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BUILDING. INSPECTOR RECORD SITE-WORK DATE ID/SIG.COMMENTS OWNF-R BUILDET DrII'ARATION I h6rty !,Tm un& podry of Fju, $r I n adpr 60r rl! Cod.rdd Lte tiv fo. rh. follosioe rc!)! (s< 7O:. 5 ' B6ind &ld Pro6*6n Co&): Any Cr, o. Coury *trh r.qur6 . FDi io 6dM, .Ic. iryrove dtrm[+? rFu at rM@FitrtoiB iM., lL. EqliB it +dadtuuhFnnlofik.3i8!.dnrdEn lht h.o..bc ir liB.d Frid ro rh. F!6ioa olrh. Confurd! Li..iEd L.e ((1qd 9. (-bnllj1dn8 wirb Sdion 7m(l ol lrivirb! I of th. BuilB &d P6f{iod Codc) o, rh,1 lr ltE ir ddtrpt tta.6oo ed dE b..! for rh. nLg.d dqnFion Any viol{io! of Scdbo 7Ol I tb}&y I lpplic!.t for r pmn lubjBu lh. .pplicul to ! cit il p.Mhy o t ml mor€ thd fiv. hundr.<l doll!! (S500) -1, s o1le oa{h. FoFry. or nry .mploy6 wnh s.g6 B rh.n sb .ohFBdion. will do tlE won !d fi. lln.ir . dt inralddl or off.rd ft)r !.1. (SE 70.14. BuiB ed ftlfdioE ( o<! Tn Coft.ddsLk.Bled.€rcl+plylomo$Eof rh. Fr'Fry *lb hrikh or hS.oE tlEb( nd wno ih6 rEn sd hiellor haEl f or rhmu8h fi! q hc om anplolc. proyiiLd lh.l $ch imFllqEntG ol -rdd.do.orqd tr ul. l[ lb*6s. tIE tuilditB or rqruara i] Dld *ihn d Jd oforpldbtr tlE O.E BfiE rill llE $. hlda.t Frag tL lr c Ca dn d hild G insDv. dt Fo0dy 6r tlE p',FE ol -1. 6 ouE of lh. FoFry, e dclaiv.ly corctlins *'nh ltoEd co r.16 to @tu rrE Frj.( (Sc. 70,+r. &Ei!6 &l Arto i.o cor!. Tn. Conri..tor'r Li.N t w &16 mr .r?lt lo m oqn6 otFoFly *ho h'ld. or inphva lhmn. ud sho @mm.1r ror lch prsj6t! wirh. Co rero(,lic6E d pdud lo ln. Co.li..loir l-itE l,*) ".," 2- rrq DiCIJSAIIII! I lE.tr lre und6 pqrry orFJu,-l o( ofrh. follos !q &(luno6 I Mrc rnd will nointrin work.rr conrp.rellion iB!r5n(., s r.quir ql by S<t'on I700 of lh. I ltxf (nd.. ao. lh. FlomEc. o I lh. wort for which lhG pdnil is isud. My*orl.R comp.Nrion insuranc. cri6 ddpolicy numhf ec Policy Nueba:-Erpi6 I cdit rhd in th. ldfolllltr. of lh. $ort fd q nich thir p.rnn n &.d. I 3hrl 6r @pror. .ny pr$n in ut nlffi & . lo hdoG sticl to 0r $oir6 @"pdsbr h*. ofcnrfomit .nl leE drr if I iholll tEroc $tiel lo dEq,*6' mn4EsdionplovsioNof .csrior3?@ofrh.l.tuCod.. I rld tlt {nh rhorI'or;bE. $ARNINC F ilm r. cu. $o 6 comFsio. 016.3. ir unLs & onphr-d ro dnnind Frhi6 .nd(iil nn6 up ro oft hurlr.{ rh.usd dollm (ll0o.00o) seriDn 1076 olrh.hbo.(rd., inr6d Md lrlorrcy r ac. dd6sd a Fo\id.d aor rh. 2-fiq- I hdltr .nm u!d6 porX, of Fjsry rhd I e li.a..d dt(b FDvab. of ct!,l6 9 (olffiina $nh Sdlbn 7000) of DNnEn l ol llE Buir rd PEfBbG Cod.. d 6y ltoe a n tuI foi( .rd .lt(t l-icft. ( ls:-Licm NumlE CO!iIBIISj!I!.I!BDI!$.ACE!CI I hd.lt .llm nnik, Frht of Fju r- rhd $6. i! r .odtudnn Lndhrr .s*y tor lh. Ffollrltr. o f lb. srl 6r $hkn rhir Finir i! (q.d (s< 109'7. Civ C ) l.ndd'. Nm. _ ATSLI(AILTICIAIAIIO! I tqdy iilm uod.r p.nalD or Fjury on. o I rh. follos i.r d< lmr dn3 l).u'lirnrn Pmirs-Asb6r$ Notifi (arnn F.n6al R.sulartuor (In|.,10. I'rd6l -Lquir.d t xdof lloriftdbn -l oarify tllr tn. lid6.l rcguhlbE ,!S.dins .st rG lmvn e tEr +9l.lbL lo rhi! Frjd -l cdi& rh. I h&t 6d fiir .polidb. .d 3i. rha dr rDort irlirrri'riln ir .fftd. I reE io orply wtb .I Cay ..d Cou,q ord'nmc6 $d Sldc liq3 Ehrry tu b(iHna t ri, r.F6ddn 6 ol rlir Cn y ad Coury lo ot6 u9on r& ltFr. tElFEd Frpqly fot \pplt{nr or.\B6l SiE rl *rv4oKe ,Y z-t-fr Set Backs Forms/Steel/Holdowns UFER Ground SLAB Floor Subf loor/VenUl nsulation Roof Sheathing Shear Wall Framing lnsulation/Energy I Drpvall z y't/dl ,-b4n Ext./lnt. Lath Brown Coat Masonry Pool Fence T-Bar Handicap Req Deputy Final Report Engineer Final Report FINAL Certificate of Occupancy \7!\::.,2 Notes Remarks, Etc Erection Pads Flood Zone Certif . -l h.!c.n uill di,nin. Cdifrd. orcoMlr lo S.ll-llEc for wld' oniFurior! ! FriLd for br S6lbD a70O oarlE l.tn Code fnlt Ffolrm. of th. *ori 6r stth llE pamn a bu.d L