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AUILDING. INSPECTOR RECORD SITE.WORK DATE ID/SIG.COMMENTS Set Backs Forms/Steel/Holdowns UFER Ground SLAB Floor Roof Shea thing Shear Wall I Framing I 7 I 1 9ttfitv-.t 61 ' lzgt*1flt lr 'zs \4 b*-nt'l.n *87 D rywall lnsulation/Ene r l' Ext./lnt. Lath l2-1 ttQ >tnna &&5 Brown Coat Masonry Pool Fence Handicap Req Deputy Final Report Engineer Final Report Flood Zone Certif tl FINAL I Zo Dfrn,t.,t i*1 Certificate of Occupancy tr NgteF, Remarks, Etc I L ,3.D tl I rl TTrl tl L9 lc /r1.I /2 OWNEi BUILDER DEII'ARATrcN I ha.by lltrm uida Frny ot p6rr-y rhi I d 6.nF ion llE Conr*loE' LilE L.s ror llE folhviir tsln tsd Tolt-s Bcilld ri Prol6.irn Co{b}r A.} Cny or Counry which rcqlt6 ! pdmn r. .onntuc1. .hd. imprcvc. dqmlah or R!." iiy' ,tuclurc. ru ro hs &uN.. .bo cltiB rlE +pli.d for rKh FDn lo nL ! i8r.d nr.lld rhn lE or tE i li.qldl plrld l.lh. FovirioB ol tlE ( onrrdoa! t-td!.d lr* {Ch|orq e, Comnftins wirh Sdion 7(l0O of Diviri.. I ofrh. Bui.* dd Proa.sioa (td.) or rhll h. or 3h. i! .r@pr tta.too .rld tlE b6! aor th. .lks.d ddBion A.y *rl6b. of Sarion ?011 5 b ey rrtli.d tor . Fnn sbjdr rlE rppli.!, ro r .ivil Fui! oa mt mr. rhrn fiv. fiuod'.d &lhB tl500t l. s ow of th.Imp6rt, or m, anpb!6 snh u!86 a thct sk conrcdio( rill tb tlE qf,l !d rlE rMe k n,t lrdriqj or otad.n aor sl. (Sa.7044. BBi'B sd ProtsioB Cod. Th. Conmdoa! LicN L.p &6 mt ppl, to e osE ol th.Ffd, $ l[ t!il6 d nllro6 dEd! d r h &E uh $dt niElf.r h..slf or rtmush hn d hd o*n drrloy.B FoviLd lh, ruch imF!€Ent G mr -rard.d or onqld tur sL. ll th66, rh. hlildilts or nnpronEtn b $ld silhi @ 'idot@r{'lrioc dE (xE Bdlk rlll lr\r itE h,rlqr oaFovrB , lE c JE dll d tlild d inv.oE dr trnF} 6r lrE ptrr!- oa l.6os'Eollh.FoFtf,M.rctun.l,coiralinr*ithlicdsdcoitrlclrEtooElN.lrh.FojG]l(Sd,044,au B&n Pn asih(ir<L Tn. ( o,nrdoir Licmk L.s &6 mi ip?ly to m osn6 of FoFny *lE h{ild! or inprec lnsotrmd qho m'rdt lbr rcn F.idr $irh r cbdn ro(i) laoE d poEuri rolh.(odr.clorr Lkd.I.w) I m.r6pr un<td S(li,n {O.a.5-l'l U!^ DECTJIAIIA! I h6cby lmrm und6 paahy of Fju.y oE ofth.follo*Es &rle.rioB I ll.vc .d will mi.rrin i C.air* col(onqlroS.lf-ldur.f *ortd' onposiol! s F\il.d for br Sdion 1700 orrlE l,h.r ( o<le for lh. Ffollrre otrh. wt fo. *tkt rh. Fnh i! ie.d I h.1. lnd *ill nlinrn. $0116 ..mFGdi6n iMd( s r.{uir.d b Shhtr 1700 of rh. trtrr ( o&, lo. ilE FfoJlte. of th. wo* lor wni.h lhi! Fni n isuod My rorkd comFMion iNlrnc. .di6 td Fli(, nubf 6c I caify lhd in lh. FfotrMcof th. e.rl fo. $hrh thir ri<mil i! isu.ij. I rh.ll not mFloy i.y p.M. in !., mdffi e a to haon. subd lo rhc uoltd'comFdio. l,"s of Cdrfomn. .d.sc thi rll 3lbuld bc(om $U<d lo tlE *ort6 @mFsri,n FlviirB ol Sdhn 1r0o of tt. t h)r ( ode r ihrrl. lonhw h coorry wirh ttbs FoviriorolvARNlNG. lj.ilur. b sw. \ortds .omp6sto ql3c 6 urLtrtul. drd nEI sbF s dtplorr ro dimd FEnb.nd(^ nn6 up lo orc nurn d rhousd .ti Sdrtun 1076 of rh. l.,tDr( ode inrdd md 0m). in rddnnrn lo lh. co* of comrcNtnrn. !o 3.s a ,rovd.d for rh. tt I no!b)'trlm un& Frry of Frrr) rhr l o li.su.d undG lrorilirn of( hrFE 9 (coffiins enh Sctirn 70(10) otDivEion l of lh. BciB ud tt lsioN Codc. dl ny li.mi. i! m lull lorcc ard.ficl coNs rRU( TtoN t rnnrnc acF\(1 I natb, tllr6 uii.r Fuhy ol Fjury lhr rlE i'. odMb.ladi.g rg4,lor th. Ffo.]rl,e otlh srt tu r'lih thi Fna ir Ls.d (sft 1097, ( iv. C.) Attu(aBLDECtASAIt!)! I hadt rtrrn urd.r Frhy ol Fiury oc otl,E tolbwh, .l.lr.ri,N D.trolibn P6nit.A$d6 tJorifor ior l_.da.l R.8ulr ioN I I nL 40. ftn6) R.quir.d Ldlq of Noa6<ibn I cdrf\ rlh llr\.r6Jrh.nffrl(ar trn n.r. rhd rh..bo\c ini\di,n it..n<r I asrd h cotutly r ith rll ( ity lnd Counly ordinrncd ed Srai.lr*! rrlat!.S ro cotrnrurlion, art hd.t', dhotu r.F.std,!6 orthir C'ty rrd Counly to 6t6 i4on th. .bo\. mrEo.{ Fqxn} aor {ppllonr or ,ltflltlXnrruE u k -,.1 l0-ZS:-17 I -"-lo:2E15 I (d iry rhd lh. fcd.r.l Eslbrio6 ErrdinX stBro3 rmr.l {. nor 4,plkahk lo thi! pmJ.cl Vu Erection Pads SubfloorA/enVlnsulation T-Bar 1f- p**cn ld?o.'tr't I I_tr