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BUILDING. INSPECTOR RECORD
<br />SITE-WORK DATE ID/SIG.COMMENTS OWNEf, BUTLDER DETIARATION
<br />I hd.tr lrm undd pddry ol pojury rhn I m .xmfl nrm th. CoilicioB Li..ns llw aor rh. followins t!&n (Sc 701 I 5
<br />Buo< dd ProlBbn c6&, A,y Cily or Cour-v uhtn t.quir6 . pqni io 6drud. l!6, inFovc darcli$ o q.r xv
<br />tuE, Fif, ro ir iMa .!. Eqrrna dr @li6l fo. sh Fni lo 6L. usi.d rio6l ihd b. or tlE i lto!.d Friun
<br />ro rh. F{vtbE ot E Corrklq! Li6r.d Lrv (ChrFq 9. Conntrin8 vith Sdion 7000 otDivalion I oalh. Buind &d
<br />PNlcsiom Cod.) or rh.r lE or .h. 6 .kn lna.n m ed lh. bsir lor lh. dlcB.d .rdFio. Any viohliot olsdlion 701I tbye,
<br />lp?lhd aor r Fmi sbjelr llE tpplicul to . civil pcoh) ol mr eG rhe fiv. nurH drll6 (5500)
<br />l. s orE ofllE FoFt,, or ny mplorc wth w.8s s dEt sL oDFsdbn. *ill (b Ut w{rt d dE rtaic ir Nl
<br />inldd.d o. ofidal fo. sL (56.7044, Buriru ud ProfdioB Cod.: Thc Co.lr..lolt Lt.M L!* &,6 nol tpply lo s ownd of
<br />lh.FDFry who hil& m irFDrs tlsoi. .i who d.6 *h rorl hirelf or h*ltot llrcur! hit or ts om mdolE
<br />Fsvid.d rhr Mh i46€:ld e d nald.d q oG.d tu st U, tnEt rlr bildif, d ingorsd. bU vdE m t-
<br />olcor+bira itE o*c hilb wil lIrE tll h,&r of FDvitB lhd lt d .tE & d hlild G inFtrE ln. FDpqr, l- tlE p,F- o,
<br />-1.
<br />so*EofrlE FoFry, @ actulir.ly cofi-rnB $nh |t6.d co r-ioE lo @dru.t rlt Fj<r (Sa ?0,1.{. Bui6
<br />sd ltoEixCo&r Tt Conrdo.rLk@t e{i,G ml @lt ro -o*G of FoFV*t hriH! or iiFordllEo..
<br />ed who codd! for ruch FoFr! wnh. Codtulo(!) l.aqd poBd b rlE Conrt idt l-tc@ bw)
<br />I m lrdpl un& S€rkrn-. B & P C fot thil r.&n
<br />D.r.: 0r!6:
<br />.!!986!8li:SalUASArlA!
<br />DE(IdSAIIAN
<br />I h6.l'! lmm undq olalt, .f Flu,.. on. or rh. folhq nlg &(Lr.lloN
<br />-l
<br />h!v. nd will Mir !n'. Csriftd. of coB6r to S.ll-l6e fd !dl6a .omFdioll' 6 FlriLd lm b, Sdlio.1700 of t
<br />hP cod.. ro, th. Ffomuc o r thc *o tor *'h'(h rh.IEirtr E isu.d
<br />!Dt,..na",',-,n,-*mr€''@hpcdb.iNEc.B,quir.dq(scri'niTooorrlEllhorcod.,fo'.Froi:u.orzllk smr fd "h{h rhr FDn u isd Mr ggld' onFldpi Ull]lrN .,E .d polr} nmt F
<br />-a€-\- xt"{ t c o5
<br />B I<.,?qoSaqG L1 '30- |
<br />-l
<br />..niry thlt in th. Ftom*c oflh. *orl hr whirh rhir pdmii is t!u.d.l drlltul @ploy my pden in lny iM(
<br />$ s ro b..on. iut er lo th. srd6 comFuio. Ls of Cdiaom'r ud lsc thr if I rholld bcoe 3utt..l h rlE
<br />$0.16 conFqr6. FlirbB of Sdion l?00 orllE UtEr Co<le I .ndl lndhf,nh o,IPb wnh lno* FritbB
<br />$aRNlNG loilm ro :6. *!116 NmF6aion s6+.
<br />civil ,in6 up !o onc hundrd lhoMd doll4 (ll0o,00o), in
<br />S..ltun 1076 oIth. Lt r Codc, orod od n6.Er'! aG
<br />t u.hstul. ad rhrll lubj.d e
<br />.d'innrn lo rh..on or.on
<br />3- l5 tq
<br />I t@hy .Itm und6 panny o f Fjury th& I d undq provilhn of(nop{q 9 (comidcin8 \h sdinn 7olxrl oflr$rxrn:l
<br />of 0E B{siB dd ftDaBioB cod.. rn 6y lk.E i! b full toN !d.lYl.l
<br />C!C <r2o I
<br />3-15-r1
<br />I hotrlt.l&6 undd poul!, of Frory 116 lha! n. on ruclio! l,<liry +try 6r llE Fto.rre. of lh. e$* 6r [ttt lhB Ftu. a
<br />AIIIJCAdLIESdIAIIO!
<br />I halq dfm u.d, palhy of r.rjury onc ol rhc fouowins d<l,r{ioN
<br />Danihion Pmnr-Alb6rG Nolilicdion F.ds.l R.suhi $a (TnE {0. Pel6)
<br />-R.quircd
<br />tAq of Ndi6c!nn
<br />-l
<br />cdiry thn IE f.dsrl Esuhrio6 Eardin3 6bdot movd & d q?lt bL b lhir p,$F
<br />-l
<br />cd'ly l, I h.vc 6d rhir qplk.lbn ad rl.l. lhd lh. .bor. ufotuir. L corr*l I lrrd lo onl?ly $nh .I Cnv un ( ouilv
<br />ordin.n.6 and srar. Irss rcl,rin* ro blildins connruclim ed
<br />!bov. nElioxd rerEny aor nEFlhn plrBrs
<br />ruiturtc rcFsrdiv6 o f rh'r ( iry Md ( ounty to 616 uBrn th.
<br />-\ a.4aaL K.lf--r 3:t5'l1
<br />Set Backs
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loorfi/enUl nsulation
<br />Roof Sheathino
<br />Shear Wall
<br />Framing
<br />ln sulation/E nergy
<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 />/t
<br />FINAL //2'//ry ,&MZ//
<br />Certificate of Occupancy L/
<br />Notes, Remarks, Etc
<br />Forms/Steel/Holdowns
<br />is{.d {Se. !097- C,v. C.)
<br />L.ftla r N0c
<br />t .dn ! A{tt*
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