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BUILDING- INSPECTOR RECORD SITE.WORK DATE ID/SIG.COMMENTS Set Backs Forms/Steel/Holdowns Erection Pads UFER Ground SLAB Floor Subf loor/VenUlnsulation Roof Sheathing Shear Wall Framing ln s u lation/E nerg y Drywall Ext./lnt. Lath Brown Coat Masonry Pool Fence T-Bar Handicap Req Deputy Final Report Engineer Final Report Flood Zone Certif /r'',\ FINAL 5-7-2r Certificate of Occu nc Notes, Remarks, Etc \ OWNER BUILDER DET,CARATION I hd.by lftm ur& FEI'y of Fjury rhd I m .rmF nnm tlE Cotur.l@ lxdr Ll* ror lh. f.lh*nu lan (!ic Toll i Bsin6r .d P.oa6ion Codc) Ary ( ity or Cou y whth rcquir6 i Fmn lo otrrN1. .ls. iEFovc d.mlir! o. np.i m, nrucr@, Fir lo ir. t ll,@ $o Eqni6 th. rpplid lor ruch Fni to 6lc ! rsn.d 3lrlddl lha lE or lE i liccl pu$!r'l ro rh. rrlvniod of di (onE&ld'r Licdt d U* ((llrpra 9. C6n'l:l*m8 *th Sdbn 1)00 orDivuion ! of th. B6'.s dd PFldioN cod.) o. 6,l h. o. !h. ! .r.mP ths.fron dd lh. b6i for th. llks.d d@Fird Art liolrb. of Sarbn 701 Lt lt! ey lpplksr lot ! Fnh $br.n! tlE .r,phc&l to , civil Fuhy o I not @e ih6 lit hunrlt.d .lollus ($500) -1, s ornc of rh. F.Fay, or my .mrlo)6 wilh {!*6 s th.n ek .ottFE rion, *iI do tlE wt tn th. ildE i mr i oi.d d oltq.d for eL lsc 7044. EllllIB &d ProlBrioG Co& llE conlDddi LtcB lrw d.6 nor @ly lo o duq oI fi. proFry wh blildr or ir.FoE tlE6( .rd who &E tr&n sd hirell o. lEElf or ilNus! ni! d hd om.rIpbyq Foviicd rh, .u.h ihForffi ft mt itai.d or olEd 6r sk. lt tFBd. ttt hrildnU or irFo\qE ir $ld vnhh oc )t ofor{'histlEolm B{ildsu ha\.lt.hrnd ofFure dr. l!c*.drl d hildd i!'prorr 0t p.DFq turrh.F F.of -1, sow6orrh. p(Dpdy, m.r.luiv.ly codrtl[s s h licdEal conrelc lo codtud ilE Fnld{56.7044, Bu!6 dn PlDEsih Cod.: I lE ( omrrcror'3 l,i.or. l,!w do6 nor !ppl, ro m o*nd of protEly qho hoild! or anpe!. fi66n. ed *ho codrrlr a@ $.h Frjdr *nh. C6ndon3) lt.6.d luutr lolh. (_dr.drt's l-i.o* bw). _l d.tdF und( Sal D.r.: ()rr..: woll(Ens' (-ontPfisaTloN DICIJXAI]A! I hdq Nfifln und.t F.!h, ofpqurrorcolrn lollotr'ne d..ldarren3 I h!\r lrj sill Ninrrin ! Ccn'ficft of Co.kr ro Sdf-ls@ aor wortG @nD.@lioi, a ForiLd fo, by Sdbn l7m ofrlE t bor (-o& fs rlE Ffi)lrr8. oath. *!,t fn x't!a[ llf Fnn E iBucd Ih!r.&dsillMnuinwo.n'.oiFislron'BurmqBr.qutr.dtySdiorl?00ofrh.lrborCod.,aorth.FfolM.of rh. worl tor whkh rhi! Ff,n i iqBI Mt wul6r (onpdErnn ilBlltm cffi r'd r{lay nudhn i. Pol'ct N!6b( -Frpir.s I c.nitlrhd in rhâ‚¬ pcforrnc. ofrh. work aor*hth rhs Foir 6 i$u.4I rrll mr 6ph! Dy F$r in ey mrH $ 6 ro b<aft ruB6r ro rh. s$t6' onFuion l,*r of ( din)mia ud .{r lh.l if I .holld b..on rubjc.l lo llE wo*.J .onpaqli.n Fu aioN ofS4li{r. 1?00 ofrlE ldor Codq I Jdl. 6nisnh snrtl, snh lho3 F.\tioB. *AiNtNC rnlu. io FE wrt6 oiposdnrn covqis. i! @hwf,l. d.! sldl subjcl u dploF lo oibirn Frlis !,il ciil fiB !p lo orc hltxt n lhous&d dolle (llm.uJo), ',nhn b rlE coe of conF.et rtahdl6 a a,ovid.rl lor th. 56r ion !076 of rhc l,tnr ( odc. inrcd and .xorr.! ! 16 I hdhy amrnr un&. pqBh]- {f Frrury rh.l I e' liâ‚¬sal F\i!i., of(18pr6 9 (@ffi'trs nnh sersn 7000)orD nhnl .f th. n6ins d Pofsio$ ( odc. ed my lic.N B m full ruc. ari.lTd I h6by .ttm u.& pd.lty o lpdrury rhd lh6c b . oiiru.I i$.d (Sâ‚¬ 109r. Cit. C ). .Btr! lor tlE Fa(ru. of ltt *nrt 6r *ntfi !h! Ftni 6 AITIISII.DECIJSAIIA! I hdd .fm uftl6 Dollly ol p6tu,y o.c ol th. follo*i.! .L.ldarn'B: Ddrhhr PmiB-A3b6ros Ncrifi.dDn F.<t 6l R.3uh tuns ITir l. 40, Pd6) -R.qun.d kltq olthifxdnn -l cElily thd lhâ‚¬ t d6.l r.suldioa Egddinr 8h66. rdoi,l a. frn 4r,l-!5k l. rhi FoFl I cdiry rh, I hr!. ral rhi .!?lt.rion td idc lhi rlE .bor. infonndior . c6(l I .srd ro Fnply ord,nm6 md Srar. rrss Ehin8 ro ,.Fsdrn6 oarhL cn! .bo\. nElbEd Fopd) &r .\ppli..nror,tBor Sirn.l g C.r\[E !i cou''ro d6 rpoi rrt Lo/zo f n lrr:lgill