BUTLDING- INSPECTOB RECORD
<br />SITE.WORK DATE ID/SIG.COMMENTS
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/Venl/lnsulation I t'-v't
<br />Roof Sheathinq tq rru I o'l
<br />Shear Wall I
<br />Framing
<br />lnsulation/Eneroy
<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 />Enqineer Final Report
<br />Flood Zone Certif .
<br />n 7
<br />Certilicate ot Occupancy l1
<br />Notes, Remarks, Etc.
<br />OWNTT AUILDHT Dl:l,C IATX)N
<br />I llEb, rrm ud.r FNhy ol p.rFy lhd I o.v,pr tod rL (odaron lit@ Le for rlr follo*E! en (S.cmll.J
<br />Buiics drd Prdl6nr C.d.lr Any Cky or Ctunv yhth cquiEt r Fd ro c.nniuci. rlrd. i'r{mE. .LmlLh d rF uy
<br />rtuM.Inxro nr Nre.rt Ep6tlE +Dliru fq'snFdb 6b. siard rffir rluhddEa[NrEd prrs
<br />r. rlE pmvah.r.I rh. Cont-rn r l-i..nr.d lr* (Chrpr.r {l Comnrriit *itfi S.crio. r(m of l)ivirion I orrh. Bqrir$.nd
<br />PNf. Du Cod.r.n th{ ll d !h. !.rn!, rHrcm rd rtr b.ru fd llE:llq.d.Eqrm Ary vbLrirorsdr. T0l l Sby.nt
<br />lFplr.ant f.r r pcmi obrcls rlE .ppli.lnt ro ! ov il p.Mh, o I mr mrc rhln nv. hundrcd doll.6 (S5m).
<br />_1, 6 .*Er.rrh. For.ny, d my.n?lrtt- wi6 w.,q a rlrn -k snFMhi, vill(ll !h. qir.rt rlr rME x d
<br />id.lldl or ofi.r.J fm -,. (S-.71!l,(, B6ies dd Ptuf.$ionr Cd. TtE Cont*1or'x Ljen* I:* &h nor rppl, ro m owr of
<br />tlr FDFI, who hrill3 6 u!.rE isGa !n vl, d6 odr $rt hiNr o. lself.{ rLDWh h6 ( lE! oqdpb)6,
<br />Forid.d rMr .6h inpowdr e d in.Dd.d o.otLr.d Iq.!. l[ n $6, rtE hilduE d,4aucd b $! wthb w Fr
<br />olconpLrbtr tlEO*HBoilld will tlc rlE bo.tn ofFyrB 6r lEnJr diJ r hiu d irpr.E tr F.F, tu rlr FrFe of
<br />_1.6o*Erofrh. Fr,!-ry. u.r.ht!.ly.o di.r rrh lr.nGl..lhr6 b ontur rlE Ftrii1(Sd 70l,l. 5tG
<br />.rrl EoListCcL Th. O,flraro. ! LEN. lr* d,Er mr lnl'ly ro d u*er of DruFny wlF b{ildr d lrproEr rtr6n.
<br />an.l *h! onrrdr ro uch,mFa *irh r Codtrr(r li.Md nohM rorlECodrd. ti@ L.q)
<br />lrm.rr'fr rD .rs.(rdr .lJ & l,( l, rl,trr.rlr
<br />ryo8f,D$isaMlfdsAlla!
<br />DECIdSAIIQX
<br />I h.rl'y lmrm und.. fi lry of p.rjury oE ot rh. nihrr3 dsb.!nN:
<br />I hrE lrn *nlm rrh . C.nfrii. orcoed ro S.h:l6uE fq *1116 lrrF,BrD4 r! ,rDvrLd for t, S.dni l7m of rlE
<br />Lohr Cdk. Ior tlt I'.rfqde ol rlE s lor which rh. rE 6n b i$u.d
<br />_l h.k tn, will m'nrln *o*.n coryrNaron Druhk.. !r Equ!.l by 5(r bn :llm or rlr Lhtr Cod.. ft, rh. Ffol]rrF ol
<br />rlr wort l,rvhthrlft p.rnir n iswl My*ork.n .r,n{rtrrr!,n Nurle rum. {iplryntrn$.re:
<br />P.lE, Nuhh..-tipGrl
<br />I cdily rh.t in rh. p.fdmr. oftr. *dk ft* *t.h rhn Frtui rr BEd, I lhrI d .n+k y d, t r-. in uy nW
<br />s . o kor ruhj.d t. th. h*6 6r{EMrnn Lv! of C.lrtoru, r.d .3r rhd .l Llruld t ..m ehrd ro rtE
<br />wu 6 cunqENrbnp(,virioNorsdbr 3T00otrtE Llbor C L,l lllll, lonhwiih conply lirhrlBs provilbE.
<br />WAlllDlG FaLE to ru qit R on+.dio. oE{. ! unLwtuL In nrl {bF s.iploF ro si'@l pd.l6 &d
<br />ovil fiEi !0 ro on. hundral ihou$nd doll& (rlU),trOO, h.idiii.n ro rh. con of @mpcn$tion. d.nu8.3 rs pi.yil.d Lr rh.
<br />o o
<br />I}EIIdf,AITAN
<br />I lEEby rOlE u.d.. F ly.a F ju.! rhr I rm lie.rn u,rd.r ,rosh. of Ch{r6 9 (..ftmri.A rifi Sdh. 7(m) .f DirBn. 1
<br />or rr. B6m$,i ftDLsioB Co&. rn Ey !..r ! u aull foc ri.,ftd
<br />?8ss
<br />Dr,. A.,ro-aC
<br />(l) tlB!1lll)f,l,I;titlllctcxx(r
<br />I h.rhyliltn,uul.r Ftrllryorp.,itrryrhit ttEr.r!.dN dDn k*ln! as.n-.y tu rh. p..f,)mB'r. ol rh. *ort lior t1lrh rhx rl. ni n
<br />r\u.d (s& 1(u7.(\v C)
<br />ATILICANTDES.$AIP!
<br />I h(6y ltrm unJ.r ,!c.!h y ot Frjdry on. of dE robw'ng dclenrion.l
<br />D.n iren &mr-Arb.(o. trdif.dbn FaLnl R.suLr,tu (TdL.lo, Pd6)
<br />R.quu.d lrtr.r of Ndfr{i.n
<br />l.drryrhlt rh. i.d.nlr.3!lnnd6. E!!rd'i3 arlEnoiEm)! # nn dmlrlhL t, rlB Fi,F.J.
<br />-l
<br />cdrf, rhd I h.w Etj rhi rpplr.rn nd r.t. Utrr rh. rbov.,.totuior r.mr I d3ft ro enply vihrtl Cir.nl C@dy
<br />on,i'rtr..s! d Srar. Lu$r ELiiI3r' latrUnt.otr{tolri(r {rl h.fthy h{n. ftnrr rrv.\ nfrhll (iry.r Counr, k'.trid ulrrn rlr
<br />rrrn. cdi'Ed I'UFy tr i[pd u FIFEr
<br />nppli.unt or 'tF6r SifEluE ?'Jo')o
<br />IIII
<br />ailEaozxizz
<br />,
<br />Flev. 08-07-2015
<br />FINAL
<br />Clm:-
<br />czq
|