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BUILDING- INSPECTOR RECORD
<br />SITE.WORK DATE ID/SIG.
<br />Set Backs
<br />Erection Pads
<br />UFER Ground
<br />SLAB FIoor
<br />Subf loorA/enUlnsulation
<br />Roof Sheathi ng
<br />Shear Wall
<br />Framing
<br />ln s u lation/Energy
<br />Drvwall
<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 />I
<br />FINAL ?/tzla ,44r,)
<br />Certificate of Occupancy -/
<br />Notes Remarks, Etc.
<br />-+
<br />Olllttt BUILDER OEl,a AnrnON
<br />I hdcby .llm uda p6.ty of Fjury lhr I m qdnF nln llE Codrxrdt L&.e t^' fo. lh. tolt wts l@! tsa ,Ol I J
<br />Build .,n Proaqaotr Cod.): Ary Ciry or Co!n, *hth r.qui6 . pd ro .otErrd, !Id, itrq.ot ddmlirh or E?.n &t
<br />sEucre Furo ir' iMe &o EqdB rlE.rdtor aor*iFhnh nk r itgrd rdaHt rhrltortEirlicd.d F!!d
<br />lo th. FvtioE of E CodEsro. t LimEd Lr* (ct!Ii6 9, Comfting wn r Scrio. 7000 of Divirion I oa $c &!in6 &d
<br />PrDtNionr Cod.) or $.I hc u rn i! dmF lha.tron md U. b.!i! for th. dhg.d qarrion. Ary riohriof, orsatbn 701 L5 b, uy
<br />.pplicor hr i t nni rubjdl3 th. iprli.ar ro ! .ivil p.dhy of ml mE lh& fivc hundrcd &U&! (1500).tt
<br />/21. 6 ow nf !h. Ftrp6r,. tr oy mplorG wi'h w.B6 a th@ sk omrolliotr sin & ,E ed rld E*EIE ir mr
<br />-oro,aC - otto.a O, -t tS- 70a4, Buir ud Pmf6b6 Co&: TIE ( odr.crd r Lic@ Llw d6 d +9ly lo h ow of
<br />th.Frt6t *ho tlilt M itrF.DEdE6^ rn *n d6*huxl h,lclroi lErllor rhoulh ht o.lE omstlobtq
<br />Fo\it drh, *h @Fuqd! c '!r nad.d uotu 6r rt lf lDw. d! hlldilE G i'rylrsrd i $!d *iDi. G )-olqpkiE dE o'rE Builds wil hE tlE hnL! of FDrit lhr h. d tE di, d hild or irglw tlE FFry 6.lh. F po..of
<br />l. a o*ffi ofrh. FoFiy, mdclusiv.ly.ont!.r'na sirh lrc<s.d conrr&1oB ro.odrud rlr tmj.rr {Sc 7t!1.1. theo6
<br />.d hrB!$n (odc: l'tc conrrcroi ! Liccns. l !w do6 not apply ro m o*n6 of prcpcny wno build! o, inrprcvd lhdan.
<br />and who $nrds aor !u.h Foj.ds *nh ! Cdflndo(s) licoa.d pc@r b rh. ( ontn.lor's l-i.mc I jw )
<br />I m.rmF ontla S<rio. , B & P.C for rhu r.&.
<br />o,r. l-z l'11 o^"*'>L
<br />llaaf,lSs:l;autldsallo!
<br />OEqJSAIII!
<br />I hd.t, rfir und6 pcrhy of FJu r_ oR ol rh. folloqi.s d<lrdi16:
<br />I hav. d s ill ,Mim.l. a cdi6.ri. of ( oMr ro s.la-lNu. fo, **kdt conrp.nElion, a Fovidal nr b, S..lion 1700 of th.
<br />I$or Cod., tu lh. ,qfomd. of rh. wrl tor which rh. pmn 6 isu.d
<br />I h.v. .nd *ill m.i.'ri. wort..r .omFB.rion iaul@e a cqunal by s*r ion 1700 oafi. t b.r ( o&. aor rlE Ffollm. of
<br />lh. wrt lor shth rh! Fnh b i<El My worla .o.ip@iio. i6u .. .ffi d polky.unbr rc
<br />-.{f-i1,r,", in,r," poro*. of rh. err ro. whrch this Fnn it iscd. l3lull6r @ptoy uy pcrsi u dy mec
<br />s a to bdom. &bjel to lh. worta' comFdion hs oac.liaomi Md +R rfid if I rhould b...n ruqal lo tlE
<br />wrt6' mrpo!.lion povtioB of S6lion 1?00 of lh. t bor Codc, I Crll. fodhwnh 6nply wnh lfior pmvilioN
<br />wAnNNC Fdl@ ro G@ wtd'.oird!.lion ov6rs. t unlrutuL !d $dl rbj6r e dploF ro oi6iD.l Fblar el
<br />.ni find up ro oE hu&d thourd &lLE (tlo0.@0), in lddnion ro rh. con of conFldion. ddntsa 6 Foed.d lo. rlE
<br />s€rion 1076 ot rh. Lr!o{ Co<lc insd !d .xdrr.y . 16
<br />7-^ t- ,s K
<br />I l( r\srr)( r)\rR{( r()R
<br />D!CLAAnA!
<br />I Hr .flif,n undd Fmlrr oa Fjurr rn I m lieN.d add F)ririon ol(-tuBd 0 (Rrnffiin* wnh sdion 7(lJ0) of Divbion l
<br />oa thc B6ind md PtulBioB Codc. od my licdk s in tull forc. dxl cfit{r
<br />tic.e(-ks Lic@ Nunhc
<br />D.t. ( oltn.tor
<br />COIiIAICUANlEIDIIJiAqEtr(A
<br />I hdtb, drm ui&i FuX, olparu'y rhd rlE i3 . ontru.lbn lrdirs .s*y for th. Ffotu. olllE so.t 6r *,tlth rhi FDi it
<br />su.d (Sr. 1097. Civ C )
<br />AfIIJCANLDECIJSAIIO!
<br />I lEt,.en uidd parh, of Fiu.y oc ot E hlb$uis &.!rnbd
<br />Daelir,o! P6nr'^!b.n6 llorifrnion F.ddil R.subio6 (Tnt,r0, FEr6l
<br />R.qui.cd l,lra of |roi6.ab.
<br />-l
<br />cErif, th.l rh. f.d6.l GBUlarioN Eg&din! 4irGtN rmvde. not q)rlicahl.lo rhis pmj6t
<br />til-n, ,r, , *'" ,- ,no appliciio. srj r.r. rhd rh. .b('vc mlir.rMrn'n s cord-r. I lare ro comply snh !I (ny ed ( oury
<br />ordiffid ud Srrrc L,wr EhrB ro hildin, onrrudbtr od h@bt.dbriz. r.Fsndn6 of rht ( ny !d Couly lo d a ulorrlE
<br />$o\. lffitFmn FrFn) for iBF<i,n p-Fo.1
<br />nrrr-. - n,-, a"-*-,E ,,n' 721-lt
<br />P.mn( n.n.(prrir,. N @r7 ?>.44
<br />r
<br />COMMENTS
<br />Forms/Steel/Holdowns
<br />Flood Zone Certif .
<br />CEir:_
<br /><4.----L
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