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BUILDING- INSPECTOR RECORD
<br />SITE-WORK DATE ID/SIG.COMMENTS OWNAR AUILDER T'Et,CARAAION
<br />I h.rcty rlr]rn un,lcr p.nalry (n lEiury lhar I m.icnqr lom rhc Cohr.cnlfi l-E.ns lf,w rin rh. nnirqnS E!s'n (Scc.?oll 5'
<br />llunmli {rl Pn,Ic$D. cd.)r A,v C y ff Counry *hf,h Fq!ft( . Imr nr .on{tu.r, rlr(, r.{n'k. &B)!!h.r Fiw {v
<br />dturuE. Fr{ t, dl !(u.s.- rl$ E{uftr rlt Tfi.rnr f,, rkh Ftm![o lik r !t*d nrkmnr rh.i lt ot t,i t l6ql t@.]r
<br />i' rh. Srvai,n( ur tlt C.nlr&t{ ! LrcnEJ La, (Chnii.r 9, Commftm8 * h Sdnon 1tl0 ot Orv(t'n 1 ot rh. ntrnri( .rl
<br />Pnncsnnrs C(kL)o.rhrt lEorrhc !s.r.tuPr rh.r.fior $J rhc hrnr ntr rhcalkscilcr.hprrtn nyvk.lnrofs.crrnT0.ll5hyrnv.
<br />inll(a t,tr rFm rutFG rrr amlrlnl t, I uivn p.n.,l! ol n)r fr)E rhd lrv. hu lEd Jollr\ I S50l) |
<br />-1..r
<br />owFr ol (h( In,F. y, ,n ny.dtl,ydr wdh q{.s i( rlEr v,L conlEoerln. e ldt rlt *dk nl r {nrrE 6 n*
<br />dcnkd or nrl.r.! lor rolc ( S( ?(}r4, Bunn.s Md E\n.$i)nr (i{c 'rhc G)ntre(tr'r Lnlne llq d€s B al'dy b t qmr .f
<br />rh. F)Irny whI holltr or rlhrrs l]mIn. rnl *h, 'In Bh k,t him\.lfor h.rcll or rln'u3h hk or h* o*n .ml'l'ry..t.
<br />rovtLJ rhr o(h mFtxmn( d r d.nL{,* dlfrl n{ qL ll. h,wrE, rtr t['IlD3 or l,lthrtmnr ! r'll *nhr,ft ltr
<br />d rnr'Luu rlE Ow SullLr rdl hrE tlt hrd.n ol FrYrS rh, h. dr tlE Jn ni huN n lrlloE th. Fr6, rr r,I tarFt or
<br />l. a\ owm, ol rlI F,p.d t, rm c\.lunvcly .o.r0(rEf w h l'..n{J onk..r{\ t' .on(N.r rh. ln,Fr (St 7r4'{, Buur$
<br />:nl t\t{6nr (irrc: Thc (dnlr..ttr'\ l-f,.n\. tiP Jt$ lrn 4!lt !' u owns o! IlflrFny rh, h!rld\ { {q&vcs rh.r..h.
<br />r.d *h' r.nrrat n* luh FUF| ( *nh . (i.ratr r | |!shl porwr t, rh. Codr*itn r Lrcnr lft I
<br />llm.rcn'pr utrJcr S..rtrnr .tl &P( nr rha rcd(trr
<br />.rtll8f,E8l.grufllsrtrQ
<br />DEL^LARATION
<br />I hcrcby rtlmr unJ.r lEnllly trl Frjury orK olrht l,nh*n* Jtlrll('nrl
<br />-l
<br />h.N 'nl wrll Emr!6 r C'.d f..1. .l G'nenr hSclt'lnrur ltr * 6 e,mFnetih. .r ,mviLi ttr hy S&rrrn lnn.lth.
