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atSITE-WORK DATE ,1 COMMENTS <br />Set Backs <br />Forms/Steel/Holdowns <br />UFER Ground <br />SLAB Floor <br />Subf loor/VenUlnsulation <br />Roof Sheathing lD-3o-lo,LcL <br />Shear Wall <br />lnsulation/Ene <br />D rywall <br />Ext./lnt. Lath <br />Brown Coat <br />Masonry <br />Pool Fence <br />T-Bar <br />Handica p Req <br />Deputy Final Report <br />Engineer Final Report <br />Flood Zone Certif <br />.L l. <br />FINAL Uad.dz <br />Certificate of Occu ncy IIa <br />Notes, Remarks, Etc. <br />OWNER BUII DER DEI'ARATION <br />I HD.r8n unlaFrb of Fjrry lhi I dqdF fmn ih. Condd Lk6e lrs for lh. blk'sitE l@n (Sa 701Lt <br />B{.iB el Frofdbn Co&): tut Chv or (ou y qhrh r.qun6 r p6nt lo odM. d. inp.oE &rFbn o, lt,.n dr <br />nMEi FB lo nr islle.. rto Equi6 tlE +plid lor sch Frn lo nk r iis*n iidE thr ll or tE i! lirMd porirr <br />ro rlE tmr6F6 .f llE ( ontr-ltr s Li..N.d ll* ((tqis 9. Com*i.s s nt SdhI ,ux) of Dirno. 1 of rh. BdiK ud <br />PlDrBhE ( o&) or rhd lE or .lE i! amF EC&od &d tlE b.ri for rlE.lkg.d amIio. 4., viokri,n ofs,6iio.701! 5 ty&, <br />lrflicd for.Fin!U6rrllE opplic..r ro !ciil F lr,of ht @Eth& fiy. huftlr.d &rlld ( tJm) <br />l.$osn6ofrh.FoF1f.o.m)'@plor6snhsrs66th.ir$l.comrasion.trnldorh.$rl!d$.riar@um! <br />inrodcl or olI6.d for sl. (se 70,fi, auins ud Prol6riom (id.: ln. Co.traclors |.i.ru l.ss d'6.or lpply to m.rnd of <br />lhc pNpcrt wh, tril& or inlFov6 rlEon- md rvho do6ru(h $i)rt h,ms.lfor hd.llor rhruu$h hi! or h6 oqn.mploy6. <br />pioeid.d rh.r ruci imrolmmts e mt i o&l .r ollald ror sL. l( hos6 s. lhc hildins or nnrnorsndr ir$(snh'..n. )a <br />oa condiion. rh. ()wnd BuildE vill h.( rlE hrdd ol Flving tni h. or sh. did tun hilal or inFo\. Uic l,!p6r) lDr th. Fryos ol <br />l. ao$nrofrlE F.Frr, M .rclcif.b .onr&1i.* snn lic.E d.otu31o6to @ldtu t rtr Fi.(t (S<. 7(}lr. BGilBtd hst rn (.od. TIE (n rt 3 Li.e lr$ d.6 mr llply ro & oqn6.f prcFry tr lF tlildi o mpm\6 rhdtn-ltd $th onEl! fm st For.<!\nt ! Codeo,lr,liE!.d Fr,sqrd roilr( onrrrr't LicG l.trJ <br />I m.r.n und.r Sdhn <br />lht. O*nr <br />notu('R-s, .oirPENs,\iloN <br />llE(l.alirlta! <br />I hd.h) nln,fl u.d6 pcf,.llyolp.rjoryon.olrh. nnn\rE8 ddl .rFB <br />Ihr(!.du,illmoi din a cdificar. o I CoNdr kr srlf,lNn. aor r.r[6 compcnsion. $ lIovid.drorbySdiion]7L\)oftn.Lllrt (i!j.. nn lh. Fforlm.. of rh. $ort lor siich tri. pqmrr i irsu.d <br />I hn1. {n! \'llna,nr n $orl6 con'Fr\dkn' rsu'.trr.. i5 rc+n n by SE irn r7m ot rh. L.ho. Cod.. tu rh. Flotlil.N .f <br />hn i,l,qrm Gir in pok) tunbc G <br />(n <br />',e '(2 5 Q-D- <br />hi.h lhit Ffti n isad [b\o'k6 $nrnd <br />nuu,ro' Pwc <br />/,lAu lz., uz, <br />a7 714 t{ <br />l.qrify rhll in lh. Fforuft. of rlE q orl fm shkh rhir Fmn it isu.d I !16ller oph) uy F$n in dr m&c <br />5 a kr tmm pbj.( ro rh. srtd'omFBakr L*r ol(.linrmi!, &d.8@ rhd il I lhulj tr<o@ rlt'icr ro rlE <br />* orkd' $mp.M'io. Fnl tioE of S<iion .U00 of rhc l,hr. ('od., I slEll. fdh{ilh Nnd! I ilh rlns FoltioB.IARNINC |-iilurc lo suc *oltd onllEMion 0\6+. ii uL$lul dd rhlll 3ubjrt 6 drloyq lo oiDio!] lEElrd ud(^rl ln6 ut) l!,.trc l'!tulrcd rhotrsand d.lhrs i'il{xr,lroir), fi r(l,l ()n l{, rhc ..( .f rotrD.ns!l <br />S(trtri 1l)76 olrh.l xhn (inl. <br />'nl6c:ritr,li,ift\'\) <br />DFCITIUTION <br />I notq .lfm uid.r F6ny ol Fjury lhsl I s lrccnsl undd F.\ tii. olct F6 s {onnftins r n h S.dn. 7ff)0) of Dnnbn 1 <br />ol rlr BBiB sn fhtsioc Cod.. nl ny li.E i! 6 full forc nd.alal. <br />e-J/*/ 7"/ t; <br />rO'&l t?€+*4 a^"",aA-vy <br />(.(rNs t RIr(.t t()\ I t NDIN(i AcEN(.r' <br />lhqrb trlith trnds Fntrhy or l.Tjury dur rhft nacoBlndtun r.ndm!.r.ic, tu rh. pdlontrNc. or lhc \orr rff \hichihis Fm n <br />isrcJ (s.. rr)q7.(r! ( ) <br />A?PLICAN DECT-,/IRAIION <br />I hdd,y.trm un& F, of Fjory om olrrE lolLr*iry dcLrdioB: <br />Domhion Pmne^rhdor tJorifi.dion F.ddrl i.suLrioB fink 40. Pd6) <br />,R<un.d l3r(of t{onfi.d.n <br />I .aiify rn! th. t ddl r.auLrioN r.SrJiB sb.!io! rdoul e Kn lp?liclbL to rhn pmjd <br />/Ld rd ify rhd I hirc Eld lhB lppl'.alion ud !r!r. rhd rh. rho!. inaomd ion b coftct I lgrc ro .nnply $ ith .ll Cily .od Counly-orduuc6 Md srr!. L^! Eld s ro b'ld'n* (oEmd mn, ud h6.hy.urhoria rcFBaldiv6 of thi! Cnt od Cooty to 6ra upon ir <br />itrL. hdii(ln.n F oF.iy tor <br />L,\Dplicrnr or <br />^rmt Sisnrture <br />l'.mhF n.rr(prinrt: D(c/ r,r,/ct/b',-.8; <br />1{) tr r? <br />BUILDING- INSPECTOR RECORD <br />D""':la ,Ql 17 <br />Erection Pads <br />Framina <br />ffilllvllq