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BUILDING- INSPECTOR RECORD
<br />SITE.WORK DATE rD/srG.COMMENTS
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erectron Pads
<br />UFER Ground
<br />SLAB Floor
<br />SubfloorNenVlnsulation
<br />Roof Sheathinq ?-m td lo>
<br />-r=d1-.at-'-t'Shear Wall
<br />Framing
<br />ln s u lation/E ne rgy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />lvla so n ry -
<br />Pool Fence
<br />T-Bar
<br />Handicap Req.
<br />Deputy Final Report
<br />Engineer Final Report
<br />7-/DJo ?.ff/j9
<br />Certificate of Occupancy
<br />Notes Remarks Etc
<br />OWNl:R B(IIt,t'ER DELCAR TION
<br />I hd€b, rlrim rndd !.n.lt! .f rrlry rhd I m cimfl 6on thc ( (nr.crnE' l-ic@ lr* lor rh. follo{irs r.en (Sc.7oll6
<br />lturinBs In Pror6iion (ii.) An! Cirr or Coldr rhih .€qut6 . Fnr !o cod d, nr6. inFove damlilh or E?., xy
<br />3rtude Frr r. ns isuR., at$ r.qui6 rh. qrph..nt fd .u.h Frnn 16 6k r rB..d nd.mr rhd tr o, rlr . lr.d!.rl B@nn
<br />ro rh. rov6ioB olrhc Co.retoai l-rc.n!.d L3w (Chapr6 9. Conmcncins $ith Sdion 7000 of Divnion 1 ofrh. SurinBs ud
<br />Pmf6iotu cod.) d Oat lt .r srr ! .tdF rh6c6or !d rh. h{si, nr rlt alL!.d o@Fion ny riJhrsnors.nnnT0ll 5 byur
<br />!Ftl,c. r(tr . tdnn subJ(r. rh. lpplicad t. 6 qril pctu[r Df.ot morc thu lir. hun&.d dou6 (l5ml
<br />L a otrc otlh. ForEry. { my mph}6 s,ith *!a6 a rlEt $L conFdhr, $ill6 dr ust !d oE ru1w il d
<br />inb.k or.fi6.n f.r eG (Se.7O44. B6ms md PmlBioB Cod.: Tn. Contdor3l.ic.M lr* do6.or q,plr lo 6 owns of
<br />th.Flp.nr $iI, tnil.l. or imFoG rlE6tr dd \ th .L€ $!h $n himi.lf o. h.Mlao. rhrcurrh ht or h6 o"r dplor6,
<br />,,ot'&, th,' ch nFo\ffils e d irdrLd or.lH au d. lf,lE*6€. rlE hlitlin8 G nlmqrd B xrlj winin (E 16
<br />uf conpbrii!! ttc (\rn ttu'lds w l hdE tt tMt6 ofFovins lhd h. or C'c dij ht hrild o mprov. thc pFpory tor tlE purF& of
<br />l. EUnn(ofrllr l'otsly, m .xl6iv.ly conk6(in! wnh lic.nrn c.nrad.R ro roNtud
<br />'h. Ir.jcd lse. 71,44, 8116
<br />an Pi.l3s. aod. Th. ( ontrekn s Liccn$ La*' d{6 ml 4rl} lo & o*nE ofrmFny tr ho buildr or inpror 6 lh6o..
<br />tnd u$ c.d88 aor F(h F.Fl'rnh. C.ddro(, haB.d p.Be{ ro rh. Codrdoar l-Fde l&)
<br />I m.r.mF un,Lr sdrn'n
<br />D.re: Orhd:
<br />\rrrRxrrls;c-irPrin\arro\
<br />D}]cL6.BArtOt, I hr€by dll,nn u.d.r p.f,.llyoipd]u,r- o..olrhc iolkrvins deluirom:
<br />I h,r. ,.d *r l! M"n!'n ! Cdrin.or. ot C6,sr lo S.l.'ler. for qnk6 .lmFarl o( 6 Frv'dij for !r Sdion .1700 of rh.
