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BUILDING. INSPECTOR RECORD <br />OWNER BU ILDER DEII'ARATI(}N <br />I h6.ty tftm un&r p.oahy of rErlury lha I m ddDr frcn lh. codftldt L.ru Ls ror llE foll'*ilB t6r. (Sd 701I s <br />8d'n< !d Prof<b. CodG): Any cdy or Codt *hin Eqon6 ! p6ni to oirrucl. .lrq. inp.oE danolirfi or rr.t dy <br />{i(@. Fbr 'o <br />itr iM..,lo r.qui6lh. pplkul for su.h Fnnt lo fiL. li8lEd r.rmr ltur lE or CE i lt6.d ti,n rd <br />ro rh. provbioB ol rh. ConrEd! l-i6*il L!* ((t pld 9. (-offiins r nh Selio. 70OO ot Diri.bn I ol E ButiB ed <br />PiDl*iod Cod.) 6 rhr lE S. i! clsq l,EcnoE rd llE t6ir for lhc dlq.d .iaiflFi Any violltiotr oasdion 701 L by My <br />lpplic[ lor 5 fsrn sbj6l' lhc rrpli.d ro.civil rdalryofmr mor.rho fir. hund.d &llas (1500) <br />-1. <br />6 0*6 ofrn FoFlr, or m, mpblE with w.s6 s th.n d. conDoBdio.. slll do ihc rck .nd th. rnrl@ I 6l <br />n od.d or o,I6.d rtr sk (Sc.7ol.l, B$iG. dd ProldreB Co& nE ( od,rcld t Lk@ L.s' &16 nol @lt lo D orE of <br />rh.FeFry rhot il& q ingltq dE@ rn *ho.IE sh *ilt himltor h*lf or lhrcush hi! o, ba om dplor.6. <br />proid.d rhll !!ch inFovmt! @ ml i'nq'd.d or olIq.d 6r sL lf. no*6s. llE buildnB or i,+..td i ild *iih m tt <br />oamnpkr( rlE o*G &!l& uill l$r rlE hlrb .fF!ri{ lh. lE n CE dn d hrild N i,For. lh. FDFq 6r tlE FrF* or <br />-1, <br />6 otrE olrlE Fpory. c q.lui!.lt codrrd in8 $nh ico!.d conlndoE to coillrucl rlt proj<I (sc 7044, Buind <br />dd Pnf6lnn (td.: Ttc conrr.ctoa r l,icdc t.!w d6 mr rr'lly ro d o*tra of FoFry $h. toi kh or inFor6 lhd@n. <br />!.d $ho NdBt! ld sh FF snh. Coffio(r) lt.,u.d FoRuln k! lh.( onr.dorr LacM rrw) <br />I m crmfl uo,ld Sal <br />D.r. o.nd <br />$oRxeE'a omPENaaTloN <br />Df(lrallla! <br />I hn.b, i,Irm un&r Frlry of Fiurr oE oflh. aollo\iry d.(hr.lio6: <br />I h.\. arl sill Einrlh . Cdrifrd. of Cb&lr lo Sclf.ler. fo, wl6r onlp.dliolr s !.lr iLd for b, S<li.n l7O0 of I h. <br />t tr{ ( ode ld thc Ffollw. ol lh. w* lor whicn llE Fni b isucd <br />#n rd q ill minrlio *o*dr' conFBxhn iertr.. a r.q!ir.d hy Sd ion .l70lr otrh. tlhor CotL. for th. psfollm.. of <br />cMi' Erl polt' ,uhb.r i.:y wortdr comtEMro. rBlrffi .fi rA <br />1I\TEAGI.OS\t i9 <br />-l <br />cdrry rhd in rlE Ffl),]rl,e of rh. {dl f.r {hkh rhis p.rmn G isol I null fr'r dploy ey pn$n in sy mME <br />$ ato baom. rdbjal ro tlE wo 6'conpasdion lisr ofcllifons 6.d tsd rhd ial:n uU hEomsubj.< lo llt <br />sorl6 orFsrio. FotirbB orscrhn l7(! of rh. l,tv Cod.- Lull. fdhshh mmd, wilh lh* prcvisioB. <br />\rARNlN(; I;o'lur. n, h'uc \orlsi $mpcnsr (r, .o\.ra!.)n ro mml Ftrt6 drl <br />ciril fin6 up ro oE hu'd.d rhousid &'ll!t (tl '&hs.lB pro\idd lor lh. <br />l( <br />I hdlty rltm !ftla FDIy of Fjurt rhd I u li(aB.d undd ,mvisirn of (l'.pls 9 (smmd.ins s(t Setirn 7000) or Ih irnn ! <br />of lh. Buind d{mfelioNcod., dny lkG i! <br />'n <br />tull6n.rd.lTdl ,s I clL"l ..)e-i <br />3\]-io ;*}k L\t<grvur< <br />COISIBUCI, TN.IIITAIiIqDM:I <br />I hs6y rflid ur&r Fihy ol pdtury ihd rh6c ! r codtud.i l.ndiir atr' fo. lh. Ffo.tll4. of rhc *!t 6r $nit rhn Fnn i, <br />i{u.d (s6 l0r)?. cir c) <br />t ndd'r AddB: _ <br />aflu{ia[rDltlJ8arl0! <br />I 'D6* rrm un<r, pd!! y 6a polort om of lh. following (klsdiosl <br />lronoliion Pmtu A!b-ro! Noiinc.lon F.darl R.Bullrionr (Tdl. 40, Pd6) <br />R.qun.d l.lr6 olNoriff, .lion <br />-l <br />d rfj. rht th. aalsal r.suhlioB r.sed,nr ab.{os ,fln !l *. nor qiplicrbL lo thn prel.cl <br />-l <br />.d ily rhd I hd. a.d rhi!rrh.edrd.rhdrh. !r. inaotui,n is.ma1 I t{rd kr cdhtly snn .ll Cily aid Counly <br />o'd'nrn.6 rnJ S(ir.lNs r.h6.byluthorn Elrenllir6olrh6( rdx!Cou ytou s uronllE <br />drr€ '6lm.il lrordy for <br />I'rn-EsS <br />SITE-WORK DATE tD6aG.COMMENTS <br />Set Backs <br />Forms/Steel/Holdowns <br />Erection Pads <br />UFER Ground <br />SLAB Floor <br />Subf loor/VenVl nsulation <br />Roof Sheathing <br />Shear Wall <br />Framino <br />lnsulation/Energy <br />Drywall <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 />(l <br />FINAL \zll Dftr0t L*t'l <br />Certificate of Occupancy I rl <br />Notes, Remarks, Etc. <br />lm I <br />^pplicrtrr <br />or <br />^E.rl <br />shn tl*ln