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SITE.WORK DATE ID/SIG.COMMENTS <br />Set Backs <br />Forms/Steel/Holdowns <br />Erection Pads <br />UFER Ground <br />SLAB Floor <br />Subfloor/VenUl nsulation <br />Roof Sheathing <br />Shear Wall <br />Framing <br />lnsulation/Enerqy <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 />-tl r( <br />FINAL 9lvtl7,,(WtrO-, <br />Certificate of Occu pancy I <br />Notes, Remarks, Etc <br />r.( <br />I <br />OWN EN BU ILDER DELC RATION <br />alfm und.r pdally of Fjury $al I fl qcmpt tom lhc Contn toE Lttr Llw for th. lollowbg lql (Sa 701 1., <br />.,'d Profdion co.L): Ary Cn, o. Coudy {nrn r.quiE r paan lo .olstuct, .e6, E .!!t, &ela! o, lE.n &y <br />Fiorlo il! iw,.Eo E+E E Sltd f.r uh Fni lo 6l.. sigEd r.mt rhr lror 'h. b lics!.d F,&d <br />nir6 oalh. Cod..croa3 Lta!.d hw (Chrfc 9. Colmcins $ih S.dbn 70@ ot DiBbn I oathc BulilB 6d <br />Cod.) or lhd lr or !n. G crmpl rfic.fom t d E talir aor rh. dL!.d.rdFion. Any viohlion of S€lion ?01 l.t by uy <br />ror . pqnir 3uhj*rs rhc ritliconr to a civil pcuh y o I rcl mor. r h& fivc hundrql dollG ($500) <br />orc of 0E Fordy, G hy atrpb)G r'nh r,.s6 s En sk comFMion. $ill & $. *!d rn dE tuE it d <br />o. olrccd aor $]. (s€.7O|4. BBilB dd Pbf<FB Co&: TtE Conrrror'! l.toE llw d6 sr @ly |o e o*E of <br />*ho hiildJ or Errev6 ilEo( 3i wl[ d6 sh Nrt hiB.l, or lElaor rluolrh hii or h6 o*n mploys, <br />rho' luch imPovdmB e nor inrdrLd or ofis.d i, sh ll t6*a6, lh. bu,tlis or iryro€naI ii $ld w(hD onc )@ <br />l& O*E lllli}:la *iI hsw th. hf(ld! of Ftrvi,B rhr lE or +l. did ml hild or up.ow thc FoFy 6r llE prFE oa <br />of rh. F!!ciy, mdclBiwlyco rdbS w{h licdE d onrdoE ro codtud rlE F!).d (sd. 7or4, &!iB <br />Cod.: Thc ( onlr&tofs l.i.c.!c Lav do6 not.rplylo m owrq ofpropBly who build! or imprcvG rhdNn. <br />$tlds aor !!cn Fri{R vith . CoMo(r) ticaa.d pu6ar r. rh. Contrdor! Lkru t w) <br />.rdp( urxb S6lnn-B & PC forrh6r@n <br />()nnc. <br />!!Bli[4,::(aulf!r rarlll:(]rl&lurl! <br />.mrm und6 pdaXy ot Fjury oE oallE folbwi,B d.rl&rlioN: <br />.dwill@i lin ! Cdifk.t. of Congr ro S.lr-lMr. for $0*6 omFMion. a Fovid.d for by sdon .u00 of dE <br />n lh.p6fonMc. ofrh. solk for which thc p@ir i! arsual <br />..d will @imi. *ortd codp.,lrior in3llJee B r.qun d b, Sdion l70O otrh. L$or Co&. aor th. Ffol:rm. ol <br />lor whth rlli Fi! i is.d My roit6 con4 ErF. ilElllu. 6ir id Flay nubc G: <br />rh,! in th. Frolfu. of dE \ort a *hrhrhsrEnnnsu.d.Ilhllln,dphyuyF$rouy,MF <br />b.com.subje' lo rh.$orlt6 comFldion hws ofc.liaomia ed.selh{ ifI rlhuld bcon ruqdrorh. <br />conpNlionpmvirioB ofSdlion 1700 oflh.lirtr Cod.. l sh.ll, fodhsiifi.omply trith lhor pmvi,ios <br />li,lu( ro hr. *0116 .onrFsrion cor.ra{. a unbrful. and s}bll subJ<t u dpk F nr qinin l IErlis ai <br />up <br />'o <br />om nui&qj tho!*r, {11116 (1100.000), <br />'6 rddnhn ro ',. .on 6l.omFan'o.. d.n sd 6 Fo\iLd tor tlr <br />tlhd cdle imdd dnd dbffi'. ldb..LOL v <br />rrrllns rii t<rii n t r riii <br />DIIL\EITA) <br />.lrm u.& F.ly of Fjury thr I e li(a!.d ur& Fovirbn of Cnr8a 9 (oElIr'rB f,ih S.db. 70@) of D*irir , <br />BuilB dd FDaoioB Cod.. ri my ltae b h tull ao.e ii .lI.d. <br />h?{ \oc4v b10tu1{qr.rI."..*;x\ <br />cQx aucualrErDtxc-acEx(f <br />.mm u.da pd'.h) of Frury rha thoc 6 r ortntu.Inn ldinB +fty aor rh. Ffolr1rm. oaihc *orl lb. r hd tlr, rEn. . <br />ASSIICAILTECIdBAIIA! <br />atrununddFEhy orpgjury oE of$. aollosinS.!.cb mns: <br />ion Pmir-Albdo! Norilicrtio. Faldrl Rcsuhr iom (Tirlc 40, Pdl6) <br />'ry lhd rrE a.d6!l E*uldioN Esrdinr 6bdo! rmoval a. fr'r q,plrcllk ro lh! proj.cl <br />it lhd I h!v. rd rhB .ppliotion d n!r. rhd $. .hrv. i.aodn iion B .016r I .src ro .6mply *It rll Cily &d Coutrry <br />0d sbr. tj*s Eld,U ro tiilding rqr6ddn6 of rhir ( ir <br />(9\\CA c \) <br />w{l <br />BUILDING- INSPECTO ECORD