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BUILDING. INSPECTOR RECORD
<br />SITE.WORK DATE ID/SIG.COMMENTS O*a.Aoild.r D..lrnlior
<br />Ih.r.hy.mrm u.dd p.Mhv olFjurvlll.r l.m.i.mPl rorhrh.Codr.do. Lr.nr L* forrfi.follo*,rg r-$r(q roll.5 &!ill{
<br />od Prcr6rr. Co&) Any ('(' or Coudy *ti.h,<ui6. p.mn ro odrucr. d- iEpro*. .Lmlith or ED& ey (ru<rm. Fbr lo nr
<br />Bsur., !!o r.qui6 llr .pplr.!r for rEi Fmir ro nb . rLrd {dffir rhr lE or th. it I'c.rd ponur ro th. F rvi,!io6 ol rh.
<br />Conr.doir t,rc.ns.d lr*t(h.prde, (omm.ncms r h sd
<br />'on
<br />Tlxxl of DrvBE. I ol ri. ad,n6! ..d ProadsbN corl.) or rh.r lE or
<br />!n. ir.r.'ql th.r.nomrnd lh. b.,n lor lh. rllB.d .r.mnrion .Any violnion olScdion 7011 5 b, uy lDpli.ml lor r p@n !!bjcd! rhc
<br />.ppliq.' b.(ivilp. hyord norc rh., fivc hu&.d dollrE ( 15m,.
<br />l. ! orF ol rl! prcFnt. or ny .npk rG sirh *tt6 ! rh.i $k contp.Nrion. r,ill do th. r'orr .d th. {rudu. ir mr id..d.d
<br />or orl(.d for rl. I Sx 7oaa. AunEr md Prof6tren! Cod. TIE Contrrdoi! l!..M t.* d6 mt .pply to rn oscr of th. pop.ny
<br />*ho build! or inprovd rh.r.on. ed wh. d.6 r(h *ort him..lr.r hd.llorihrcuth hir or h6o*. cnplor6. provid.d ih.r !u.h
<br />improlrBmu tr. ml inl.rd.n oi ofiard forrL.lt ho*.va.lh. buildin3 or iEpror.n il t $ld wilhin oE yd ofcompldio.- lh.
<br />()q F-Buildd { ill hr\. rh. b{rd.. .r p.or '.8 rhl h. .r rh. rcl bdild or if,phr. tor th. purpor ol rk I
<br />l. G .$nd of rh. propdy. rm .rcldir.ly .onk.d '4 * h lk.N.d (ontkr.6 ro .oNrtud ih. pr.Fd ( Se 7Ol,|, ANi.d3 .rld
<br />Pmf.s6n ( od. rh. Contrdor'3 L..n!. lru d66 nor .pply ro !h ound of prop.ny *ho hu,ld! o mprovB th.rdn . r^d who
<br />contrct to' luch !ro|e6 * h. contrcro(r) n.d!.d ,uru.n! roth.( onrrdoii Lre.nt.l,w I
<br />I u.r.np! u'nd SdF.
<br />WORI(T]RS ('OMTf, ITSATION DECLAR.{TION
<br />I h...t'' rfirm un<L. Frhy of FJU,) ox ofrlE aolhrin8 d6hrrrn6
<br />I llv...d *nld'nLr e,L6- omp.Brb. rcu..m..r rcqun.d br sd.. r70ooa'lE l.to, Cod..lor rh. Ffo,mn(.arh.*orl fo, *tri rh6 pdmd a !.u.d My woltra ohr.Nr6. r6uuc..eir.r!d Flry nunbn .r.
<br />Poli.y Nmb.r ,_ ,-_Elpi6:
<br />(Thn ...rn. E d Dr b. ffipLr.d if rlE Frnn n io. OiE hunrH do,L6 tl I ml o. kll
<br />l..nify rhtl in lh. pcro.Mnc. of !h. worr atr whi.h lht p.rnil i! i!ru.d., sh.llnor.mploy.ny p6on in lny mmnd 30 aro
<br />br.m. kb)el lolh.*0ll.6 6mp..rrbn L*3ol(.1'fornl.".ndlBr*rh.t ill rho!ld b..om 3obrd rorh.wo.l.tr'
<br />#-: :' " -*- ::: .####S "n. 6. d c
<br />lin6 up to ok hu'drd rhour.d dollu (1100.000).in ddn ion ro llE coi of onp.uli)n. dM[36 ! pioriH for rlr S<dbr 1076 of
<br />rh. t bor Cod., ird66r rnd.rlqE)! fc
<br />ulEEslD-(llNrSACr9A[![CIdSdrIoN
<br />I hftbv rmrm undcr p.uhy ofp.rjury lh.l l.m lic.nr.d undq pNvirion of(hrDl.r 0 (commcncin3 wilh Sdion 70(ru) oll)irnion I of
<br />rh. BailBrnd Proa6shd (td...nd my lic.e L i. tull LE. Md.lTd
<br />\J€rtatr6
<br />I h6.by lmm u.dd,.ut, olFjury rh.l rha! i.. c6 m.io, kndi.8 {ca, fo, rnc Ffoldm. oa rh. *orr lor *hth tl ! F6i it
<br />!!!.d(SB :1097. Civ. C.).
<br />AITIICINI]LD.ESJAAIIA!
<br />D.mlilio. P.mn!Asb.d.! Norifk.iion r.d l R.ru ldhnr (Till. 40, P.n 6)
<br />R.{uftd lnlfof N.rili(.rnn
<br />I cdrt iu' rn f.dfll inulii'N r.3.rdi.3 6bc!r., r.mrl rr. noplicrbl.'.lhn n oj.r'
<br />l..n'rirh lha\.r.adrhisiptl'.artrn,i d srtrr. rlIrrh.ah\. inft'trrrtr,n isco'r..r liSr.. k, (rhtly $irhill( iry.nd (',)unr!
<br />ordi ft6 ind srd. lt*! r.lrine ro br ildi.t .oBrryd bn. md h.ria r.pr6@r.ri!6 of rhb ( ny tnd Counry
<br />'o
<br />ord uF. rh.
<br />.bor. morFEd pr.Fn) fttr
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Roof Sheathing
<br />Shear Wall
<br />Framing
<br />lnsulation/Energy
<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 />FINAL ,e)b lt<-.*lt rl n^r;\
<br />Certificate of Occupancy I /tz/
<br />Notes, Remarks, Etc
<br />l\P6rmil-lnlp.cno. Fdms\Buildhq lBp.clion Re.o.d d@ 03 3l
<br />Ihrv.id*illn.'.inrC.nific.r.of('o* hS.rr.l6ur.f.r@,k.R-comp.urFn,a,rovd.dlurb,SdMr70oofrh.
<br />bborCodr,lorth. p.rfornin..ofthr w..l lor*hich rh. pmn n ilsu.d
<br />SubfloorA/enVlnsul.
<br />Flood Zone Certif.
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