SITE-WORK DATE ID/SIG.COMMENTS
<br />Set Backs
<br />Forms/Steeli Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenVlnsulation
<br />Roof Sheathinq
<br />Shear Wall
<br />Framing
<br />lnsulation/Energy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Masonry
<br />Pool Fence
<br />Handicap Req
<br />Deputy Final Report
<br />Enoineer Final Report
<br />Flood Zone Certif .
<br />FINAL
<br />Certiticate ol Occupancy
<br />Notes, Remarks, Etc.
<br />I h.Et, lrm unkr Fmky (f JEryury rhll I s cr.r'i,i lNm !h. conltut'E LirN Lrv td trE lollo,ba tca,n ls.L 7oll.5
<br />Bunn.s .nl ProL$on ctt ) Any Ciy or Cou.ry wh.h rquRt . Fm! k, !on{Ml. .lld, iqhr., Llcmlsh or EF( x}
<br />(ddm. Fu b irt ! ar. rlq' Equct rrE .pt xid ntr !!.h lEmt n' nb.3rsEn {ridnr rh.r lE or nE t lirtrkl I,umd
<br />b rh. F)vtrnni ol rlI cl r.rtr'r l-r.n!.J Lw l(lu|,q e, Colftdo8 * h S..hn ?0m ol DivBbn -t ot rlE Bu(rs mJ
<br />Pn $rnnr Cc]. ) or rhar lE d {r . crct{r rh.r.lrom rii rh. hr$ k rtE .lkS.d .!.qriq Any v.ht.n of Serion ?0.1I 5 |ty .ny
<br />rppltsi ror r IEm, $bj.rlt rhc {'rl(rhr ri, r (v,l l,.ulry ot nn m,. th,n Lv. h!ftt J dDlls! tl50o)
<br />l, I okr of rlE FlFdy, f m, .rgbrE t wrh *!s6 .t rlis ok !.nFnsrEn, *'ll do 0E wt .,n nr rur6 i hr
<br />lroldi doff.ftjrd qL (Sa.?oa,a, BorEr. !n Phr6r$.r Cdk: TrE Co sr*'.h.et w&dnot+d,tosowrol
<br />rh. F)Fiy rtn l,r tt r nlv.r6 rh.l . {n -b ttB ui *tt h6(ll.r h.ftlloi thDolh fin d lE oq cqtur.6.
<br />Foriloj rh, st ltrFdt e nr d.nhl !s o6.rd nt qk lt l$ffi. rh. hoUlld u rrFoE'rd ! sU rau G Fs
<br />ofcDrpLrin rrE ()*mr Bu tr*dlh.ErlEh!&no,pNvqarh.llr(tlr.lltn hlll d lr+roE lrE FoFr, istlt FrFrof
<br />l. .s oeEr .f rlE lroFny. rh .r(luqr l, cddr&rot *nh l.cnGi $dRnn i, d,n{Br ilE FtrFr tst 7o4l. 6urEs
<br />in Abhlrs CdL: Th. Conlrau r Lr.nr lr*Jr\ * +tl, r. odrFr ofrtup.ny *ho blrlik or mPrck\ ih.t.,n
<br />rtuI Bh) ladsrs fq ru.h FrFk srh r(t'dtul.(n l..n*d
<br />'nlnd
<br />brh. G)nrBin s Lrtns 12P)
<br />I u.rcmF uftid S.d[r-.I &P( lrtrrh6Er{,.
<br />lloxl(Ells' coilPFNsaTloN
<br />ll[l-lll8Arlo!
<br />I h.rcbyrfirmunJs n ndryol l{lJuryrk.lrh. n'li)wmt J(lrrlrB,n\
<br />-l
<br />hrvc a *' ll tumrrr r Ccnrln.(c ol Cd.\cni r, S.ll-lnruc l(* wor kda $mF-n\a.on. i( Frvrlcd ntr hy S.{r ('n .17(X, ol rhc
<br />Lltry C{rlc. nxrhc octli'miR.ofrhc wD,k lar whrh rh. r[rnnr N NUcd
<br />d ut ,.a wirr mr,nr n w"rk{r .on,r( n\rr0n ,n\urJrk., !r r.qtr r.d $y S&r('n l70o o, th. btx)r c{xrc. i{r thc tt mBtrcc I
<br />rhc work ntr *h(hrhs Jl.m ix nqcJ. MY*orh.F'rnmn nqrtrr rn$6n(.r'.r iJilx,lty number @:j.l aac C Fu .)
<br />lq nt/o//20t7
<br />Selrr -1076 oa rlr bh* Grlc. d.En rn i rtm!'. lc.-4- A
<br />urN$;l[l5r&tl]lrall(Llaarllr
<br />I rEEby rfrm ultr Fuly or Frlty lh.l I s lEnrn u!l.r lFq\.i ol Ch.F6 9 {@nrllifinr rrh S&r D. 7(m) dr n'v'!kr t
<br />ol tlE AurEs.,xl Pmf.sDni CdL, r,n hy l..tr- 6 u rull li,M.rl.fldr.
<br />c looo147tt/nr/tq N t0orVl In{ttnalro"-<___,_r_
<br />grllralclroNtElllllc-acEl.q
<br />I h.Eby rlfrh u*i.t rEnlhyorFrjfiy rhn th.( n l connrudDn Lnlu8 rP.fry l,n rh. p.rlolrrrlrt. or rh. vor( for rruh lntr trd $
<br />trrx.J (S.c. 1097, Civ C.).
<br />AfILIgAILDECI.AMIIAN
<br />I ha$y a]Im unrlcr Fndlr, ot Frjury om of llE ioll,*inr d{lrr.i n).t:
<br />D.mLlion P.mils-ArtErlor Noriic(nn Fid.trl R.lubl ionr (Tillc /!1, P,Il6)
<br />_R.quiei L.lt.r ot florifsri'n
<br />rl un,ft rhd rl* l.&r.l EluLrrrt EriJrg r\h.{tr\ (m,vrl e r .nPlr k to rhn Foit
<br />]41 dlry 'hd I h.E Erl rid .pgllrbn.rn (d.lh.r ur.bE otomtin 6 .l]lBt I {c ro 609l, wth tI] ctv.nr Counrv
<br />orilt,l.Ni.rn 9.k L.w! cthc ro t'olll,! .onrtutb,\ rn h.Ety.ut d. EFrst dis orihir Cdv rn Counv ro dd r4'rn lll
<br />a1/ot /11T-r\t/*-,
<br />BUILDING- INSPECTOR RECORD
<br />T-Bar
<br />I c.nrtyihr mrh. Frrdtrm. (n th. *ork ttr *hrhrhtrFrnI 6 rlEd,l thrll rur.q'rDy.nytER,n rn rnynmrr
<br />r, *rotALod llbrtl lo rlr s,t(i cotr{Eh\{$n L$orc.|r.mu, !d t3N rh{ n I rh'ulJ tEtom sut.\r rotrE
<br />hrl.6' comp.nqr $. pmvn.n! of Sdlr'n l7l$ or rh uhtr cdc, I rh.lL nnrn*{h oitly snn
<br />'hoc I! vl\rnr
<br />W RNING F.rluE ro EUrc ,orkc6' $n{xnt.iin ('Er!c 11 unl,,tul. rnl {rll su6Fr { .n{'k,y.r b 6M.l FBl.t ril
<br />.rvrl IF3 up h oE hu 'cJ ih{ed &nls (illr).{Il)). D eUixr tr rh. o{ .f.oqxrsi'on. d{E3ts .\ Fovrl'rl fo' tlt
<br />ulrt/11
<br />knd.ri AdJrcs
<br />=
|