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SITE.WORK DATE coMr\4ENTS Set Backs Forms/Steel/Holdowns Erection Pads UFER Ground SLAB Floor Subf loor/VenVlnsulation Roof Sheathinq t/r /t4 ,s'l/ot Shear Wall Framing ln sulatio n/E nergy Drywall Ext./lnt. Lath Brown Coat Masonry Pool Fence T-Bar Handicap Req Deputy Final Report Engineer Final Report Flood Zone Certif F|NAL /)/S//q n 'a/bz/(/o Ll Certificate of 6ccupancy ' Notes, Remarks, Etc BUILDING. INSPECTOR RECORD OWNER BTIILDER DEL('AITATION I hoorr lrfm und6 F lty oa F.rjlrt rhrt I m .rmg fiom rh. (-onrracloR' l.icmF Ir* for lh. folltisin* r.isd (sft 7olrl5 &ii.< r,'d Pr.fdion ('Gt ) Any ( iq or C.un! $hih r.rtuir6 . Fn to .6dtu.1, rh6. imFor( damlnh or r.Fn in) sInrdur.. prn. kr irs isuuc.. also r.qut6 rh. lllolrdr fo, *(h Fnn b 6k. riF.n rd.tml lhd lE or sh. a ltce<t pulrd ro rh. FofsrB otrh. (i).tftrorr l-i.dsd t s l(1!pr6 q. Commdcrna *irh scri.n 7c{)0 otl)ivition I ofth. AEiRt ud L$f*ri,B Cod.l ( rhd rEorr|j.!crnrF !hd.66m dd rh. t-i rd rh..lLt.d <6Fio An) ri,hlionofsdhn 70!15 h, !n) amlic.nr lor i lonn rob)ec rh. lppli..nr lo r .iv il FMh t o f mt horc lh.n li\. hu.dr.d ailler ( lrm) l. e o*F otrh. rftFn!. d my plo'€ trnh $r*6sth.n $k NmFGiin.. qiu & llE s.ri i.d llrrr(rE n mr iflorldl orofid.d nn sklsa.7u,l. Bulinddd rrrfdhE (.d. Ih.(onlr.d .l.kmI*dosmtstlyrom.n6of rh.FFty q tr hiltl q rFo\ 6 tt(a rd $th dE sh *ul hr'Bla or t*lt or rhm!8h h$ m lrr otrn ctlphyc, Fo\ ilcn rhd ech imr.orml' m et htqidl d ortod fo et ll ho"6€. tlr tlildq o irFlra6n i. sld *ihin o* !6 olfrrr{rkka $. o$E aoitlc siU ttrE tlE hnta! of I'.\ ins rhd lE or sh. d'd 6l hild or o{io't th. FrFry ao. EFrFsol l. .i osr .r rh. FnFnr. d rrcluttr .b (olnd.r in! $ h hc!tr<rl .odrdon ro Ndrud rnc Fl icd lS( 7ol{, Ilusnd !d Pn{srii (i c: th. (tnrr*i.r t l-i(6. La$ d.d fr{ +tlt io e on F oI FoFn! tr ho ttril& or imF.\ 5 rhdon. and $h.6 mdr for u.h Fojcds r th r ( onti.clo( r) licosrl ptrAufl b rhc (inr&roi. Lic.M l $ ) I m ct.mpl undd Sanon ]tl)8li!f,lglut[NAuar AICTAAATqT I hd.N aftr trnd6 tEnalr) ofp6jrv on. oflh. rollos 'ry d(larari.ni I h,v. d{ will miintlin . a.nificirc of CoMl x, S.lt-lMr. ftr \ ortd .o,nFMi.n. a Fu i:lcl lor b S{t1nn uoo or rh. Lrbr ( odq aor rh. Ffomm. o f !h. \.rl for snkh 'h. p<nil i! bsu.d I ha\. ond $ill m.inrain \rcrr6'comt 6ar'on inru,in.., s r.qund hJ SRIio.1701r.alh.l,h.r (id.- for rh. Faol]11e..f rh. *{,rl tor $tth rfin Fh( i! c*d M, {ortd'omFdhf, 'B rmc dffi lrd II hc} .umbE &t: , carily rh,r in rh. FformB. of lh. wo fG$hkhthkFnn n iu.d I rrlrllmr nngtr!.n, F$ni.aNnuFh s!o tE<om sut d ro rh. $!rt6 mmt6Mrion lNr ofcilifoEir, &d rtE thil ifl rhould h..oo. !ubi* t.lll wo d' omFMlhn F.\ irrcB of s..li,. l'r)o olrh. lrhx C.&. l slf, ll. tmlhtrnh (mpb tr ah lbs Flriihm WARNINC: [ailur. h cur. wortd .o'rgcni.ln'n ..\dI. ir uLstul. ind lndl tuhid D @doE t' cimind Frtb xd cnil tnd up ro oE hu,i.cd ino6ld l,t)l16 (tloo.(Dl. i. .ddnio. to th. con of.on!.n$tioi, d@g6 B Fo\id.d lot l|f scrio. 11076 .f$. Lllrn Codc inl(d .d .l.flEt'r ft6 _ Arplklt_ UCEIIIIISIN]JIACTA DESIAAIIO! I hEby rmm und.r F6lry olFju ,^ rh, I o li.d!.d u.& pror ti.n of (tuFs 9 {.lnnft,nE tr nh sdrn ?(xx)) ol Dilrnn ! .f rh.lt$ins dd PmfsioN Cod.. orl Dy lird* n n tull aor( dd.lYdt cot a!(ratrI!!rl!G3!ilI(} I hehy amrm und6 Fulty of Fiury lhr rhd. ir r $trrMi.n L.din* rsmy lor lh. Ftr'lr1@c narh. tr rt 6r *tah rhi! FEr a isu.d (sc 1097. cn. c ) aPPLt( AN r rrE(',ti{AlloN I hodr llIm uid6 Flxt of pctor} o.. or rh. aollor in* ddlilll ions I).Bnihr Psnnr.A3tEnnr N(nin.!lhn rcn ril R.Xoldl]n!IInk{, Pdt) Rqurcd I .rl( oa thi6.ih. I .d,fy rhar rh. ld6.l r.suld i.ns rc!fllins $lFr$,.m.\dla'. norqitlrahlc to rhis t!oj(i I cdiry rhrl I hrr. r.rJ thir .rpli.dlion lll sl.l. lhd lh. nh.r. infi,mran i! .6td I .sra !o otr{'l) $ ilh dl C iN ind c.ud! nrd,.46.ftj sr.r.l,\rr..hilB ro tuildns co rucli,D. md hq.ID rdhon,. r.Fffirtrliv6 o f lhh Ciry od Coory ro alElrnnllt etnr.6rhn d Flr.dr aor cFd5n Ftrpos ,\pplic.nl or \r6l Slstrrlur ID/SIG.