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SITE.WORK DATE ID/SIG.COMMENTS
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenVlnsulation /n\
<br />Roof Sheathinq '1-r17 Yll/J[,ptlh lOfr-
<br />Shear Wall U\J
<br />Framing
<br />ln s u lation/Enerq y
<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 />tl I/|wtllFINALqlhln
<br />Certificate of Occupancy -T-t-
<br />t
<br />C
<br />Notes, Remarks,
<br />PU
<br />O\INIR BUII-DER DI:LT-ARATION
<br />I h6.rr' ,mrn undd parhy of Flury fid I n .rmB fRrm rlE ( o r-106 LrN l!* tor lh. roll,osin$ lwn ls€ Tlrt l.t
<br />Asin6s rnd P.oi6ion CGl.) Any Ciry o, Cou y {hich r.q!t6 ! Fru ro co(gtud, !116, imFov.. &rnolish or q.tr onv
<br />tud., Fitr !o nr isuuq lEo rcquno th..p9lrm nn sh Fn lo ,iL t lisnal r.ffi' 'h, lE or slr u lic.E d pllrMi
<br />n' rh. Foviiio6 ot rh. Cont&roa! l-ic..s.d tlw ( haB6 e, Comm.nchr wilh s*xo. 7000 of D,viion I oalh. ltusincar dnd
<br />Prof6ions (td.) or rhi lE n 3lE ir c\mF lhd€frotrr dld th. tcn nn lh. .lk*.d .rdpthn Anyri.ldionots.(lFr7orl5h\ lny
<br />ar,r'li(di to. r pdr.( rubJrr! rh. qrliod n, . .i{il F6h, or mr frtr. $m lir. hundraj doUe! ( tt$)
<br />L d osM of tlE FlFry. q my onph}t6 nilh q!a6 d llEir $l. cornp.4dFn. $ill d. rlE sst trl rlE r.rl@. dn
<br />ilndri.d or olt6.d for d. (Sa.?Ol4. t !.iB dd FtrfBioB Codr Tn cod[cloi! l.k.M Lw d]6 nor Apl] lo e o*M.f
<br />$. ,'rFr! who hril& or inV..E th.61 8l "lh .lE Mh Flk hirelf o. hGvlf or ,mush his or hd 6wn .mploy6.
<br />FoviLd rhd ru.t mF.olElEa fr d nqn d orotu tu $t lt horts. rlE tlirdiE or dr$.D\t,ld is sld*ih'n@ )w
<br />ofrompkh( rlE O*ffi &iBa wil! h!t. dE hrd6 ofpmtins rll, h. or 3h. drd nn t kl or i,i{ert rh. trnFry for tlE F,Iw oa
<br />l. 6 owE of lhc Fopdiy, d.i.lNn cl, .ont@hs *nh liccd codrldo6lo .oi3ru.1 ltE Fnjd ( S< 7(114, Bsffi
<br />dr, Pb&snn Cod. Th! cont&ror! Lic.M tr* .il6 mt {ply to s 0$16 o f Fopqly *ho build. or improrB th6on,
<br />sd $ho codds fG rkh Foj.!1t *nh !Comrrlo(s) lrdsd F6un rorn ( oddd'r l].G l,*)
<br />IJ ,.\.n,tn trkl!a Ssrr{
<br />,,,,"o?-/- (1 a-
<br />DISA&IIIQT
<br />I hr.by!m'nundd rbal'y oaFrloryonc ofrh.lolk)*i68 d(ld.l n
<br />I h.r. rd *rll nu,nrd r Cdi,fud. of (t,sr !(, S.la-l6ur. fd $nta omFshn. d r{riLd tor bt Sdhn 17(r(r olrlE
<br />ljhr Codc, tor th. Flomdc. o f rh. trod. tu which rh. pdr( ir i.ru.d
<br />I hlrc ed s ill rainrai. * 0116' .onFE.r6n isurd., s rcquir'l br Sdt ren 3 700 oflr. l.bor (id.. frtr rh. FtumnN ot
<br />lh. *oik lor *hi.h rhit pqnn i! ieal My sorl6 mmpaldhn iBur&c..rn6 &rl pol'cy numbd a.:
<br />l.dtiry rhd in rh. Ffoll!:trcollhc worl tor shah lhit F6iil ir sual I slullnol mIl'y Dy ps$n o &y nm'd
<br />$ 6 ro taom $br.rr to rra *!rt6 onrFBdi6n Irs. of ( n'fomn, md .sr rhn rf I CBul,C ti€oc sbj.<! ro tlEqdl6' snFsrion p..vnr6 of s.ilion 1700 ol rh. Lrtor (-od., I !h.ll. lonhwnh codply wilh $or p6!ti.N.
<br />WARNIN(; F ilu. lo sE. *r.ld onFsaion ov.n*G L lnbetuL &d null qbldl o d'9ldF to siniEl IEEhi: dd
<br />16 oft hunlrai rn usn<l &llds It l{xr.llxrr. r a.ldnir ro lh..osl oi.o.iFsrion. LhruBd 6 Forrj.d ru 'h.s61bn 1016 0frh. rrhn(inl. inrdd,ndsr
<br />I hdtbl. orfun und( FuIy of FJury th, I m li.t&d und.r F.rkrn oactupts D (Nmnrtrms * nh sd.. 70oO) of DN 6k,n I
<br />ol th. Buti6 a*l PmfdnrN Codc. ad my licEe is itr tull l.,c. erl .fid
<br />callla.ucrlo!..LlilDlNc.AcE
<br />! hdby.rm undd F{.i,.f pqurr lhn rh6. is 6 cotrnruclion Lndins !8try for th. Fofo,1@c. o t th. $ o for$hichlhEpqm( u
<br />asucJ (56 !097, Civ. C.)
<br />tn.ld's rr6ft
<br />arrtlcatl[E(lJt4ua!
<br />I hdr:tt.frmond6 Fnlhy otFjury oru oIlhc fouowins &(lsal'oN:
<br />D.,hnnion Pmnr.Asb6lo! NotifEltion !-.d.ol R.Buld ioor I TnG &. PEr6l
<br />R.qun.{ Ldl6 of Nol'lrdi,n
<br />I csrrb rlld rh. a<ddrl,csuhi6 Eexd,rs 6h.s(,s,mn al d. mr 4,rlrahk ro lhE pnrFcl
<br />,.qrifyrhrlhnc@drh6lPplkdnnlrnrd.rhdrlE!h\.infomdionacm6r l t€tc ro @mdy $ nh .I ( ny ind Counl,
<br />ortiffi6 sd srd.lrws Eldra to hiuins coMrudD( sn n4by llnhoru. r.F6ddn 6 of rhis Cnr nj Counlyio 6rr upon rh.
<br />rh\. ,cnrkn,.Ll p,ft.n\ ti,,
<br />,\ppli(rnr or,\!.ni siRnrru k-tr q*,-vl-t-l
<br />BUILDING. INSPECTOR RECORD
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<br />I w^",o7-/- l1
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