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BUILDING. INSPECTOR RECORD
<br />SITE-WORK DATE ID/SIG.COMMENTS OWNEN BUILDER DIiL(IRATION
<br />I h.,cl', drrm otrd.. p.Mlty o, lcrtiry $ar , d .r.q!( frcn $. G,.rdod Li..n* Ijw lor lh. rollowir8 Monl:i*.71)ll.l
<br />B!\in.ri rd PbLrsirn Cdt ): Any Ciry or Cou y fith rcquirci . Fmi' lo (n;tMl. ,hd. i,rlorDrc, d.mlirh or nlun uy
<br />stutm. Fr ro irr i$uu.. rl$ EquiB IIE !pdi.r{ for i(h F mr ro fib. ri8i.d srr.mr r h. or dE i lftn:d FrEd
<br />ro llE F,rirhnr or dr Contr-lm r Li!.sn L.r ((l'4 cr 9. ConftBoa Bih kn. ?qD or orvitbr I of llE B8,E$ xd
<br />PNr.sn.! CqL) or rtut lr 6r {E ir.r.q, rtr.rrm,n 0. b.r! for E db8ld urmF.n A,y vinrlnn ofsdlih 70ll 5 h, my
<br />aprii.! fo, a p.rmir tubjek 'h. lpr,licanr ro a civil r.Elry or mr n)E rhM fiv. hundEd dollsr (Slr(x))
<br />_1,!x o*r. orrtE F Fny. my.npkrF< *irh wr86 srlEn $b otrp.rtdbn. will&, tu qrlrn d! durft ii br
<br />doiLd d ofia.d d rl (56 704{ arliB .d Pbl6r6 C.iL: TrE Cdrdn r tite tlw r}B ml .rply lo u @E of
<br />rrE F,td' wln triLt d ip.DB rlE6c .n qb &E si wt nirelf ( lEElf q lEoorh hir d lH ow..ft9hF-.
<br />pruvkt d rhd $.h in{mffi G d dd'.ld moficd lG rL l( lrME,llE l!ili,r! c irFD{frd n su widin ft Jd
<br />.r.onp!.rio[ uE OeE Buildd will tlw tE hirln ol pmvin8 rhd tE or rlE dn rn hliB or in+lft tlr pqEny fd llr lqbc of
<br />-1,
<br />N o*E of rlE F Fny- m.rchiEly o'rrd trB ynh [mrrl cqr.r.roF b ('tr.iar rlE FF lsd. 7044. auluBr
<br />rn Prrh<rir CrL: TIE Co dor'r Larn* Lrp dsr rcr.p9ly lo u ord of prcFrry *ho bliBr o. inprewr rhd6..
<br />ind *ho 6.h.k 16 trh FDl.dr wilh . Conrero(, lienstl ,uAur ro tlE Codrrcroas LtcnE t,e)
<br />-l
<br />m .krv orl(k. SEri,
<br />wotxliRs' c(llllPr\sATroN
<br />IIECIJBAII!]!
<br />I tEr.hy rrImr ufrls FMlrynf F ,u,y oEofrlr hUowin3 dal{{nrn\
<br />- - I h.r r,'d will dillrh. C.nif.rr. of C.!sr ro ScU-l.rm td *r.tn o,tldbtr a FoviLd fa b, S6li{ l7U) of llE
<br />t,in Ood.. fc rlE F{(,r:re oa r 6t ,- *nan 0! tEDn a B$.d.
<br />I hrk strd will Minruir *orkcc co'nr.ns!ti(,n inuroE.. &c r.rtuncd h, Stcri,n 17(x) or rh€ l:txr O)d., ftr rh. Frrdn8. ol
<br />lhc wrrl for*nah rht Frmil t irsEd My $mt6 .a'ryrtrerirn inu8rc cail rd F lay nunt r d
<br />_l.cnify tllr in rlE Frf()mr. oarlE hrt 16. *hkh lhn Frtu ir n{r.4 I rhllml.Ipbylry F.en in D, md
<br />$ .! ro bdw obFr b rt u{.t6'otrp.dron hrrorciifomi. rn.tE ln.r irl rnoob I$om nri{ rorlE
<br />h*6 conT.Rri,n pDviiioB of S.criq ST@ of r,E L.hq C.&. l arll for6rnh 6nply wih ft* poviriB
<br />WAtrNlNG: kihrc b rM wl.d cotrp.ns$n rnmS! ir unLrtul. &n tlEl shirl e .n+hy.r lo simid Fsnix ..d
<br />.iril lirc\ + roorc hundcd rhoured dollrs (grm,0m). h &ldirion ro tlE cotr olcorpcnsrtu( drmg6 Fovidcd lorrh
<br />S*rhtr 1016 ol l,E Lrhor C!d., irrcE( nd .rlrEy i fs.
<br />D.r.: Arfa l:
<br />LrcrNsrii coirtnii'ru4
<br />DEqI.A8AIXO!
<br />I rmbyu,nmu tcr FMkyof JErjury rhr' I m li$nf,n ud6 pflrvirim of ChE ls 9lconmminr lirh SdiiJn 70m) orDivirio..l
<br />ol ri. Burir\. !.d ltofcsio.r Cd., rd my !i..8 i! in 6i[ tunr .nl .lf(r
<br />gMlaut:Ir(E..LlurBc-a{iElt1
<br />I tsby {lrim unld Fn lry of Frjury rhr rlft n . onrEdi,n L.duE t8.ry fG llt Frf()llrmt of t,E *dl 6r wt.h tti! Fmir i
<br />hscd (s.c.3097, Civ. C.)
<br /> PPI ICAIYJ N}'CL TATION
<br />I hddry.frmundd Fi y of,Eiury oE of ltE folbwill8 d.cLErhns
<br />Dcfrr i,n Pcrnir^rtErc t{dirrdon tud.l R.ruldion.lln! 40. P.n6)
<br />R.rtumd tr(cr ol t**ifdirn
<br />lrdilyrhrr rhc rrdcnlrcNl!rtr'i\ tuBddirB r\hrno\ rcnr)vrlrrc nur aatliJblc r' rhn pmr(r
<br />-l.drirylhi
<br />I hwE d & +plad.n !n r. rhd E lboE irfol bn t onEr I.sE b @npl, wth.I Cay.,n Cody
<br />dniMNt .rd Slll. t rr Ehilt ro hildirg cmorrhc !n H,.l,horia..?..6r.ri6 of lhir Cny..d Cod,lo dd
<br />'rpo.
<br />rtE
<br />!8,v. ftnrni'.<l petfiy fn in?dbi p[pos
<br />\rplnnnt nr ,\t.nl Si!nnlnr.
<br />Set Backs
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenVl nsulalion 7-ir-a)Kc, s^+ /u< ry?
<br />Roof Sheathinq
<br />Shear Wall
<br />Framino
<br />lnsulation/Eneroy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Beq.
<br />Deputy Final Report
<br />Enqineer Final Report
<br />Flood Zone Certif
<br />FINAL 'XL7l2r Phftna ,+ s7
<br />Certificate ol Occupancy |,r
<br />Notes, Remarks, Etc
<br />llev.08-07 2015
<br />Forms/Steel/Holdowns
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