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BUILDING. INSPECTOR RECORD <br />SITE.WORK DATE tD/stG.COMMENTS Om(-Build.. Dccledi6 <br />I hGb, .fiim u.dq pa.lty ofpctilry tt.l I D doF fm $. Cdincto8' Licot. bw fq $. follo*ins rcao. (.cc l0l L t Bolincr <br />od Prcfdior Cod.): <br />^ny <br />cily d couiry rhi.h EqriB r p.mii ro cl],lm.q .h.r. iBp6v.. dtuInh or epln uy 'rruduft, <br />prior ro ir.iltue, .!$ Gq!t6 ihc rpplior f6 ru.i pdnn b fit r risn d rrrtddr $.! hc d rt. n li@..d puiuMt io rh. Fovirionr 6f ln. <br />C6r*tdl Lictu.d L& (Ch+€r q cffidcins wilh Sccri@ ?0o0 of Divitio 3 oa.h. Burin6! ud Prcfqlid' Cod.) o. rhn h. d <br />,h. ir .xrnpt lhftftm 6d th. bd, fd $. nl*.d a.rlaid .Any viol.tim ol S.did ?O! I 5 by sy ipplicot ao. ! !.mn rubj.c( thc <br />!pp,i6r ro r citil p.ndty of iol Fdc ln., firc hudr.<l dolls (S500). <br />_L ! om6 of rlE ,!oFny, 6 m, c.Dlorcc iirh rr!6 a rh.lr rol. @hronro., rill do rh. edt Dd rhc ntodur. ir nor inrnd.d <br />mo('d.dfor,!1.(S.c70,44,Blnn.ttDdPloforidCod.rft.C6urdd!Licc.Llwd@!notapplytoeowi.rofrh.prop.iry <br />*to buildt d inFovd $ffi, ed *lo do6 tct *ott hiB.la * hd.lf d lhrcugh hit or ha own 6ploy*r. p.ovi d.d lh.l ruch <br />imp.ovmm$ c nol Intodcd 6 o1f.Ed f6 rl. lf! ho*.rq, O. bilding or ioprov.,lEnl n ,oE *nhi. oic y.r ot coDphrion, $. <br />O*nd.Blilda will tN.lhc blrda ofp.ori.g Oat hcd rh. nor buildor ihprcv. fd th. purDd. ofril.). <br />_1, & *nd of th. Fop.r9. m .rcluiEly Mtr..1irt *ith li6rd @E..6 ro conrhcr thc rojd ( S... ,04a, Burin.n Dzt <br />Pof.!i6 C.d.: Th. Conhdor't U.or. L.r d6 not lpply to e oMr of p.op.ny *ho buildr or ihprov.r ihfton , ud who <br />cdtracl' for ruch p.oj.cr ei$ i Coitr.clo(, lic!tu.d p! ler ro rh. Conlr&ro.'i Licnr L!* ) <br />_l m .r.n8 ui.Lr s.crio. <br />-8. <br />& LC. ld $k Ead <br />Drl.: O*n i <br />wor(lts coMlENsaTroN DEcr aR lloN <br />I hcEby iltm u.dcr p.,dt, ofFjury 6. of th. aollopi.S dccldrioi <br />_l h!v. ud will mri.hi. rC.niliqt of Cm6t io Sdf-feE fd wottd' comp..!rtio., s p6vid.d forby S.dion l?00 olth. <br />L.bor Codd, ld $. p.rfmE.. of rh. wort fd whict $c pmt n ittu.d. <br />_lhiv.6dwilltul dn *d*6r .dnp.s.ti6 iBurae. E rcqui..d !y Sdion 3700 ofd. Ldbor Codc. for rh. pcrfm.nc. oath. <br />*ort fd *hict thir p6nn n hr!.d. My eo,ka' M!.nr.do. ituutuc. c6i6 Md policy n!mb6 !r. <br />Policy Nlnbar_Expn6: <br />a/^on^^ <br />norbc compla.d ifrh. pdhn ir f On. hun&.ddollo {llco) dlcs) <br />fi. Ffmocc of $. ffik fo. *[th thi! pmir ir itru.d, I rhall norh* of C.lironia ud l8rc. thlt if I <br />oflh. L.bo! Cod., I rhlll, fonnwirh <br />dolla (lloo,OOO),in rddirion to <br />intndt Md.nom.yl a.d. <br />LtcrNsED coNtn croRs nFcLAR TIoN <br />I heby rfiim und.r p6.lty ofpfjury rh.r I 6 licd.d u.dd prcvni6 ol Ctalrn 9 kohh...in8 *nh s(rion ?0oo) or Divi,on I ol <br />It. B!.in6r &d P.oadrioM Codc, md my lica!. h in full le.. Dd.,Iat <br />i$!.d (s.c.1097, Civ. C.) <br />AP!UCANT'S DE'L RATION <br />D.molirio Poir-Alb6ro Noi6c.d6 Fcdhl R.8!l.rios (Tirl..0, Pln 6) <br />* R.qliEd k1r.r ofNotifi. on <br />_I c.niry thd $. f.dnrl cslhrior Essdini.b€r6 <br />Jd $ttthrlcodt\ir rppliorio ud mr. rh.r (o comply *irh .ll Ciry ind Coonty <br />ddnmce Md Sur. L.H rchri.8 ro buildi.B <br />.bov. m6 oi.d pro!.rty for inrp.crio plrpos <br />Set Backs <br />Forms/Steel/Holdowns <br />Erection Pads <br />UFER Ground <br />SLAB Floor <br />Subfl oor/VenUlnsulation <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 Requirements <br />Deputy Final Report <br />Engineer Final Report <br />Flood Zone Certificate <br />Er\f I l\l L' <br />-l.rlnl tnt0 <br />FINAL rLL' U I <br />Certlflcate of Occupan cy SAMCS43,290,56€,837 <br />Notes, Remarks, Etc. <br />rT-tll T- <br />r------T------ <br />f r----- <br />=