<br />trhtr Cq].- lm rlE p<abtu. of rlE krt for *t.h rh. tEmn ! lrkJ
<br />-I
<br />hrk.fi1 willminr.in *ort 6 on{t n{ri{r. mrur.h(,I r'turcd I'y Serx,n 1700 oI rtE lrtilt Co&, ntr rft l!.dolrr4t o,
<br />ilr s*t fr* eh.h thii rEmn r sml My *d*d1 .on{EMrr hrutEr (s- &l lblry NntE m:
<br />l,(nkr N!nrh.r
<br />I ccnily rhrr in rh. Frlormd. or rlE *ort fq ,hxh tnN Frhn r srEd. I $.ll Dr ar{*,! ny Fn.n h rny Mm
<br />s, 8tu lE{om ruhi.ct lo rhc *orr.d ohFn..rrn hw. ofc.Ifom& r.J +R rhl rt, shru ltcoft rlbFr ro tlE
<br />s'*dr .onE.slion nnrvnbN or Selk'n t?m ol rhc I lt$r Oit.. I rlulL fonh*llh !on{'ly wirn rhd. ImvBi'tr,.
<br />WARNING: F.!l!G b q@ mrt n .nr{Br.ri,tr .ov.hs. $ uhwtul. un rhrll lubi{r x .tq'loFr lo siniMl Follir.nl
<br />(.e atrr ut ro or h!d..rl rhrqri ,101116 (ilm.rm). d r!{r,n lo rlr ro( .l or{Ennrntr dm3.! 1s Jf,ovrl'J lor t'E
<br />sdrk,n 1076 o[h. t2h, (itl. inr.cn &l rnomy \ l(1
<br />lrrr.:- {DoU l:-Lrcrnsm
<br />DICIAEAIIq!
<br />I h(E-l,y d rtn udd p.n.xy or F jury rhrl l .m |r.nBl !rr.i ln)vlti,n or Ch.t d , (ll'nmtur8 *trh Sel i,n nDo) ol DrvtM J
<br />ol lh. Buim$ ud Pnnanbnl Cor., r,rl my ltcn$ F in nrll tuR! axi.ni{r.
<br />llllllxl1]llluljllrNi-a.ul}sr
<br />tr\lcd (Sc! 11,97. Civ C l
<br />APPLICANT T'F('I ARATION
<br />I lri1'y .li-m unLi p.nrh y "r JEriury .tE ol i& n,Ur*'n3 !k{lr.rInr:
<br />l).Dn i,n P.rnnrrA\trnor Nobrf,arkr ltdcrilRqulurtrnF (Iirk 4(,, Pd6)
<br />R.qurcJ l.(.r ol |]({iirrxin
<br />l.rnrlyrh.r rh.tcdd.lr.tuulln!r3rJn! 8tr{$ rcfr'v .rc ftn q$lr!t!k brh$ Pn).(r
<br />I (dify rhd I h.rc rc.d rhtr.npli:ri'n rit rt.r. rh, rh..tiv. intumuriiJn norer.l.Sr b.rmply wrh rU Cnv tJlt Counr!
<br />dilmB.r rsl Sr.r. L.r! E!, Es ro hrun! .oNo.1r'c 8, hcr.ly rdhJrn. EFr*t .rrwr ol rhir C v .d (iurv ro orc ulbn rlE
<br />rhN nmr-rJ F'Fny tu iNrf,<x,n prqr$i
<br />Appll(.nl o. A{cnt SitMluR
<br />-
<br />lhle
<br />P.mirfr E'R rDnnr':
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />UFER Ground
<br />SLAB Floor
<br />Subf loorivenVlnsulation
<br />Roof Shealhinq
<br />Shear Wall
<br />Framinq
<br />lnsulation/Energy
<br />Drywall
<br />Brown Coat
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Report
<br />Enoineer Final Report
<br />Flood Zone Certif
<br />A
<br />FINAL la-7a -s1 q.ljl1il
<br />Certilicate ol Occu nc
<br />Notes, Remarks, Etc
<br />Erection Pads
<br />Ext./lnt. Lath
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