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BUILDING. INSPECTOR RECORD
<br />SITE-WORK DATE ID/SIG.COMMENTS OWNAR BUILDEN DEI]CARATION
<br />I lEc!, illm unda ForXy of Frury rhi I d a@r( ftDh ECo ncr6'Li(cM t^'fortlE lollown8 tun(Sd70ll5
<br />Ssins rn Proadio. Cod.): Any Ciry or Coudy whi<h r.quiE . rEhir ro odto.r, d16, rmF.E. ddmlirh n. lF.n uy
<br />rlrucruq Firr ro it! isuuc.. dro rcquird th. appltd' for .uch pdni' to nL . !i8n d Jldmd lhn lE or !l'. ir li.cikd plBrrl
<br />ro rlE Foririr6 of rh. Conrrrrr'! L@nt d L.w (Cll.prs 9. Conljllci.s *nh S61F. 7000 nf Divtbn I of E BGiI6 xd
<br />Pmf6ioN Cod.) or lhn h. d ltE a ddpr rhd.to6 ad rh. b6!is for rlE rlk!.d ddFion Art vioLih. ols<iion 701 I .5 by 6y
<br />rpplcd fo. a pqon !ubja1! rhc applicet lo . ciril p@,r, ol.ol mor. lhtr liv. hun&cd dollsr (1500).
<br />L c osc of rh. FlFrr. or my or9hr6 wirh *ls6 6 rh.ir sL mnFnrion. rill & dE *vt rd dE rnrrr i! ml
<br />inrsxtcd or .ttd.d to! s.l. {Sc.7044, B6ind ad PrDfBio.! Cod. Th. Conlr&lol ! Licd. tr* do6 nol lpply to d osM oa
<br />rlr FoFry $lb hlil.h tr iEFrE d.atr od wtb d6sn ". hiMlf or ha*lf ot
<br />'hmu3}
<br />hn or hq os @plor€.
<br />ForiLrt rhI *[ imFDrld, E d inrd.d d olTq.d frr sl It, kn6€. rlE hrilliB d irp.uttld u rld rith m ]s
<br />ofonplrrG rlE ()l".a Eui&ls s hlE llE U(b ofFD\it{ rli lEo,,rddN hnb or inFrv. fi. FrFy lbr llE F,rE*oa
<br />_1, s o$c of rrE FoFit. m .r.l6n.l, .otudfg snh li..6dl co rdo6 ro otrrrucr tlE Foi.tr (S< 70{,!. BBi6
<br />rrvl PDElhn Cod. rh. Conlr ctoa! l,icmk l:w doB n rpplyto dowonolprcpdry$ho bril& or imrrovG lh6on,
<br />dd *ho co'nlr.$ fq s(l FDi!.l! *(h ! Codraro(3) licdu.d Fdd h rlE Cort,.crr'r Lt* L.q l.
<br />-l
<br />m.idF urdd s.dio.-. B, & P.c for rhi. re.
<br />Irit. ()r!6
<br />woRr(Ens con!tElsaTl(lN
<br />DISdAAIIOB
<br />I lEcby lltm unda pqdy or FJUry on. oflh. nnb\ i.s &rhnlr6
<br />I h.r. sd *ill mlrtain . ( .nilical. ofcotgr kr S.lf- lBur. for wotkdt conlp.nrtron. B Fovdal l b, Sdion r 700 ofrh.
<br />lrh)r Coda for rh. Ffoll11m. .f lh. mrl for which llE F.mn a ieol.
<br />_l hrv. lnd ull mrinr.in rvt6' comFEsrion iNulsq s rcqon.d by Sdihn lrm of lhc L.bor Cod., ror rh. pffo,r@.. or
<br />lh. s,orl lor whicn rhi! pdon ir i$u.d. My mrt.6 comlaerio. iNlmc. cei6 ed policy nunbc e..* 's'717e 4'o rzr ,a,
<br />'/2b72*-o o
<br />_l dif, rh{ i. rh. Ffotrllm. of rh. *orl fo. khi.h thi! Fmn i! iscd- I rhlll tul69loy ay Fen in iny nm6
<br />$ a to baomc subj6' ro rlE wort6'oorErdbn hs ot( difon'd jd 4E rhn ial lh.uld b{oft $bj.d lo tl!
<br />trlrtd' snpd6dnn Forit.6 oas..iir 1700 of rh. L,bor Codc I tf,ll. fdfiwnt mtrply wilh thos proulio6.
<br />WAR]IING rrilur. ro s@ mrt6' €mp.sdion ord!8. n unh$i:L !d th.ll &bj.Tl & @ploF to ninin l FEli. drl
<br />.iril fin.! !p ro oe hun&.d lhousd rlollm (ll00.0OO), in addnion ro lh€ cod of.onpdsrbn, d,mry6 a Fovid.d for lh€
<br />sdion 10?6 ofrh.l,tDrCo<L, i 6cr rnd t sTV oclia a tNc
<br />!r!.l.!&ura.\
<br />I h€.t', lmm udd Frhy olFjury thd I M licoE d u!d6 Fovahn otcrurrs 9 (conjffiin8 $ h sdi.. 7$01of D$isio.:r
<br />ol th. BumB tud PloadioN Codc. !i ny licG. i! in full forc !,'d.,I*1.
<br />B- .47t3 2D
<br />n0
<br />coNsrRUcrIoN I rnnrNc l(:Fr\al/
<br />I@ fm u.dd FEny of Fj!,,lhd tlE. ir. odMbn ladlu rs*y tor 0E pafffi. of rh. snl 6r rtth rn6 Fna il
<br />iiru.d(56 109?, Cir C.)
<br />APPI ICANT NfCI TTATION
<br />I hr*y atrm u.dd tE hy oa pdjury orc of rh. follo*i.8 .Lrl,rar ioE
<br />I).mliiion Pmt!-ArtBos Nori6c.i.. F.d6!l R.guLtio.r (Thl. 40. Psl6l
<br />-R.qun.d
<br />tnr6 of tldihcibn
<br />l& .aity tn t n,t-a*tlLrios Esrdq st6ro' rme.l e d, eel..l,L io ih! Flj.tl
<br />#;x'"'l"l I h^c r.od lh6 opplrcaxon dd 3lat. rhar rh. ahrvr oaftnlarion i. .dnd l ntre ro comdy * h ill Cny and ( ounry
<br />arc l,n! rcldir{ to boildm8 irr lrl t.Eby .dtsri4 r.F6ddn d o f rh! (-ny bd coutrry lo ots uF n rh.
<br />abr. f,htioi.{ Fqd} f rr$alioi
<br />S
<br />rpl'lic.nr nr \Sc( Signrruir )!
<br />*-,',*--",r"r, )(.'.4 tTI
<br />dblldL
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />S u bf loor/Ve nUln su lation
<br />Roof Sheathinq
<br />Shear Wall
<br />Framing
<br />lnsulation/Energy
<br />Drylva ll
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Report
<br />Engineer Final Report
<br />Flood Zone Certif .
<br />I
<br />FINAL 2l?4//"/zt&."")
<br />Certificate of Occu pancy
<br />Notes, Remarks, Etc
<br />Set Backs
<br />SLAB Floor
<br />b
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