BUILDING- INSPECTOR RECORD
<br />SITE-WORK DATE ID/SIG.COMMENTS OWNER BUTLDER DEL('AR lION
<br />I n@by irm u..rr tEnrhy ot pojury thd I m crmpl fn'm lhc Conlrlcro6 Li.qs hw for rh. follotrint rNo (Sd 7011 5
<br />BBi.s .,rl frotsnn Co<h): Aiy Cirr" or (oudy trhrh Equn6 r Fm, ro odrud..l!(. d9rore &nhlil or qff d)
<br />nrucir., rv ro its suMa .L r.Irn6 th.4,t ket fo. rch Fnn h fik a risn d rtdffil rhd lt or.rr u h.du.d n{tud
<br />ro rfic F{vilioN ottlE (ontrurori Licdsd liw lchlo( I, C.m4'ns $nh Sdrbn 7000 ol l)ivlrion 1 olllE BBin<r !.d
<br />Pofsionr Codc) or rha E or sh. ii Grofl rhd.fiofr ed rhc bBii ao. lh. .ll.E.d crmp ion Anyvioldionols..li,,nT0:ll5htdn,
<br />r,rli.d fo Fr subjaBilE rpoli(! k,.cnilp. ll!ofR mor. rhu fi\. h,qt.n dolltn (r5flr)
<br />l. 6 o$c ot rhc ForEry. or iy dployG sni *os6 e $cn $k omFMhn. *ill & tlE Mrt an dE sn(ie ; tu(
<br />[ldrjcl or ofrd.<! tor slc (56 7044, aBird Md PFaBioni ( od.: Th. ('or ra.loi! li.@ L.q &6 rct tpPly b M owq of
<br />th.Fqay who boill or rpro\6 tlEEc rd *ho &E $h $!,1 hinsll or haslf or rrEoud nn or lE ow mpk,yG.
<br />Fovida, rhd 3uch mForgrIfu @ mi norLl or olE d fttr rl. l( hos6q. dE hildins r nrg$\ffn ir $ld $nhr om !6
<br />ofonpr' nr tlEO*G aolL!6 will llw fi. bldar ofF.vlB ! lEoriEdid ml hlild d irsor! th.FnFq ftl. rF,po-ol
<br />.l- s o*E of rh. F rEry, @.r.bn ly.odr*rnu *irh lrssat.onratBro codtud tlE Frj6r (Sr 7O+r, 8166
<br />.,n PrlasrCo& I h. Contdoat Lrco. lr* &B d .ppb to o otr nd olFoFrt $ho hlid!.. mpm\61fi6@n.
<br />ad sho co.lr!.!! for !u.h F.Jcd. rnn! Codrtlo(r licaa.n p6d ro
<br />'h.
<br />Corrrlcroi3 Lt.@ lrs)
<br />I n.r6nl,l !nd6 s(xo.B & I'( forrhis i.e,n
<br />thr.: Oind.
<br />\i oR(a{s' cont ransa'floN
<br />Dtrlaa4ug!
<br />I hs.bt.mm u.dd rHahvofpqury oE ofllE ftnhsr* &ch, nrB
<br />I h.v. sn eill rornr.in r Ccn rf{.i. ot Consr bS.lUNur€ tn *r,Id'coip.Mtn. d F\id.l for by sNl'on 3700 or'h.
<br />L$or (td.. for thc pdfom c.ofth.wo* lorsnithIbcp6nil t isu.d
<br />I h&c rd *ill m.inr.h *ort6 conFsdlnn 'Bu,u.. s ..quEd ln scti,n !7m.f rh. tibo. ( od.. for llE Flo..'*-. ol
<br />fi. E lt f.. $htn fii pdh ir s,.d My wort6 otrp@.lfn i,gd..trir dld Fltt nonbd i.lffi)e
<br />,l\l .d,fr rhdr in rh. pdfoilnuc.,'lrhc $orl (tr uhtrh rti. tsmil is is,o.d- l3hall n r mplor.nt !6sn in lnt mdns/e;inEon suhral ro lhc tr arr6 comFsd
<br />'on
<br />l,s of ( draoma sr asErhdif I rl()lld b6on. $U.n lo rh.
<br />soll6 comFsln)nrm'sioBof S.crion lrm otllE t trr(
<br />WARNIFi(; F&lu. kJ s@ s.rt6'Nmpqunr cov6*.
<br />.ivil nnd up ro on. hunrt.d rhousnd doll6 {ll0o.00o), in
<br />sdion .t076 of rh.linr Code int66l ed.troEy'r f€.
<br />,r6npk lr b (triMl FBls u!
<br />cosl oI orp.Mlion. danrgd s pkxid.J ntr rhr
<br />Dn:.1'21-ll
<br />DECL6aAU!]X
<br />I hslby !rl[u und6 rBdryof Fjury thd I m li.eBal un tr lmvirion of(-h.plq 9 (commoc'nr w h Sc.lion 70(u) oaDnisn]n I
<br />ol lh. Esits rd rrof*nG Co<L- rd ny la.e s in niu rod dld.lTal
<br />,,.*.a,* 19
<br />^' 'a.7111
<br />(ll! aucllalrEtDtxc-&clx(t
<br />I heby .mm un& rErhr o f I,6Jur'r lh, lls. s . ordruclion lodos lsdy ao. rh. Ffoffi. .f th. qoil li, ut'ch rht Frnd ir
<br />its.i (s( 1097, c'r c)
<br />I odq'\ Nmc
<br />drtu(6[fDEclJaaua!
<br />I hart ,tim oidd !.ndty ol pcjury onc of lh€ aollowinB dc(lB,l ions
<br />Dael'rio. PtuneArb6lor Nor rtio! iJn F.dd,l R.suldbN1r k 10, PM6)
<br />Rrrtural t4d of I'(,iasio.
<br />|.difvrhat rh. LJdsl rcgulxrioa r.!-d'ns
<br />l.drft rhd I h ..c.drhisar4lrdio.ad rlE !h'\ . infomdNn 6 cotu l .sr< r. limpl) r nh lll (- y .id CounD
<br />ordiuncd and srar. I js! Elariru ro huU'ng ruc1ion. a h-<r'.!ihorn. qitrhrir6 of lhis( d,Md CounD lo dl6ulr,irh.
<br />ab.vc tru (nrd pRipdry hr i6t--.'tn,n
<br />^ppli..trr
<br />or
<br />^satsh..rum )(
<br />P.mirft n. m. (p.ino: D+
<br />-1-3t-t1
<br /><S{"L,frt
<br />Set Backs -';7 S <-4
<br />Forms/Steel/Ho Wowns ( -/[b,'D.^u0
<br />Erection Pads ) /tl *t_t4 -Tt.l
<br />UFER Ground
<br />SLAB Floor
<br />Roof Sheathinq 1 </.>acShearWall < 7/("/ r*-^
<br />Framinq -/it -l( Li --TIJ
<br />lns u lalio n/E nerg y
<br />Drywall ) 07;
<br />Ext./lnt. Lath > Dlfl,trl ).,M l€,tI \>
<br />BrownCoat /f/ 1/,,5/,1 ,. Lr{^t /?r 15tS *u*rr.t n/k/\')
<br />Masonry 5 *qtJ,
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Report
<br />Engineer Final Report
<br />Flood Zone Certif
<br />FINAL 11/r,:1/t1 > D1 :n,|5h \d
<br />Certificate of Occupancy 7
<br />Notes, Remarks, Etc
<br />1
<br />Subf loor/VenVlnsulation
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