<br />hbor Cod..lorlhc pqfomu.colth. wo ror whirh thc ponil ir i$u.d
<br />l]l r',r.,"a ",rr ..,,". "..16 conFsi'.{ rMEEc, s rcquEd by sdlln l7(D of rh. lrDor cod., ror rh. Flolrr@. of
<br />llr $o'l ldrhirh rhisr.nn is i:ni.d M!\vo'Los .ompsud'un 'nlurIltr (mi( anri rsl'cltnr Lru)
<br />Ellltr6k:l:lt.{;l'?--\-zo
<br />I cdrly lhar in rh€ Fturmanc. olih. wdrl for which this Fmir is Bsu.l. l shall not anpldy sy pds. i. &y m nd
<br />s a h b.$m lubal lo rh. $116'onFEdirr L*r of Cilifom( md {r $n rf I nau! b..om {tiil lo llE
<br />Iorta' Nspqstion perrB{N ofSdno.l70C olrh. Lator Code I Jull, ionh*nh comply *n,' rhos F.rareN
<br />WARNINC Folur. to suc sorl6' comF@rn. .o!d!t. i! ola*tu|. dd shall rubjdl M ol,loF lo onnindl FEti! od
<br />cNll an6 up h oE hu.&.j rhou!,rl doll4 (tl@,00o,, in .d<l 'o. b rh. .or of (.ftFMrio.. d.,',ga a Fortdl for th.
<br />Sdrion lC76oarh. Lrb.r (ittq d€d Md ,uomr'r ad
<br />e(+'t ('' L f,,q..\,]2-5 -rQ .)
<br />ur}:t!u!_(arril!laatrl(L\k,\flo\{onk
<br />I My .fr"m uidd Flnt of Fjur) $d I m lici&l un<b Fo\n5i ot ChrF6 9 (Nffia,s *dh .(6rbn 7000) ot t
<br />o, lhc Bsin* ud Prcf*ioN Codc, md mylicN G i.Iult foE. rnd.lTet.
<br />K r-jq"\ --r.-i^/- J l-V coihd.r
<br />q5 6g 43
<br />Cerif ,e\ Rd="P :)
<br />!ll}tlat!llal_Lr:i!t}!-ju!]Q
<br />I holq .Ifm undd Fnrlry of p.rJury lhn rhft n . codru.rion bdEs !s@cy for rhc p6fomucc of rnc srt to. rtth rhis Ff,, i!
<br />ntu.d (S6 .109?. Civ C)
<br />AttLlCANLDfClrtMIIA!
<br />I hodt dtm uff.r FEhy of FJury oE ol rlt tollo$ l'l3 &r lu.' Kn3
<br />l).mo lhio. lmn!A!b6ro! Notifi.dion F.ndrl R.8ul.rtnr(Tnk{0. Pd6)
<br />R.qun.d k16of iwifxdm
<br />_ 1.6'l) rhar rhc f.dosl,qular(B rqrd,jrr 6tEnR ron.\dluc n.r.pfll(lblc l,.rhE pnEltlt
<br />I l I I(dilvrhd Ih.t.radrh6appl'(.r'onarxlnar.rh'rrh.rbov.inromdr.n&r..r I.s.cro<onpl,w h.ll(\r,utiCo@ry
<br />cdimm6 rrn Sld. t*. EldiiB lo hildi.E .otrgndio[ ard hd.+y .urhoE. r.Fs!di!6 ol rn! Cit, .nd Counr, to o16 (4on tlr
<br />dr.n ,rhn ri FlFny lor trr{qrKn p!8r6;d;;:;il"^ fiZ'7L /Va zqrnz,.,,
<br />\-,.-^.,,*,, Vr6,.oU VorXut-l L-5-9-a
<br />Flood Zone Certif.
<br />FINAL
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