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BUILDING- INSPECTOR RECORD SITE.WORK DATE ID/SIG.COMMENTS Set Backs Forms/Steel/Holdowns Erection Pads UFER Ground SLAB Floor Subfloor^/enUl nsulation Roof Sheathin s Shear Wall Framing lnsulation/Energy Drywall Ext./lnt. Lath Brown Coat Masonry Pool Fence T-Bar Handicap Req. Deputy Final Report En gineer Final Report Flood Zo4e Certif \ P4U61r r/tA& M t|"27-"l x"wn(I FINAL a Certificate of Occu pancy Notes, Remarks , Etc 0lr\|RBt I DtR Dt t r \R \ r l()\ I hs.!r .mm uild Fr,lry of Fjnry thd I m cr@fl noo lhc Conlftioro' Lic.n- lrw for tlE hllo$i!8 raiy (sa 701 I 5 &a'nB .tt ftofdi'n Cod.): Any (ny or Cord, $,hih r.qui6 . Fni ro odM, nr6, inFove &mlirh or lF.r ey *ru(uq Fd lo ilt i3!@c, lho id]ui6llE aaplkur for Mh Fmir to 6E r riso.d rld@dl thd tE or iE a licda.d Flller ro ilE FotirbN o, E Co.r*td r Len*n L& ((1rB6 e. coffii,B *dh SdbD 7m of DivLhn I of 'h. AuiIB ed Pof.siom Cod.) or thd h.orihc B q.npr rhdcfton drhcbsir for th. sllcs.d.rdD(ion Any violdion ol Sdion 7011.5 bydy .rrlice' for r Fnh $brd r,E plicor to . civil p.rn y of et mr. th& 6rc h!,&td rhllrs (1t00) _1. B oeG otrh. FnFry. d my an9loy.6 enh $!s6 B rlEn nk orpqlrbG hll {b dE *sl.d iE surc. br inrdrlcl or of...d for !L lsd ?0{,4, BdiE dd ProfBioB Co&: Tnc aonr.dd 3 Lr.@ le do6 @t @ly ro e o*nd of rh. F,FV who htil6 or urg\lE rhd6c &d wno {b6 sh s* hilMll.t hGlf or rbmush hir ot tE oh dpkry6, Fovn d dul uct mFltllEE E mr irdrrrl dolidd tur sL l( t 6s. rh. bild!{ or dqo!6ld a ild $ii, oE ya of.onpldiotr tlr (rn6 Euir:!6 will lE!. lh€ hnLn oaFovins 0d rE or 3h. dil nn tolE or rlF$ec $c FDFr, lor 0r purF* ol -1. B 0116 of trE p.oFry. m.rdunc! co r*1in8 e ih li.dE d.o rdoR ro odrocl th. FojEl {Sd 7014, &!i6 drl Pnasixcod. Th. conrndoar Licm* tr* do6 rer !p9ly to u oqE o f Fop..ry lha b!nd! ot inprcv6 $66r lnd sho snr,lcrs fd $ch Fold3 wnh . ('odrr.roir) lk.nr.d F6@ ro rh. Col{rcrd r Lice t*) I m.r6D{ undd Setio. ,B &Pc.torthnlo$n D.t.: (rinnl !04[!8lla!lf!dtarra!![cl4aarla! I h.r.hy amfln undd p.n.ny of Fjury on. ofrhc followii* d<laari.re -l enit lhrl in lh. pdtulM. oadE worl ao, whi.h rhir Fni a qBl I .1 1 mr o,pldy M, F$n in sy mMd s a lo bqtm $b..1 lo tlE Ert6 ohFErion Ls: oa(ilifomir !n rG rhi ia I il'ould bcom $ti.( lo llt worL6'.onpaelionproviriocofsa'rioD3700ofth.LlhrCode,slull.aonhvilhcomplyunhrboepovilioa WAANINC tntu. to ffi sct6 6r'F!tb. o\6.s. it unrdtul. 0d JEll $t8< e @ploF io ainin l FEla !d civil fin6 up to on. hundEd th.usd &,116 ($100,000). in lddhio. ro th..oe of comFMri... dM!88 B Fold.d a.r lhc sdroo 30?6 ofrhc ljlor ( o& htsd ud.ncrEy r fG >7t-t4 lEClltArIO! I hddry rftm un& FEhy o f Fruy rhr I e licdE d urla Fovirbn of Ch.piq 9 (sffi'rrB *'irh Sar.n 7000) .f D'irton l of lhc BulitB d PrcrdioE Cod., od hy licdE is in full fore. .nd .fiEl c-to /0 rYl 62 )- Lt-t n c.u*"*l!.-L_ colllarcl&!.t !NDt!c-ao!!ct I hqdry.rrm !flLr Fqh, of FJ!,r rhn thd. n. codMbi ladilB.*ar fo. tlr Ffollrm. olrlE Nrt tr shxh lh6 Frtra ir irs!..j (se. 1097, ( iv c) 6.?IUCAULD};CBAAIIA! lhodryitrr,!.d6 p.nahy ofpslury on. oflh. follos rns d<lmrtuB: l).frnirion fmns-Arb6! Norifi.dion F.d.r.l R.guhridN (Td|.40, Pd6) -Rdtun.n Ldrd of N({indion l.diayrlBr rh.lcddsl r+uldrotr Epedin8 Bh.sktr rsnovalrc.fr itpl'.rhlc ro rhis tr(i(1 _l .ar'ry dr.r I h!!. rad rhE arphcartun dd 3r!rc rhd rhc lhovc infomFlnr. ir cor..1 I csr6 ro odply*irh al Cn, Md cornry odin46 ad il. I e3 Eldi!'s lo hrild'!3 con{ru.tir( rn h6$, rdl'ornc cFe!d'r6 of rha Cty !'d Cbd, ro a's oFn tlE D.i. 3- zr t 1 !hov. mmrhn n FtrFd, tu iBpcrion Applidrt or AtalstDlrE Pdhc..m.lprl,ll; *D-<_ n-tf.{*L l^- atJlgl, _l hiE dld will dai lin ! Cdif*al. otcoMr ro S.lf,lBurc tor wts. @n9dorioq a D.oviLd for by Sarion 1700 ol rh.t tn Coda i{ llt Flolrlld& of lh. wrl ltr $ttn lh. Fnn ir is.d Lr Ur. "na *itt -inroin **sr comFB.lion iMftG. s raluir.d bt Sdbn ]TOO of lh. bbor Codc. for tl!. Ffolrlre. of rh< *,rt( for *h{h rh! Fnn u !.ra M, wdld' mnFEr.n Iffic ffi rn poky nh? r.sl*L 4r'- ,^*, l+-27-17