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BUILDING. INSPECTOR RECORD
<br />SITE.WORK DATE rD/stG.COMMENTS
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erectlon Pads
<br />UFER Ground
<br />SLAB Floor
<br />SubfloorA/enUl nsulation
<br />Roof Sheathing
<br />Shear Wall
<br />Framing
<br />lnsulation/Energy
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Masonry
<br />Pool Fence
<br />Handicap Requirements
<br />Deputy Final Report
<br />Engineer Final Report
<br />Flood Zone Certificate Ev6rr
<br />FFN N I 2nrq
<br />FINAL
<br />Certlflcate of Occupancy
<br />Notes, Remarks, Etc.
<br />Om.FBuildd Del&tio
<br />I hRby rffm u.dd pa.lty olpdjury dr.t I m .r6pl fffi rn Cdr' .rn' Lic6!. Liw for rh. following r.son (r.c ?ol I 5 B8in.s
<br />6d Phfdlid Cod.) Ary Cit, a Co6ty *hth EquiB I Ffrir ro c@nruct. .ha, ihprcvc, d.froliih o cp.t e, ntudw., p.ior ro iriirt6.., .tro ..q!i6 rh. .prli.hr fd ,uch pmit io fi1. r rign.d tbr,Mr rhli h. 6 ,h. i, licdr.d plBu&r ro rh. p'oyirionr oi rh.
<br />C6E.dorr Li6r.d rr (clrTrr 9, Cdmmdra *iri Sccrid ?0Oo of Dlkion , of$. Burii6! &d Prof.rliod Cod.) or $( h. d
<br />tlE h .r6pt thdltn Dd $. blt fr rt. .ll.s.d qm?li6 ,A.y violdon ot S.cti6 70! I t by 6y rppli.ul for ! p.mn lubj.dr rh!
<br />appli.Mr ro. civilp6dry ofior FoE te fiv. hune.d dollu (Ir0o).
<br />_1, s oM6 of lh. proF.ty, d iry 6doy€ *ith *.sd 6 lh.ir rol. cMpa$ti@, *ill do $. work lid th. trtuclr. n nor inrod.d
<br />d olId.d f6 nlc ( Se 704a, BuJrq ud lrefai@r CodG: T1. Contn ld'! Lico!. Llw dc .ot .p9ly lo & ownf of rh. prop.ry
<br />wno buil& d inpro*r lh@6, md wl'o d€ lch wdk tihrcll d hd.lf d fi@Bh hi! or h.. @n .mplorc.r, provid.d rhrr ru.h
<br />impblcn n$ rrt nol l .nd.d 6 ora.d fdt!lc.If, hq.v6, rh. buildlns or irprovmdt ir lold snhin oi. y.rof.onphrioi, $r
<br />Ornd-BlildFeill h!v. rh. burda ofpretina lhlr h6 d ih. noi blildor inpova ad $. p!eo. olral.).
<br />_1, a @n6of $. prcp.rty, m .x.lslv.ly .onhctjnr wnh lic..r.d @.tud ro.o.titucr rb. prol.cr ( src. ?oaa, B!rin., Md
<br />PNfBrim Cod.r Thc Co.mcror'! Lic.,!. L.v do<! nor lpply to e oMr of propaiy who build! or ihpbva rh6cd , ud *ho
<br />cooi.ri for ru.h p.ojccr *nh i Co.rmio(r lk.tu.d pu u{t ro lnc C6l6cls! Licdr Lrw )
<br />_l n.r.mB uidds&rioi-B & P.C. aq $ir r.!o.
<br />D.rcr Omd:
<br />woRxxRs coM'f, NsaTroN DEc! AR l'toN
<br />I h.Eby iflim ondc. !.oilty of Fjury 6c or th. aorlowin8 d.clnrior
<br />_l h&. &d*ill h.itrrrir r C.nifi@ of Cd io sclf-tauc ftr wdtd' .mF. io.,r pmvid.d lorb, S.di6 3roo orrh.
<br />Llbor Codc, fd $c p.rfffi'll@ of t. wort fn *hich dE pmn n i.ru.d.
<br />_l hrv..nd *ill h.indn wdtd' cotrFs$id i Ufue. a r.quiEd !y S..rion 3700 of $. L.bor Co<t., for rh. p.rfmlnc. ol lh.{o* fd qhich $k pffrn ir nru.d. My wo,td' @mp.n ion i urec. c6id Md policy numb.r .r.
<br />E(r[zid nfrd id bG c6pl.r.d if
<br />y' ..nlr, d ii $. pdfmuc. of
<br />lh. Pnit it fn On. hun&.d.lollE {ll0o) d ld,
<br />b(h. rubjd lo th. wotd '
<br />Libor Cod., I rhlll, fonheirh
<br />workd' compBr.don @va!.o.mployi ro aimiid p6.
<br />dolla (ll00,Oo0),in.dditioo io.i.dml8d a provid.d aor rn. S.qion 10?6 oa
<br />iirmr dl.norn?! G6.
<br />LICINSED'ONTRACTORS DECLAR TION
<br />I hdby rmo lndn porlq of !6j!ry $!r I d lica.d urdd prcvtim of Chafld 9 I
<br />$. B!!in $d P,oadidr Co<L, &d hy lic6!. i in full ao.c. sd.n d.
<br />$fr n r cmlLudid lmdinC.8ac,
<br />,Civ.C)
<br />APPLIC IYTiS I)ECIARATION
<br />D.molitid Pffill'-Arbdlot Notifi..rim F.dfll R.Bul.rio (tnl. 40, PM 6)
<br />_ R.quiild L.nd of Notific.tio
<br />_l c.nit d rh. f.dolrrlldidr r.8&din8 sbBt6 lmovll
<br />---:,rf6i;h1 I hNc r.d rr,ir .!?liodm ed
<br />'rrc
<br />lh.r ro conply wnh .ll City rnd Couhr,
<br />ordinec6 ed Sllt Lr*! Ehi.8 ro blildinS
<br />!b.v. n.i(oncd prDp.rty fd inrpedon puQdB.
<br />Drywall
<br />T-Bar
<br />T-
<br />:
<br />I
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