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BUILDING. INSPECTOR RECORD
<br />SITE.WORK DATE ID/SIG.COMMENTS O\T'NER BUILDER DEl-(AIATION
<br />I n6.ty rrfm u,lq Firl', of Fjury lt! I m dmp{ nw lh. Corrr&hB Lic@ Llw for rh. folk'win8 ren lSn.:O!I.5
<br />B6h6s rrd Protcion Cod.) Any Cny or Cou,ny whth r.quiG , FDn lo .or!rEd. .n6. itrFot!, (hblah 6 lc.n ey
<br />tu.ile Fnr b 'lt iris.. &o E$i6 rlr +pli.or aor sh Fmi lo 6L. ri8r.d llroEl $i lt or.lE i hc6lai p6tur
<br />lo dE FovtioN of tE Conrrrrolr Lica!.d L.w (Ch.prB 9, CoMm.ing *nh sfrlior 7000 or Divilirn I of tlE BailE rd
<br />Pmfck'nr Cod.) s lnd lE or .|.l i! d.r!9r thd.froo dxl $. bGa for th. dh.n qoDFbn Ary vbtirpn of Selb. 70l l.t b, &y
<br />lpplirel tor . Fnn ebi<r! rlE .rplErd ro r civil FEly of ml mE lha fivr hund.d dolb. (t50o).
<br />I, B .end ol rh. FrFly. n m, dptolG rnh w.s6 B tld &L o(Furion. sin Jo E *vr 6n tl. {tu!r a bl
<br />i crLd orolls.d for d. (sc ?04r. BBilg ed Pro(BioN (-od. TIE ( onr.doi! Lrcde bw (h6 tur .pply lo 6 o$c of
<br />rh. FoFty wh h!il& tr ir{mE tlEq n'd who {tE un *st h@llor hG*lf or thrc{h hi! d lE om a{'htq
<br />Ford.d lhn iwn mFt\qffie mr iici.d or ofisd forrL.l( hows.llE hrildus or itrEiovacn i3-ld wnhin.N )c
<br />of.odpldion. th. OwG Bui!:td Mll hr!. $c hdn ofForrB tL ,r m JE dd d hili d inFoE l,E ForEq fo. tlt FIlc ot
<br />l. 6.,8 of rh. FbFry, d.r.hBi€ly conrdin8 $rh li.dE d o rer6lo mldtrEr rlr FF (Se.70,44, BuilB
<br />lid hDBrin Cod.: I1l.Contatol! l,(.dc Llw d,E nor rrply ro o osf,q ofFhpcny qh. build! or tnFov6lhEon.
<br />d *ho @ dr aor such Frid! wnt r Corko(r) ltdBd puEU.,i ro rh. Co,rald r Lt# try)
<br />I m.xmfl undq S(xon
<br />${lltifl{s, ( ottPEtisArtoN
<br />DECTAAAIPI
<br />I ha.b .mm und6 rEuht ofFjur, oE of$. fol|*i.8 d..l,rdiod
<br />- I lllv. srj will MDllin i Cdrfrlc of Coctn ro !rlt-ln34 aor *0116 snpdsia d Fori.j.d 6. b, S<lirn 1700 otlh.
<br />tlbor Co&. lor rh. pafoffi ordE erl tor whih lh. Fnn b t u.d
<br />Y,"'.,,*,,,-,,n,",n*.d6'.mp.N,tr,nnurec..e,.9undbvSdlFnll?(x)orih.trlrtrcod.,rorrh.pdromm.or/h>(crlfor$htrhrh6ldnrrENd M\ B'o.la !.rnposar n 'Euucc,nF d)dF,l() numb.r,.t*- FtPaW, Q .€tte '.rr€6rr,",*,-* \(9D Se=aO9gp3 ,,,*, O3IZUZ?AI! l..nrryrhd
<br />'n
<br />th. Frtun]d. oi rlt rorl aor qfith rh's p.rf, is nru.d.lsh.llmr mploytnyp.Mn irdymuE
<br />$ a rd b.<6e 3uh,k' t6 rh. wortd orrtEro.'rhd if I rhould b.com $+d ro
<br />'lE*nlld .odradion F.vilioB of sdb. lTmoldE t onipl! *nh rhor FrvitbN
<br />ItALlrlNC ljarlur.l(, k'uc uorle .onFls{tr,.bl<l e aployq ro shitul ltai6 ud
<br />ciril fin6 up h onc hudEd lhou{td doll6 (tl d!Es6 a Fovd.d lor th.
<br />('o&. lrsd! nlonrr't,o
<br />DECIJBAIIA!
<br />I hq.ht iJItrm un ld Frdt, ol Fjury lhr I dr kcru.d und6 prov6ion otch.pr€ 9 (.olmr. in8 wnh S€liotr 7000) or Dvntu l
<br />ol rhc au\rcr r.d Prcf*ior cod., Et d, I'c.M B m tull forcc
<br />,,*..* D -,1
<br />"'" 4r/P-
<br />UbSs
<br />coxlrBusuori-LENlllc-acllcr
<br />, h6.by .lrm uf,ds Fuhy of Frury rhn $d. i! . olutu<rEn knin8 .gcy for dE Ff(llrl*c of lhc wt 6, enth rhi! ,Eti !
<br />e.d (Sc !04?, Civ C )
<br />L.nd6'r \m.
<br />ATTII(ANLDICI.AEAIIA!
<br />I hod,y sjlm un(k ,6!lry ot rgjury oe ol rhc follovi.a .t .Lr.t io.r
<br />I).solnion Pmits-Asbdc l\iotilic.rion F.d6!l Rcsuh iorr {Tnl. 40. Pan6)
<br />R.qoir.d ldls of Ndlfi.dion
<br />s. not mDlrlhl. ln rh! Irujd
<br />on t.6ftcd Lgre ro comply si'h all City and ('ounly
<br />EF6drir6 of rhn Cny ud Co6ly ro ora uFn E
<br />!b.!. 6drDn d r6Fn, ad
<br />.rppli.. . or ABdt shn.lun
<br />Pmlra n.n.tpnno:
<br />,^"4l/e
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loorfu enUl nsulation
<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 9'15'Lt,J*t*4vd
<br />Certificate of Occupancy
<br />Notes, Remarks, Etc
<br />Flood Zone Certif.
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