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BUILDING- INSPECTOR RECORD
<br />SITE.WORK ID/SIG.COMMENTS o\!N!:R B!tLDI:R D0tr(AR T|ON
<br />I hd.b) 6lTrm und6 Fdty of F,!D $n I d .ropl nom lh. Con,rlos' I t.e hu for rh. follosins lwn (sd 70ll.J
<br />Uurrs lod Prcfsio. Cod.l Any Ciry or (ounry *hich rqun6 , tEhi ro .oNM, ina. imFo\e &rallh or r.rotr d\
<br />rlllduq FFrh ili isue.. .k (qu,6 rh. aprllcet for rurh Fnnit tu fi!. ! sisn€d 3r nmd lhll hc or sh. a licdki pudual
<br />to lh. Frvti.B oadE (t.rBloir l-t6r.d l!* (cllnd u, Com in! *nh s.di'. 70oo of DirBion 1 oarh. B$in6r lnd
<br />I}oadions Cod.) or lhar h. or slE s Gldpr lhd.fsn dri rh. Mlis ror rh. all.ltal .\mpti'n. Any vioLtion otscnF. ltlr I I r, .I -
<br />rrplrmr rd . tmir sbJ6B rh. .t lirsr ro ! ciril
<br />',.Ghl
<br />of mr mrc thu firc huilrqt doltd ( lt0o)
<br />l- 6 ouE of rh. ForEnr, or my @dorG *th *!!6 s rh6. $1. mmFN.lion. r &lh.*sterirhcnd@i! ft{
<br />nhnal orofi6.n aor eL (Sc.?0.1.1, BusiK ud Pn,fso6 ( od. lh.(idrdoisLi(@Irq'$6Nlqtlvrotuo\kol
<br />rh. FFry *ho hr & or inFls rh@n. !n trh. d6 e.h *n* hrDsclf or h@lf or rhtuush his or hq os cmpk'y.*.
<br />l),o!id.d rhll surh inl'o\arE e d d6r&l oroly.ni for {L lf. hor6€. r,E hrldlt}-* or i,qn\sr.d . $U $ntu oft \w
<br />oac,rpkn\rL()*6B!dd$itlh.!ctlEhnlarofprDilBth,h.otsh.dd,lhlruorinptov.ttcpotEi,lortl'.ptrlx'Eot
<br />l.60*6ofih. pr.!d!r. m.r.kn.b.o"rdns snh nrdE rl.onrdoE'o co(rrud rlf FrF (s( Tolr.lrurK
<br />drd t\tfc6bn ( o& rn€ (i,alE.1oii l-,cdr lrw do6 nnl .rply k' e ownd . f pmp€l y f,ho bui[L or i prov6rhdon,
<br />Md *hr .odd. fd 3uch FoF1. $hh.CodBlo(s) lf,as.d F{au.,n rolh.
<br />7"**^,I m.rmP u.&r sario.
<br />,",,-1120lr r-l K
<br />DfCLARA I IOII
<br />I ha.h\ dmrn un'jd |.Elr) oi IEJUr) c.. ofrh.lblh*mr JdLrlrFb(
<br />I h,( drl w,ll @nnah. cdif(d. of ( onsl to S.lf-rNu. for u1'rt6 smFstion, a FnliLd for tt Sdirn u{xr .rih.
<br />l.bor Cod.. ror thc psrome. o f th. *o* for $tich rlE Fmn i! is!€d
<br />,hr\crnd$illmainrri.$01163 conpcnsanotr iNurancr,6 rcqoir.lj by S4r tr,n .l T(Xr oa rh. l rbor ( od(. lbi thc rrn,runcc of
<br />rll. *u\ for qhahthB Fnd L is.i Mrrmt6'NmFMion iNurmc cufun polq nu'nh.i d.:
<br />tul'q Nuhts Evn6:
<br />I cdrir rlld '. rtE pofoffi.of rh.*!rt for shich thn p6nn k nN.( I lhtU n.r oiloy yF6oninlnymutrt
<br />s s lo b.{om .lbjet lo lh. wll6 com9.!dir" hwt olc.lihmii &i +@ rhd if I shuld b<oc sb<r to tlE
<br />*nll6' (omtnuiion ForsrB olscd n1700ofrh. kh, ccla I shall. fonhs'rh.oiply
<br />dpbrq lo mnd FtrIi6 r,r,WARNIN(; Failur. kr Ku€ uork6'comt r.*r'on cor(a!.
<br />.Nrl lind up b oN hu.drd lhousnd dollffi (t100,()()0). rn d.rnascs N Frtr,ddl li'r nt
<br />sRrbn 1076 ofrh.bt . coda idad rt nbrE) s fG
<br />1 2o 1
<br />I h@!, aIItrm unds F ally or FJUry rhn I e licaBdl undd F.rision of (-h.pl6 9 (cootMciu urlh sdnn 7ft))oaDiriion I
<br />of dE Bs.< .nd PNtdoB Co&, !d ny li{@ n o full turc dd cfidr
<br />collirauclll,llliNDllc-acll(}
<br />I ffiy.lIrm ufriln Fnrty or psjurr rhn rtsc a r Nldrucrirn lidnir.8ft, fo. rh. FfM. otlrE Nrr aor {h'(h thit Fni E
<br />irsu.d(s( 1097, ( ir c )
<br />attu(AxfDl;(Iaaallg!
<br />I hrdl rfm u.d.r FnlhJ df FloI, o* of rh. fullo$ int &(ldar $ns
<br />Dctr,olirtr,o Pmirs-Ash.lrd Ndrin.dion l;.Jd!l R.*uli ions I riit ,r0, Pd6)
<br />Rquirci I clrsof Ndrifi.dDn
<br />I .di6 rhd rh. f.darl r.guldioN E!-d'nr slElN rmotal c mr qlflE.t'k b rhs FrF
<br />l(diftrhllha.radrhsrp?t(rlrnrnnd.rhalhcAn.'nrdtuFn6.ondla{Ghompb}nh.llc(r3r (omD
<br />o.dimnc6 md srar.Irws Ekins ro huildins conste{ioi- &d lEcby durhor;. rcrr.srdt6 oilhi! ( ily 6d Counly ro drd uBr. E
<br />.trr. Mlirrc{ F!pd} 6r BFdi\. q,Ir59,
<br />I eeuT\ppli(.nl or lE6l Si*n.rur.rt1
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenUl nsulation
<br />Roof Sheathing ,P/zl/tt -4"b1 ")
<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
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<br />FINAL f,/z t/rt ..'l/'lxh
<br />Certificate of Occupancy JN/U
<br />Notes, Remarks, Etc
<br />DATE
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<br />Flood Zone Certif.I
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