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BUILDING. INSPECTOR RECORD
<br />SITE.WORK DATE ID/SIG.COMMENTS OWNER BUIT,Df, T DELCARANON
<br />I hd-r{ .mrn und.r F.ahy oI prjrry lhdl I m .rmpl fnm lfi. Conlriclos' l.{tu. kw f.r rh. follosin8 rcmn lS<.7011 5
<br />lrusinBs lnd Profsion Cod.) Any C y or ( ounry uhth r.qund a Fmir lo ..tr(rucl. dt6, imp.o!€. dinolilh r r.r6n inv
<br />nruduc. Fi, n, iis isudc. !h. r.qutr6 rhr tl)ilier for 3u.h Fmn h fik r lipcd sldoMl lh, lE or !h. ii li6Ed pomm'
<br />kr rh. prftnrB of E C.ntrNlo r Lt6<d l.r (Ct!pt.9. (omnftin* tdh sdbn 7fii ol DYiiion ! orllE BGhd ind
<br />Protsiotrr (td.lor rhd rr or {'. B.ronF th.r.non ad rh. hdb lor rh. nhs.rl.rmFion An) \nh{norsdi..70ll t blu!
<br />r0pli.. tu. p.rnir rubj6t rh. qrpli. r ro.ciln p..ahyold nor.lhe firc hundrcd doll,s ( Itm)
<br />L s otrF of rhc Fo!.ny, or my onplorB wirh *as6 s rh.ir sl..onvEldion. will &' tlE r't't.d tu rM@ t ml
<br />ddrld or orr.d fo. nk {S( 701.1, BuriB ed PrntsioB ( od. Tn Codr&rd'3 Li.@ l.r do6 .ol asly lo u osE oa
<br />rt F.Fr, trlrr lxir(h n itr+o\6 rtE4 -d rho &6sh { I nirelf or lExlf or lhrcuSh h! d lr o*n Plor"c.
<br />Fo\ iLd rh.t $$ ,npml!'tfu E ml rldd.d o.olE.d tu * li I'on6s. ilE h'Hio8 or inp.frffi i! sU uirhr N It
<br />ofconpLrilrl lh. O*c B{il.d "il hrw rlE h!&n of Foin{ lhd lE or dE dd mr h,ld or in!.ov. 6. F.Fly 6r tlE purFs oa
<br />I. so*FolrhcF.F!y, m .r.l6n.b cod ran8 rnhlid!.d co n rorlo ol'rucr th.FF (sd lolt, &6r.s
<br />rn ftDkin C.d.: Ttc Conrrrroar Lt.e L!* &,6 tur rptly 16 m or.d o f FoFdr s h. boilds or inFo\ 6 rhdFtr
<br />.nd {ho a,nd3 I|r 3uh For.ft wnh . coddorls) la.B.d n{6u,n ro rh. ( odr!.roa. ti.M b*)
<br />I ani.\cntr tr ilc' S.dioi .ll .( l'( ntr lhnrcxnr,
<br />l).r. On..r \!A[EE::(a TEISAT(I!
<br />DISJAAITA!
<br />I h..by.mntr trnld p6.lr\ ol Fdt,ro- on. otrh.n,lkNinr d..lsnrxrnt
<br />I h.\. dnd s ill mintain . ( difkdr. of( onsr to s.lfJNur. tn so 6 $mFs{n., a lt)r'ddl fdr b! Sdio. 1700 otlh.
<br />l.hor Cde lor ilE pqfotur.lrh. sorl ld *hkh rh. Fmir s aru.d
<br />I h!v..Bl $ ill m.inr.in eort6 .omp.Ntion iBuaNe s r.qurcd b S<rxt !7m oaih. llbor Co&. aot E Ffollffi. of
<br />rh. trork for *hirh rfii! Plm Eis.d. Mysort6 mnp€snion tuurmc...rd,id p.lt, nunhd @
<br />('0i,
<br />Polk) NontE !itc:
<br />14 cartl rtlr m rtrc psromc otlh( n.rl tu *hrh rhi! Fot i. i$u.d.l.h!ll mi dpLy uy F$n in m] mek
<br />'b s16 b6nm. rubld to !h. *nrrd comFMhn LEol('rlra.hE od *R rhd ,f I should b<tu.. rubj*r ro rh.
<br />10A6 onFution proviioN of S6lirtr l70o of lh. tiho. ( odc I ,ll.11. fdhi nh 6mply *nh tbr protirioB
<br />\rARirtNC Frile ro gu. e*d'sn9ddb. ofa{. ir mLqtuL !d rlull xtitt D 6pk,F to M'Ml Fdis dvl
<br />cnrl fin6 u, ro oE hun&.d rt Le,i d6lhr lllm.ooo,. in iddni.n ro tlE cosl or mEp.etFn. d.dCn a Forikd ror lh.
<br />sdrion 1076 or rh. l$or (-qL. drn c r.d dronb ! fG
<br />lz'zr- t7 t/L'cm[E ( oN rRAcroi
<br />DE(.' AITATIOI\
<br />I hftb, lrm unl.r pdul! ol Fjur)'lhd I m lrq!.d un<ls F\ 6M .ach,tid e I comins n h S<iion 7000,ofDnn.n r
<br />of rh. BuriB.nd Pmfs$N Cod., dd my lt* it in tull forc. d.lIal
<br />ot 17'?I
<br />ts do o7-/l
<br />(Al a!(l1oj1-L!!Dl!CTTq!!CI
<br />I hcby lmrn lids Fub of rEjury rhd !h6. ir.mNtudir. ldd,u.sdy t( rh. p6fo.r1e. 01lh. sort fo. $nkh rhb Fni 6
<br />'sot (se 10,17, ( iv c.)
<br />drlllcAtsLDlgaaalla!
<br />I haq .trm !.d.t Fr!h) .r FJr r- oft of lhl rolbr i.s &(1,.r ha
<br />t}mlnio. P6mnr-^3t6rG Nolilic.lhn F.d.rd RquLriod ( I nl. ,10, P.n6)
<br />Rqun.d t.lt6 of Nolificalion
<br />I rd'f, rhn rh. Ldd.l r.luh5N r.B&l,n* 6ldor rm\.1 d. mr 4'plx.hl. ro lhB F.Fl
<br />I cd'ryrhd I h^. @d rh! rriplicrrion ,rl n.i. rhll rh.rh,k inlimd$n s rordl Irar*loc. rl! snh lll ( ir) lhd Cou r
<br />odinaN6 xd St.t. LaBr r.hr'n8 ro buildi.s .orurtu!1iotr arl hfthy ! rho.iz. i.F6ol.liv6 o f lh'. ( ily ud Counr) r. (id upon rh.
<br />ahr. ,h6r nrJ |[,rE,! r-!{ 1g!i,.
<br />arr,n-, -.aa-, ai*-,*. ,/\,r'-r-ao"'J
<br />- rf,,( t Z'? /- /7
<br />Hr, non/"2
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenVlnsulation
<br />Roof Sheathing
<br />Shear Wall
<br />Framing
<br />ln s u lation/Energ 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 />,/\ \
<br />FINAL -+-tg XA2lstr,
<br />Certificate of Occupancy
<br />Notes, Remarks, Etc
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