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BUILDING. INSPECTOR RECORD <br />SITE-WORK DATE ID/SIG.COMMENTS OWNER AUILDER Df LCAR TION <br />I hdetry amm mdo penahy of p6ju.y rhat I dr crenpr arom th. G"ImcloE l,iccnr rjN lorrh.lollo$in8 r.mn (sec 70.115 <br />Busin6s and Profsion Codc): An, Ciry or Counry Nhich .equn6 a pdrni to coonrud. all6. imrov.. .lgnolish or ftAct any <br />stlcrur.. lrior to ils isuancc. llso rcqunB the applicel aor 3u.h pdnrn ro filc r siln.n earftd that h. oi shc b li.ft.d ClNdt <br />lo lh€ po\isions of lnc aonlriclois Lic.n*d L!* (Chaflr 9. CommcncinE Nith S*ttun 7000 of Division I of the Busin€s Md <br />Prcr6sions Codc) or th.l hcotshc is er.mg the.fmm ddrh€ bais lor rn€ alles.d eioption An, violationoiScclion 70ll 5 byany <br />aptlica forapffinsubi<tslhcatplicantloacivilrc.ahrold.rmolcrhenkhundr.ddollds(1500).'lut\!:>{. 6 o\ er ol r he prop.ny. or m} dhplorG $ irh saA6 6lncir sle conFnetion. *ill do lhc wort ad th€ struclE s nol <br />i, mdc1 otoltdd lor ele (S< 70ru. U6in6s d Profsions Codc Inc Connoclois Li.mc lnry do6 nor atply to an o$n.rof <br />rh. prurEly who hilds or impmvBlh6on. ed *ho do6 such sorr hnnsclror he6.!tor thoush his or h6 o*r enlpk y6, <br />provided rhar sucn inpmvanmts ft nor i adcd o, oifo ed for el. ,l ho\vad. rhc buildinE or i'npmvmdr i. sld *nhin on. Jd <br />ofcompkiod lhc (X nd Buildq r,ill h6ve rhc hlrdm ofpro\ ilu rhd h. .r she did nor bdild or imprclc lhr F.pdy lor rhc pulFs of <br />l. &s owner olrhc propdr. en.rclBiv.lyconrr(inr \ilh hcrN€d connacn,6lo consr'ucl lhe p! d lss. 70.14,Ilusnsdd Dorsnrn Cod.: l hc Conrr.(.i s l.iccnsc Law do6 n.r .r)plr ro , o$n.rollfopdry\{ohuildsorirp'ov6rlrrcoi. <br />itrd wh. contmcGlorsu.h!mj$c\nIaconrEcb(s)liccNedpuGuorblhcconta.ttrsIico*Is$) <br />Xu"", t <br />lr <br />Dla( 1,,\R,\llo\ <br />I hcreb! amfln und.r pcnahyofDdju) oncofrh. a.lknv'ns d(lmr'ors <br />_l have adl Nill nuintain a Cslificate of Consd to S.1l-lBrr.for\corkeB con[.nsriofl, as p(!idcd lor by sdrion:]700 ofrhc <br />trbor Cod.,lor th.pslom c.o|lh.tro for \!hi.h rhc p@ir is irsu€d <br />Iha\cahd {illnai.rai. wo c.s .omp.6arbn iNuEnce. 6 r.qui' ed bv sdion 1700 ol lh€ I nbor Codc. lor lhe lrrornEc. o I <br />rh.worklo.whichrhbp.nnnisisrcd.Mrworl.u.omrmstioninsurdncccnierEdlolicynumbeec: <br />>tr/gi4l c€ni[ <br />'har <br />in lhe per tL,nrEncc ol'rhc (ork for (l'irh rhi lEmn is issudn.l shrll nor drploy lny p.en in uym no <br />e 6lo b..one srhjed ro rhc $ork6 co'npctuarion lawsoICaliaomic a.d asre rhar ilI should b€come subjd ro the <br />sorl6' .onrpas,' b. polieioB or sdrnrn 1700 or rhe I {bor Codc. I stEll. ronhwilh comrly yith rfioe provisi,ns. <br />WARNINO l:ailur. to Kue Mrkcrl compensotion.o!6.9e is unlawful. nnd shallsobldt .n anplord o d,ninal p.nahi6 Md.nil fin.s up ro onc hundred rhorud dollm (S100.000). in addilion lo th. cosl ol conrp.6arion. damag.s 6 provid.d for lh. <br />lntbr Code in1c,61dd anohey s lLs <br />It <br />IIES,ASAIIOA <br />I her.by amrn undo r.nally o l psjury lhal l o lic€.s.d nnds tmision ofChapld9 (commocins rvilh S..lion 7000)olDivision 3 <br />of rhe Blsins ed Pref*ions Cod€. and my lic6F is in full aor.e dd .lld. <br />q)NjtrB!]cuo!-L[NDnc-cq0lcr <br />I h.t hy aftnn undcr Fnalt! o f pqjury that lhsc is a coNlruclion lcndios os€ncy lorlhe pcrfomrance olihc\ork llr $hich lhis p.rmil is <br />issu.n (S€c 1017. ( iv C) <br />A.IIUCANfI'ECLAtsIION <br />I lElty amm under p.nally ofpcrjury on€ ofthe iollo\rint dNldarions: <br />DeDolitiofl Pcmns-Asb*rosNorin.dion F.d.ral R.sulalons(Tille{0, Panal <br />- <br />lt&trircd Lc(er ol'Norincdion <br />I c6liry lhar rh. Gdsd resularioN Esddin-! 6bdos rcnDlal arc nor alplicable io rhis prold <br />:l (dib rhd I htr\. rod rhis amlicar ion dd s' ar. rhar rhe aterc infonnarion is coddl I agre ro convl, * ilh all Cirt and county <br />ordinancB d Stale kws reLlin8 lo buildinB coMdio., ed hd.by au$drizc epre9rati!6 ol lhis cir, dd county to mr6 upon t. <br />abo\c,ndh.cd p'opdy (r i.spdn,n <br />(Applicrnr or Asenr sl8n.(re: <br />"i'rm,it ( ninr (prn't): 14 W\ac V""' "lql'! <br />Set Backs <br />Forms/Steel/Holaowns-Z D) <br />Erection Pads v1q <br />UFER Ground /), <br />SLAB Floor r <br />Subf loor/VenUlnsulation ,..1 <br />Roof Sheathing alt a l, nr=:. <br />Shear Wall <br />flqming ,.) <br />lnsulation/Ene rgy )\ <br />Drywall <br />Ext./lnt. Lath I .?2 ) <br />Brown Coat Ttolrq Z *A'" lloz <br />[\,4asonry <br />Pool Fence <br />T-Bar <br />Handica p Req <br />Deputy Final Report <br />Engineer Final Report <br />*-^ ,t Co*c r!I !l tte? lot <br />FINAL 24r-2o )4{ 115 <br />Certificate of Occupanc v <br />Notes Remarks, Etc <br />) <br />"* <br />I <br />,,*{ <br />^\ 4rJ'l <br />_ 'cw <br />Yl'tl"l l'-t \"\--t)tlu \rq \r-to.r'2/ <br />Flood Zone Certif .