.d llc lhn rh. !tov. infomdion i! conel. I rg.c lo .omply eith .ll Cil, Dd Counry
<br />ordiffid .nd Srd. t,B EhtrlB ro b(ildi.C .oir^diorl. Dd ndtt, .dhoria EF6a'niv6 of fiir Cty .d Couly ro arq Woi dE
<br />.bor. Mro..d FoFry fd dp.dgEF(po6d - z
<br />n**-,- u^un^.ry W ^,, o{a#oa1
<br />P hk,.(p.ino: UArtlel 4eaae,/^q _-
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loorNenUlnsulation I l tl I
<br />Roof Sheathing .,Ltl u Dttj'c I
<br />Shear Wall
<br />Framing
<br />lnsulation/Energy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Report
<br />Engineer Final Report
<br />Flood Zone Certif.
<br />I J,.
<br />FINAL Ll D|.r.Irx IrtCertificate of Occu pancy
<br />Notes, Remarks, Etc
<br />attu(AafDEclJxallox
<br />I hd6y !&n un& Fnny of Frury oE ofrlE fo[otrin8 &ch.IirN
<br />O.mohrn PmneAsb6lor Notindion fak.l R.guLl ioN tTnl. 40, Pd6)
<br />R.quircd l.rtq of llo{ilicdion
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