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BUILDING- INSPECTOR RECORD
<br />SITE.WORK DATE ID/SIG.CGMMENTS OWNET BTIILDER DEII'ARATION
<br />I ha.b)' aflm uidq Fsxy ol Frury ld I mqoF n!6 rh. (.onud6' Lic.M lrs foi rlE tolhers lw}n (s<70!l.t
<br />Buind ,n Pr.l6bn (cj., Any Chy or (ndy $hah r.qun6 . Fnr lo odM, .ld. hFovc ddmlah or EFn 6y
<br />!tu r@ Fitr ro irr isu.B. &o rcqln6 th. pltd tor scn Fnn b 6L ! iiSEd fio* rhn lt o. !n a k!B.d Fdlr
<br />'o
<br />lh. Foyitio6 of rlE Co.l'rrd r tk N.d lrw ((-lu(!ls 9, Comdi'g $in Sdio. 70m of Di!iri]. I of tlE &rilB od
<br />PDfsioN Co&) or lhd lE or ttE n qdpl lhqdron Md th. hcb fn tlE dh.d adFion An, viohio. otsdlbn 7011.5 ty uy
<br />rlplic$l for . Fmi $bj-r! rh. irpli.&r ro ! civ'l p.Bty .f ml mrc rhd fivc hun&.d dou6 (1t00)
<br />L a om- ol rhc FoFny, or my.mtlor6 *irh qr6 a rh.ir bl. c.npa.dion, will do ih. *orl d$crnIl@is Rn
<br />int6d.d or olT.Ed fo. $L (36.?044. Buire ed ProfdioN Cod.: Tl. Co.tEcroir Licd. l,* dr6 nor @ply ro d oM6 of
<br />th. Fopdry wL hil& d imFr€ rlEE( $d *t6 &s uh hrrl hitr.lf or h.Mlf or rhNo8h hi! or lE om olllloyG.
<br />Fovitcd rhd iuh mFudrd! e Fr i' od.d oroflqld 6r rl lt hou66. rti uluos or drreacr ir $ld *ithh m )aolcoqkir E (xrc AriLJr will h.E tlE hftl. ofpDti,* !. ltornE.ln ml hild or !,pNEdEFlFly forllEp4rs.ol
<br />-1.
<br />a ow or$c Fopdry. m d.h!n{v @'rrrdIls s t l(-E d codr&ro6 ro @intu<r rlE FF (Sd 7044. E!i6
<br />,n F!hi{ Cod.: ]1. (onl[doi3 Li..M rr* dB rr @ly ro x 0"6 of FsFr! *lb boil& or inp,or6lhson.
<br />sd wh. sdra$ tu *h FtrJdr wnh . Coffio(r) lKq!.d F,sd b tlE CodKld ! Lkd l:*).
<br />I dn.rcmn( trml.r Sd(,
<br />D.re OPnerl
<br />NORkr; RS (-Olrtl'ENSA IION
<br />lll)grl8dlla!
<br />I hqcb)_ aflinn und( lEllrt ol pfjtrD- onc orlhc lnllN\ 'ry 'l.rlfili,)N
<br />I h!1. lrd will n.inrin uMtdt- onpadhtr i.s.ftc, d r.qut d b Sdiotr lr0o olrlE |i$r Co&, for rh. Ffotu. oa
<br />rlE *orl ld $hkh rh! Fnn i! is.d My uuia onq.,sion iBum. triq !d polty nuhtE r.:
<br />csi6: ' N-a'66.,1 /^r*-tz1
<br />roryr,.uo, 'WC5eqAolr. r,pi,o,tr/r/tqf1
<br />-l
<br />cdirylhrr inln Ffomaneotlh€wo for whi(h lhi! Fnit Lr itrucrl I stEU mt oploy &y F$n in uy 6'ffi
<br />e a ro h..ooc lubidr ro th. e&6 oordlrion Lr! otcdih&q. lld rriE rh. 'al Jnuld beom $ti.<l to llE
<br />Mrta' @mFcdion Fo!i!i6E oasdnn 1700 olrhc lrhrr Code I lrBll. fonh*irh 6nplt $ dh ll$s ProvitioB.
<br />waRNlNCr F.ilu. b gu. wrt6' @rEdihn ov6ls. n uL*'tu1. lxt 3h.ll sbixr e <rq'k,F lo aidnrl FEha. !i
<br />cn'il fiE up lo oB hufti.d rllousxt &1lLB (ll00.O0()). in .ddnion ro rlE @r of oip.Brion, dan 86 a FoliLl 16r rlE
<br />sq-lFn 1076 or rh.l,hx Co<|c Blod rd.nqrry t f6
<br />I hd.ry.mmunddt nihyolfsjryrhd I m licdBsl ln)virio. of (-h41.9 (c.nrmci.s *irh S6lnn 7000)of DNiinrr
<br />ol the lJusinla\ (l1".16$.'r(irl.. dd m) l'.c.{ 'r tr' lnll li,'r. nt.lfurr
<br />. Lo /c46 1a>15L
<br />^,, . tzf n/i v-
<br />I Hy .nEm udd ps!,!, .f Fju,y rhr fia. i . odrucri.n
<br />is,.d (S{ 1097. Crv. ( )
<br />.*try for th. psfolM. of rl! rlrt 6. snth rhs IEnn !
<br />Allllcadr.lEqJaa]Iad
<br />I hat!, .&o u,xld tEul y of pdjury o@ ol rhc follo*ins d..lrariou:
<br />Ddmhion Potire^lb6rd Norifraion F.dsd Rcsuldirtu ll irl. ll!, Pmo)
<br />-Rcqur.d
<br />I!lq or NodfrcdM
<br />-l
<br />.difr_ rhd rh. f.n hl r.BuldioN rqedin{ cbdor rd.r!lsc Rn q,plicabh lo lfis Forel
<br />-l
<br />cElri ltsl I hsrc raj lh! rgpl'carFn !d nllc lhd lhc !h,\ c infodtdirn n .odcl I asra tu .oq'I, Eill' all Cil y u<t Counry
<br />ordmarc6 sd Slltc ljH Fldia! lo buildins constoclion, &d h6d,y aulhrrn. rcFsndi!6 o f !hi! ( ity od Couly lo dls uFn llt
<br />abov. nmrion.n Ootdr for impctlion purlos
<br />/-Applicrnl or A*.{r Sl*nrluro
<br />Ptmire nrme tprinrt: t4 En-
<br />Forms/Steel/Holdowns
<br />Ereclion Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenUl nsulation
<br />Roof Sheathing
<br />Shear Wall
<br />Framing
<br />lnsulation/Ene rgy
<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 />FINAL Tltrltt I 141/id
<br />Certificate of Occu pancy
<br />Notes, Remarks, Etc
<br />-)
<br />-l
<br />h.v.nd will dFrlt i Cdafrr!.olcoBa ro S.l 6u. fc f,uldr 6.rFsri6n, 6 Ford.i aor by Sdiotr lrm of lh.
<br />l,tor Co<,c ro lh. Ffoll'le. of llE rqt fd rnit llr Fn,l a isEd
<br />^,-.t4r{v
<br />^". ,{/u
<br />Set Backs
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