|
SITE-WORK ID/SIG.COMMENTS OWNSN DUILI'FI DEI,CAIAIIOI!
<br />I lErcby lrtrn und.r p.nany (,f Frrrry ln.l I m dcnll,r tn,i rh. (itdrdo6 Lade t * tu lh. follosi.S E.$n (s.(.7t).lr 5
<br />goriNrt rd Pofcsi,n C.n ) Ar, ( iry or Counly ehf,h E(uiEs r Fnil n' onntud- th.r. nn0.ov.. &mlilh .. En t xy
<br />nMm. Fir rir irr 6ruN. .t$ rcqucr rlE .t'l tDl for lEh FrEn ro nk t (ip.n {dctrd rh.r lt ot ,lE i! lirn<n Pnr 'dt,rhc,n'eis.ro(rh.Cunr0.ktrtLir.ncdtiwlclnnl.r9.aonmcNins*ilhSccrn,n?Ox,orDirhion:loflh€Butincsr.nd
<br />hrfcr.i,f,s C.i,cr orlhlt lt G {E is.r.q,r rrB.from.tn rli hrir t 'rh. k8.d cr.norion Aryviob'ionofs(rhn7orI5htrny
<br />dpplt:fl nnrFrmi! bJ.di rlE rmli.'nr to ! .iril p.rulry or ft mErhdfiv.hu rcddoll{lit5fi),
<br />-1.6(
<br />owF ofrh tn"rny. rr my crml'}t.r wirh *ra-.s rhci ok n'rqFqrnn. *illd, rlr rct ln lh <n5@ n n,
<br />inrcnd.rl or oficrcd Lr et lS& 7(X.t. Burift.r snd hr(.rihnr Crxl.: TE Conrrmr s l.xcnr tj* &n h! am!, h an osB of
<br />rrr I,nFn, wh' ttrildr or iqns rh.E,n. !n !h. d.E! nrn Hfi hinrll or lFr{lrn rhniuEh hit M h.r ov..rr{'hr!.r,
<br />Forakd rhd rufi inlhwds e d n.nd.d dofi.Rl fo. iE ltt EE. rrE hiBqg tr itrFErd nq *fihin(ft Fd
<br />olon{'LrbG rh. ovmr Buiu.r will h,k rtt hni.n orphtnB rh,r h. or th. dd nn tlild or iqmE rhr F rriy ft, rrE ttrrF'sor
<br />_1. a{awncrol rhcnmpcny, !hcx.lurilclyconrucrin8 uirh liccn*d .onhlckft n, on{rucr rh. pr'rjecr (S.c 7(}trr,8u{n.(
<br />rd [\Dt1rinGrd. Th.Contdor'i l-irnc l-.udcr B, im'lvl. ino*Er ofr()Fnyf,t build< or rnD6\rr th.ron-
<br />!.d *lh n)ddls tu rkh FnFk *irh r ConiBrrrtr) licn*d tonM ro rh. Conrrloir licnr li*r
<br />I a0 (rcmfl udcr ssti.n
<br />lr.t. (r*n..
<br />rroRx ERs' coiiPs\s,\1 lor
<br />lr[rraxiturld
<br />I lrr$v rlfifl r.d$ Fhlrvol |tturyonc olrltr nnb* i.8 tlc.k ii i,nx
<br />-l
<br />h,w ,rld r ill minrrr t CcnrfEarc oI C.nEnr ro S.ll lnrur. tirr k,lsa $!nFn$rii,n, N Nvidca ror hy S(ri,n rTixr or rh.
<br />lrlr, (iil., lm rrh Ftufrim. nf 't solt lor *hi.h rtr Fnil ir i($d
<br />lhrv. und *illtrrint0in wortcrr cnn[.n\!ri,,n insrrln.c. !\ rcqrircd hysc(rtr,n 17(xrrfrhc l.nhor(1 c- for rhc AfonthN. ol
<br />rtf, uo tu *hi(hrhn rErmir ir nnf,n My*nrksr onlxnsrnn iruritu..rE.nl Fnicynun Er@
<br />-ladrfyrh.r
<br />rntlEF forE(t ol rh. *o ldwh.hrhnFrmi ir nrEd- I (h.ll rn .n{,by my Fr$n r !.y mnE r
<br />sr drioh.om hj.rrk,rrEutrt6o,rllEtrqrhnh]rorc.lirnri..!,€ftrh,irl{buuh.orrubirrbrlt
<br />*odcr .rnrEnarhn tmvirio.. of Sdion .U{x, of lh. l,lfl Codc- I thdu. rdhwi'h .or{,y wilh llne nmYirn,n!
<br />wAiNlNG, F.iluE ln r(ft rvtdr' d,ntFnqri,n drfr*. ir unL*tu|. dn \l'.I utF.t or+hF ro slniEl Fulin ud
<br />ciril fin.t up hr ore hundr.d rh)8rnd dollN (slm.fiXr,. in oddnio. ro lh. ..{ of.onltneri.n. drfl3cr rt rorlcd fo, lhc
<br />Ssri,n.1076of rhc Lru CdL. i.rcH rld dlomy\ lel
<br />:-\5-\\
<br />I h.(hy olin6 u cr l.ntrlry of Frjury r hd I {trr lNnrn udcr tn)viri,'r ol Chspi( 9 (.o'n'Eft in8 silh S(lion 7lx)0 r of I )ivirnrn l
<br />ol rh. llusir.r xi Pmrssirn\ Cd., !n ny l..N F m tull nrN.d cflar
<br />lgrri\8
<br />I h.rby rirrf, un&r JrMh, or Fiury rh.r rlEr. ir ! on<rl1ir Ldhs .r.dt ror rtE Ffdmm ol rh. rql tu rhth rhn Fd 6
<br />n\ .d rs€ l(r7. civ c )
<br />l.ftlcri Nam
<br />-
<br />AIILICANLTE;UMIIO!
<br />I d,y.rm!nd.r Fn,r'y olFUury nE of llE nnh*int d(hrurion.:
<br />l)cmliri,. Pdmnl A.lhor Ito'if$rh. krrl RcFUhrbN (Tirk rlo. Pd6l
<br />_Rcquitd lrkr ol |lr,fdrr
<br />l.e,rlvtll{ rhr kal.rxlrr! hri,i IrNrrdm!r\lr{,^'r trrl cn,irt'fltr)nl.n,rhann,|..r
<br />-l
<br />cdir, rhir I h.v. rc'd rhr.ptlk.rion.d nirc lh5l rlE.tnn ,nrormrion t.(,Nt I r8@ to on{ly *nh 'll Cir, a.d 6unrt
<br />drditur.r and shr. t:er EhrirS lo ttrildins con(rucliotr ,n lErch, rurhoia rcFtcnlrrir.t of ltn C y rtd Colnry
<br />'o
<br />.ntd uF n tlt
<br />.lIlE BnrbEtj pniFd, in i.qRri.n I,UIi)6
<br />ctUany__.L4<r-&-s
<br />Set Backs
<br />Formsi Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Sublloor/VenVlnsulation
<br />Roof Sheathing
<br />Shear Wall
<br />Framinq
<br />lnsulation/Enerqy
<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 ll>lt.t'E 6un21,\./?,ilCertif icate of Occupancy
<br />Notes, Remarks, Etc.
<br />BUILDING. INSPECTOR RECOHD
<br />DATE
<br />t,,,'" ia' \\-iL
<br />Flood Zone Certil.
|