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BUILOING- INSPECTOR RECORD
<br />SITE.WORK DATE ID/SIG.COMMENTS owNt-I aull-l)uta ou,('Atl'It()N
<br />I IrEtt .rm uBl.' p.@Iy of Frll'y lt, I D.anFl tDn rll ('dLtn' l*M t * td ilE tollo*uv Ersn lsa.Toll.t
<br />8ulincr ]n Pr.r.s.i C.d.l An! Cny or Cedv *i.fi Equirs r Fd n, .o.{M. .116, inpm( d.ml6h .qrn sy
<br />ntulE.tnrn,ir $uro. rko EquEt rlE,ptli. r for *hFdro 6Lr r|3Ed ri.ft ihlltor.L.h.trGl lurd
<br />h rh. rFvBi.tri.f rh. C.nrdoir l,t.n$d lre tch.Iid q, Commrcin! vrh Sdr. Tltx) 6l Dvnirr , oarlE BaiBs ed
<br />PruLnrr Cdl.) {r rhrr lE or {E ii.r.qrr rh.Etu)m &1r* b$ii for rtE !lk!.rl.\.nlFDn Ary vbhla,nofsrlr,.?0ll.t bymy
<br />Ullicr nnal.mnsubl.clstlE.I,pli.rnrro0cililp.uhyolnormr.lh!trl]v.hundr.!dollus(t500)
<br />-1.
<br />rr nr*r.lrh. FoFny, or my.nphlt.r uirh w4.i a ri.t sl ornp.@irn, *ill6 iL wld th. (66 i mr
<br />narLd d. oll.rqi l* {l (Se.7Ol4. AuliEs rnJ Plsf*io.r Coi.: TIE Co tukri L.rnE try do.r d .rply ro !n ow or
<br />E F,Fn, wtu hd! a ll+oB tlrE[ dn wb dE uh rut hielf d trrlr n rtDurh hi! r h.r os.rpl']Ea,
<br />pmti,.n rha *h ur+m!fidrnr{ nd.,.d6o[.rn tu el. lr.lF*G, {E llildh, d ltprocc i.$& *rt mFr
<br />oI Mplrin Dr O*E BdUa *iI hM Ltr hrra or Fq rhr L n iE tlil r{ hi! r in!6* rrE ,rnFrt 6r rl! FrF- or
<br />_1. .i .,Er oI rh. FrDqrr. m.r(l!iEl, cordri ,.h lt.Gal !!dd6 kr cdh{M rlE FlFd I Sa. 704r, Bucs
<br />rnl PDl.q.C.J. TIE Comdol! LE.n! L.v &ir mr rt lyro.n.wM of Ir Fry eho buildr 6r rDmwr rh.B{L
<br />ud *ho morq6 lq \kh Ftrl..ll *nh r Gdtrr,rll) lic.trr! N{@ b rlr C.dtd.r'r LieN Lrw)
<br />_l rn,.r.npr uftls S(rion_. B &PC turtlr5(tvrl
<br />]II}8f,&BI:.CAMXTdIAIIO!
<br />DfCIAf,AIAd
<br />I tn.hy .ltirm un&r llrly ol Flo.y or ol rlE loll,rin! drLdirb
<br />I h.w.rr erll midi!. Cdlfd. ot('oEd ro <-lll* lr wI6 lr'rq'dnn a Fo\rld 6r [rySarni ]l7morrll
<br />lrii Ox,., nt rh. tEf(rlrllM oltL *qt nr *t-n th. Fnir i nrsd
<br />_llrvcitrd*rllruxnrn*.*.h'.on{f,tr\rrnrtrsuiJtr..a\rq0EJhyS.(futr'r7(xrolrl'.ti&trAxl..Lnrh.nrfrmur!ol
<br />rl( *o' I Ln tr l'tr h rl'h rtrnur is ,sud M y ro'r.h rrnFns,nof, iniu' d.. ran fl !ft| rrrl'cy .unG(r r.:
<br />-l
<br />enit 'd tr ilE Ffornrc of iE *nt f.r $rh G! psDt i! !uE{,1rh.ll d.npl,yuy FD! ir uy Iw
<br />o a ro b.<.m t!t*h r. rh. rqtdl oiip.di.s hrr.tc.lifhi rn rlc rld I rlbrld l:.oft rhr.d r.rlE
<br />*1116 laqmis D6!iri)6 of S4i&r 17@ olrlE t ho. Ca,., I ldL rdtunh on?t rnfi d@ Fornr6W &UNG rnlE io ffi kl6'onFrrnr oE!. n ubsrul. rd :hrl abF & qlploF to qllul FdE ud
<br />.rn fiEr u, b.E tundr.d rlDu.nd &ll& (tlm,uD, 'n.irdri'n r. rh. ..c or.or{lrrion. de!.. c rmvn d fr rlr
<br />SRrion tor6 of 'tl ben oodo nr.d .t'd ,rqty', f$.
<br />UCENTEDCOI XAStr]A
<br />DECLAR TION
<br />I h.ftby.flnn uidd!.n.hy.rp.rjury ihr I m li(.ad uid.' Fnvtion ol Cl,$Lr 9 r.n'hftrine rith Sdhi 7lrXD.f D *)r1
<br />ol rlr Burms {i PDltsiod Oxl ..1 my k.tr€ ir m tull to@ a,.fhd.
<br />tQll Srlrorl,f,BDM l(r
<br />I h.rby illntr'trtuId lttrllryofrrrrryrl'i rl'6. N r orrn'don Lulu,s r!.ry Lx r1r p.rtunu,r. of rh. rorl r(tr wh(hrhN rEm,ii is
<br />i\urd ls.( 1lr97.a'v C )
<br />AIEICAII.DECIJB6IIO!
<br />I hfttt rfm ud.. FMIy or Flirry oE ot th. roll)an8 ddL.{itu
<br />ILtul.iri PhiB&b.trG Norfirre F.d6tl R.ruLre CTit .r0, Pd6)
<br />-Ralussl
<br />Lak. of Nmf.{in
<br />-l..nrry
<br />rld rlE f.n.nlEsuldios r.!.rJrn3.rh.nor rcfr)vil&E nn 4llrihk n, rhn p$ler
<br />-l
<br />!.nily tu. I h!v. uJ rhii lpdadrion drl irr. rh.r rtE ibov. inlotuirn r.ohr.I ric ro $nplt vnh rll Cir,.nd Coud,
<br />odrur.s !n l sr!r? hw: Ebrira ro t iuih3 codnlibtr rd lEEby:dhod. EF!*'r{iEt ofrhn cir, ud counryro. d rr-n rlE
<br />rhn. EnrrNl pn,Fny nr isp(rbn po.FEr
<br />P.Eali IE lDdd,:_
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenVlnsulation
<br />Roof Sheathinq 7-44)VitLtl A\
<br />Shear Wall uV
<br />Framing
<br />lnsulation/Eneroy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />lvlason ry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Report
<br />Enoineer Final Beport
<br />Flood Zone Certif .
<br />7.Ll'AA tba/4 'reY
<br />Certilicate ot Occupancy
<br />Notes, Remarks, Etc.
<br />Fiev. 08-07-2015
<br />AppU...l or At6l Sk rr.F: Ir.l..-
<br />FINAL
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