|
BUILDING- INSPECTOR RECORD
<br />SITE-WORK DATE ID/SIG.COMMENTS
<br />Set Backs
<br />Form s/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor^/enVlnsulation
<br />Roof Sheathing
<br />Shear Wall
<br />Framing
<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 />Flood Zone Certif.
<br />FINAL q-2-2/'J).JoY'IQ€)
<br />Certificate of Occupancy
<br />Notes, Remarks, Etc
<br />(
<br />OWNER BUILDEi DE!(AR TTON
<br />I hac!, aflm urd6 pdulry of F]ury thd I m q.nlF to6 rh. Cod o6 Liffi Lrw for tlr folbwsa l@n (Sa 701L
<br />lr6il1< .,n Profsioo Cod.): Ary Cny or Couny *tEt rcqun6 ! Fii to @rutu t. r!6, iiFn!.. &ebn o, l!,.n &y
<br />'ltu
<br />ru.. Frr ro n. Boe.. r&o rcqlnB lhc ipglter lor .u.h p6rd to fiL . iStEd r{@d thn h. 6r rtE i licqE d plmsr
<br />ro dE FDrnrB otrlE Conrr.iq 3 Lra!.d Lw (Ch.F6 9. Co@i.s *nn Serior 70m of Divtbtr t of rlE &silr d
<br />P6a*io Codc) or thal tE or dE ii .idpt rh6.f'on ed fi. terii aor $. nbg.d crdplion. Any vioblion of Scclion 701I 5 by sy
<br />.pplicor for.Fhn$bjd31,I. .p?tid t .civilpqdyolml mElhD fivGnui&d&rut.(!tm)
<br />l. s osc of E FDFry, or mt 6pbrG *'ilh s!86 G ilEt $k onFEnbr will &, th. 6t &'d dE $u1@ i! Dr
<br />t'roi.d or ofldlr, fs sL (Sc.7Or4. tur!6 lid PFldio6 Co<!.: nE Co|Irerd! Li.@ tle do6 d +plr ro d o"E oa
<br />lh. FsFty wtb hil& or i,rs!6 rhoE( ad vlb &6 sh N* hid.lf or h*lf or ltmugll hi! or hs oM dplolt q
<br />Fovircd Orl sh (ForqE!! E @l rrdld.d do&!d 6. eL l[ h.rEE, dr huibir or rp.orld i! -ld eihh m r-
<br />ofompldion, lh. O*M Builda will h!v.lt hrda' olFDvir8 th,lEorltrc dil ml hlld or itr4.oE Uic r'opar, for trE FuFo*of
<br />I. a omn of 0E Fopdy, m crclG'vcly @'mdi.r wnh li.Es{ coMroo6 ro .oNru.l I& F.j.d (se. ?04-1, 1161'6
<br />!d Aokm Cod. Thc Co rrlors Lic.M l,*'&6 ml $ely lo d o*nq of FoFiy rho build! o. iiprcv6 rh6@t
<br />&d who conral! for iuch Fojds wnh ! Co.m<ro(i) l(o.!d puB@r ro th. cotu.dor'r LicN L!w).
<br />_l m crdp. @da Sdn n_tl.&PC lor rhis rd$..
<br />ItaSa!8r:lQlrfrNsarla!
<br />DECIAAAI]O!
<br />I ha.b, rmrm uds pqrll, of p*tury oN ofrh€ lollo*lB dc(hElioB
<br />I htw rn q iU Bin!.h r Cdifrd. of c6Mi b S.lf-lBN for wt6 otrposEtr a E!\d.d for by Selion]T@ of lh.
<br />t bor (bd., lor UE pafo,ru.. of rh.vo aor whict rhc pahil ir isu.d.
<br />! hivced sill dir lin *orLd comFsalion idm.cq 6 r.qun.n hy sdion l7m of lh. ubo. Cod., aor rhc Ffol:lff. of
<br />rh. *orl lor vhth rhn Fnit i! is.d M, *0116 6npdE rion iture.6ir !d polty Nnba e:
<br />cdri,: bellthfl4lL 41L,^*,*"-*{K50lollL 1-l lL
<br />I cdiry rhd in rh. Faolrll4c of tlE rort tor whi.h thir Fnn n isu.d. I sh.ll mr adoy Dy Fsn in urIMG
<br />$ a ro bdomc objel to rh. @rt6j onpddrion bs of C.li6.!ir Dd {rd ihn if I {suld b(oft $bFt to lb.
<br />*o116 s,qEudir. FDBioB ols.6iE l7O oftt t ta C.d..I !t ll f.nfi*ffi onpb f,nhrhosFDvirbE
<br />WARNINC f.ilur. to KUc work6' orryrdbn 6vaia. ir @Lutul, ed shill subjsr & dploF to 6nii.l lEu!i.! ed
<br />ttil fin6 up ro oE hundr.d rhuldd dolld (llm.om), ii .ddnion ro rlE oq ot conrFB.r'o|! d.ue6 6 Fo$dcd tu, th.
<br />sarDn 1076 .f rh. l ibor Code rnrdd rn rinEy r /44-
<br />IICEIEEDIANIAACIOB
<br />DECllAAIlo!
<br />I hd.ny iltm un<ld p.nrl'y oa FJu.y rhr I d lic@!.d und6 Flvtion ol(-lIplr e (onIltr'n3 wnh Sdlbo 70@) of Divnion l
<br />oI rlt Brl.llB r.d ProfqirB Cod...d dy l.Ec ii E lull loE in.fidt
<br />a**rr*,t b
<br />^" 7a-tg--i )9/
<br />calslal&SadraDlxclclllr
<br />I hRby rmm uftL Fnahy of Fqury th.l lha. i! . ondruclion lddhs rsfty fo. Oc Ffolrffi. of t wort lor *'nich rnil Fmn ir
<br />iBuc, (S< 1097, Cie C )
<br />Lcnd6 r Nm.
<br />--
<br />AIIITCAILDECIdSAIIO!
<br />Ihatbyatrflnu.ds poalty6ap6j!ryoncof fi. aollowing rLcllr lio :
<br />Damlir6! Pdn'Albdd Norifrdion Fcdd.l Rcsuhb6 (Tnk.l0. Pd6)
<br />-Rcqut
<br />d ldrdofNorin .rion
<br />,- I cdily thal lh. f..l-!l EslhhoG rsudins cb<loi lmov.l m nol .0rlicabl. b thi! p,ojd
<br />I c6i rry rh{ I hav. rdd r hn apphcorion a'd sllrc $ar dE ah.v. infomdio. Lr coEal. I oara lo comply wnh a[ City ud Couty
<br />odiffi6 dd Sr.rc lA! clduB ro hrildinr .o'r*u.rioi. &d Ee* .dh.riz. EF.3niv6 ol$n Chy !.d Couly lo otd uFn t
<br />.bo\. Mion d proFry for iEFlpr purpo!6. -
<br />^n*-,-u-,,r--*1 / //P .
<br />-t^nn.-,re,t r, ,Z Ltb4 Z4,rntuD
<br />3-,u-2 /
<br />I
|