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SITE-WORK rD/srG^COMMENTS 11\2-17*l'Y-\tLtuForms/Steel/Holdowns Set Backs UFER Ground SLAB Floor Subf loor/VenVl nsulation Roof Sheathing Shear Wall Framing lnsu lation/E ne rgy Drywall Ext./lnt. Lath Brown Coat Masonry Pool Fence T-Bar Handicap Req Deputy Final Report Engineer Final Report Flood Zone Certif . /\ Y"U 110 Certificate of Occupancy v Notes, Remarks, Etc -> AUILDING. INSPECTOR RECORD o\r\uR Bt ll.r)rR trt:t ( \R\Iftr\ I hocby rmm und6 p.nahy of psjury thn I m ddF filE IIE Coit!.rdr' Licd& L!* tor rt foUownB t!&! (s< 70115 t}rlino &l Pr6f<io. Cod.): Any Cny or C.urry uhi<fi ..!uic a Fnir !o codru.r. rha, DForq damlirh or Ep.! M) 3Irudc Fulo i'i isljftq &o '.+iE tlE +plid fo.snFnnro [1. ipi.d rid6r d{lEoraritli(B.d Fmd $ rlE FDrisio6 ot tL Contddi Li@t d tr* tcluI'rd 9. Coffius *nh S6lio. 7000 of Div6bn I 01lh. Bcir tud Pmf6ion! Coi.) or ihd lE tlE n d.trEl thq.n m fd th. b.!s for rlE all.g.d danFio. 4., riohlirn of StiEn 70:l I t try ay iprJl'..i1 ior . rani ruhj6l! fi. rprli@r ro . civil p.Glty of not horc rhd frv. hundrqj dollrB (1500) l\l. ,6 ow of rlE FDFi', m mt.npbla rit *.!6 - rh.ir -L of,Fdh( $in& rwlt..j0trfuirml ;rdrsr d oftqld fn ,l (sc 7ol{. Er6 -d tr'Bs B Codc Tn (bdr.dd ! Lim. l^r do6 mr lfly ro i o{G ol rlE FlFry sho bild or np.!q lhs6( bd who ih6 rrdl $$lt hiroGtf or lE*lf or rln,ulh ho s ha orn mdoy6. pro\ itl.J thll such improvon rn E mi i ddal or ofts.d l'or $k l( ho*.c. lh. toildru or unFerdF! ir mld whhin on. tw of.oq&iotr rosE a{ilt6 ein lE\rtlEhlddr oapn'iry tll. lroriE dn d birl or hFor. in F p6ry 6r dE F{po*or L a o*G ofrh. IrrFry. m 6.lriv.ly coflr&1m* rnh li.dB.{ codtu1.6 i' mndrucr rlE Fi.d (sc 7u4. &!h6 onl PEtusir Cod. '1 hc co.krddf ! Licd. Llw do6 hor rrply k' e o*na or pr.Fny who blilds or iBpBvd lhd@n. ind *ho colldlr for ruch Fnjd3 wnh. C. r.clo(,li.dsql puud nr th. Con'icrd't Lic.M bw). .1 ll I 7Ll !l}BL'&tl0:!!rN roNl:4ljd-Elltlll I lE.l,r." .rm umkr Fn n) of FJury o* ofrh. folh$ ht &(le.lio6: I hdv. xd w ill mimdin a Cdific{c ofcongr ro Sclf-lBurc lL'r *dkdt conrp.nslion. i! Ftrid.d aor t y S..li6n 11700 orlhc khr Codc, for rh. rEforM. of rt wotk aor *tkh fi. tEnn i! iruu€d -l h.E.nd slll Minllin "..t.n' corpdrbn i@.. 6 r.quiEd br S..li'n l?m of rL l!h.r cod.. for th. p6tol1j1n. of rlE elrr aor $hrh rh! Frh ir isel My lglqt omFdhr illlm cdrE !d trlky numtE r.: Xl (drtrhir 'nrh.p.rfo,ru(cnlth.qorl lor rhEhrh,. Frnit ir br!d.l.h!llmi ftphv.nv ps$n i..nynoc $ B ro bc$m. luhjdl lo rh. mrlqJ comFurio. lNr of ('dinimh. Md d{E th.t itt lkruh ls.@ subJd lo lh. srt6 Fnpaution Fo\irhB of Sdion l?00 ol rh. L.hi (i)da I sldl. tonhwith oiply sth rlrt* F.vi!68 wAtIrtNG: Inluk lo su. $st6' orrFEdion olq,*. . rmh$frJ. rd rhdl $bF d dphF lo cinind FHli. id cnrl lin6 up ro oE hudr.d lh.us.d &llt! ltlGl.ono), .'otr drus6 d Fo\rlal for llE rr(.sr ud.ndrr'! tc -1 ,)\ nrrr-*,A - I hdby rlTm on& FEhy o f Fjury rhd I m licm!.d u<la pro6ion of (1tr9ld 9 (coimi.8 e nfi Sdlnn 7000) of Diviiio. l ol thc Busin* dd Proasiom ( .d.. dd my li.@ is in tull nm. Ed.ffsl co!srl!,ig&!..LEd[Bli-dcE!(1 I hd.by a,Tm u.d.r Frhy of F]u., th, rhd ar . odtu(rrn Lrdin3 lsdy for lh. Flffi. of rlE wrt 6r rtrh rht Fni n i$ucd (Sa. 1097. Civ C ).L.nd.irNdr - AIIIJCAILIECI.AEAUO! I hsd'y!fi'rnu iq p.o,l'y ol Fjury oc oarhc aolloving &.h.r ions fxnFkion Pmn!tubcro. Nor,li.rrion F.dd.l R.suhid I I [L.to. Pd6) _R.qutr.d lata otNodardon I cqli& lhd rh€ Ld6d EruLlioN Esrdin3 Nhslos dor !l @ @! {lPltlbL lo lhie Boj.n Xl.or,rv ua I t",",oa rto oeli{ion rd ld.rld tlE rt . inro'rnn s rn.d I .gc ro Nmpl, wnt dl Cny .nl ftunry rqr*ndir6 6l'hB Cn, ud ( ounryro dl6 urFo r&ordi@c6 ed st.r. lr*i Elttrrs r. bildi.g coNtudiotr ed all\. nrtrr'ond lr,l{d! f$ msl(.-rtrn, ^pprlcrnr or ^grrsixnnue F Pdn'll( Mne (prtno: L ^ - -tlt.ufl\Dj" Fr'.k- DATE Erection Pads FINAL L..dd r AddB: _ i-