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BUILOING- INSPECTOR RECORD <br />SITE.WORK ID/SIG.COMMENTS OWNET BTIILDER DEI,( ARAT!ON <br />I hd.6y.mm ur& Ixsh! of Fj6 rhd I e.rdil freh tlE Co re.6- l-k.u L.q tor lh. fou{'tring taln (S< turl5 <br />llurrd3 ,nd Prurdi,. co<k) An! (-irt o, ('ounr) {n(h r.9!n6 ! Fr', lo mn(rucr. ai6, inlFor., daml.h o. tq.n &v <br />rtuduc, ridr ro i's itnrMc., .,$ rcqutd rlE ipplicd for euct lcm ro fiI. t 3i8n n rahnl lhd lE or 5h. i lrcosd plEuanr <br />ro rhc F!\irn6 ol rlE ( onrrl.ir LicdEn La\ (( hlpld s, ( onmtrinr lilr sarion 7ux) of oiririon I of lh. Bsi6r 6d <br />Pn'adionr (-o&) or rt t lr n .lE it dmF llEc6on rnd th. tBi ror <br />'h. <br />.lka.d .roFion Anr rhl,rhn.tsclion T0.rl5 hyd! <br />dt'flicrnr for. Fnnir $bjdsrh. rpplicanr to !cnrlrelryof mrmr.rhm firc fiundr.d dotlB {t500 ) <br />l. 6 oeffi of rrE FoFny, o, m! mphFB $th *.r.d B llEir $L NnqEMi\( eill &t dE $st tn llE rnllE. 6l <br />inrdxLd mofldrd f dLlsa 70{.1, B{.iB dd Prol6nls(.d. Tn (tddtr t l.t.e t,$ dcNi {pltr.dorF.l <br />rh. Fnp.dy who h & or imFo\€ rhoan, hd trlto do6 such snll him.llor h6*ll.r rhrcush hi! or ho o*n mpk!r6. <br />I'ovid.d thlr ,uch inth\!M6 ft d ndr,.d oro&En for sL lf. h'nBs. ltE rlikl,iE 6. ilrtuaril b sld $ilhh oft yr <br />olotrpkiotr dE Orc hrl& q'ill lsE ltr hrrd' ol Fori,B lhr tt d slt dd d hild m inF E lh. F,Fl!- fttr 0E FrFa or <br />l. G o$G of rlE rr!'p.ny, m 6clN'r.lr_ codr.dis s nh lic6Bi coffioB ro onrrud tll tmjcl (sa 704{, ad!6 <br />,nd Plolsn c6& -Ih. ( oddoG Lkre t $ &E m! qrl) ro d oq nd of FoFny \ho ttildt or 'npro\6 rhson. <br />Md $ho .o r.dr for 3uch rmj(1s *nh. ComElo(r li.d.ql plBud ro rh.codr.cloit l.k@ hw). <br />I m.rdn u.&r Sdrion <br />Drr. Om.r <br />$ oRt(ERi'( onlPf,Nsa IloN <br />o[clr&Illar <br />I hd.b .mrm und6 lHrky ol r.jory on. of rh. aolkN <br />'ry <br />dNLri'n,N <br />I hr( rxl tr ill @int.i. r cd ifksrc of CoMt h S.lalBur. fd Nrtdr' comF!ri\.. a F.r iLd for b, Sdri.n 1700 or ln <br />I rh{ Cod.. fo. rh. Ff(,rje. ol rrE $sI lor *nih rh. panir ir islrd <br />I hl!. a.d (illm.int.in so 6 comFEarior iN!'e., s rcquiEd hy sdrion r 7(x) oa'h! Iibor ( o&. aor lh. psfolruc. of <br />ilE "orl lor $hth rhi! Fmh ir isr.d. Mt wo*6' mmFErhn iffi.6it in rbli.t tunbd * <br />b',X-b'tL Pf <br />ifrrh0ri.rh.nrloflnm...llh.qorllorshirhrhisrE,iti\s'.d,Ish.ll60rctrDl{,tdnylf,rsoninan)ntatri( <br />bmc !br-r ro rh. trr ft onFMirn l.$r.lc.n6mi. arxl rsr llln il I nbuE tt<.m 3uti{ ro rlE <br />nlFaotsdion r700 olrh.liho. (i{i I slBll. fMh\nh sipt) s nh rrbk pr.vt6E <br />wARNIN(; Iiiilur. r) sxr. \w16{ c.nrEnsltkn, etr in ddols lo mm rl Fsi6 ^nd.tr,1 litrs up k, otrc htrndr.J rh.usrnd dolli's ($l(rr.rrk)tr,n, dmalrd a r\id.d ao h. <br />;::IDTT4 <br />DECIjS,IIIO! <br />I nacby rfid undq r6.lrv o t Fjurj- rhar l.h !i.o<n trndd Fo\ision of(-lut s e lcommdc'+ $nh sdiln 7o0o) ofl)nisK'n I <br />ol rhe llrin6sdd Pntsions(\d.- and nr) li.dlr. il'n i,lltur(anl.llirr <br />f',9 I <br />Io: <br />CONS RU('TION I T,NDIN(: AGEN('t' <br />I hdrtr .rfd u(lr Fun) of Frury lhd rlEc a..odMion Lndins lstr) tor rl! Ffol!1w. oarlE rorl tu *hrh rh. Fnr ir <br />isu.d {Sd 1097, Cn ( ) <br />atfu(A!L!E(td86l&! <br />I hs6r .lfm un&r rF.t, ol Fju!- oE or ih. rolhsh8 &cLn!' r{.: <br />D.roliion Pannv^slBros Norifi.dtr !.d(al Rqularions (Iirh.r0, P6n6) <br />R.q!r.d llrl6 orN.'ri6cn$ <br />lcdl l\ rlr rhr lr(ldilR.!nlirkrnsrc|ir&r!.slr!"\r.n,\.'1,tr.n.r rtln'.,I,|.n) rl,,\ t,'rl(r <br />I cdrlr rhd lnar.r..drh6 l4cro compl! rnh ill Cn! lnd (-ouni! <br />dnlmancG.ml sra!. L.ur i.!dlhr,. r.rr.ddn6 oarhir Cil!- nd ( 6unrt ro <br />.nr,\. nrnfon.J f,ot)rr\ lnr <br />.\pplic.ni or Apdr shn,ur. <br />rL 5l\lls qr?A ,",.(o'( (y** <br />Set Backs <br />Forms/Steel/Holdowns <br />Erection Pads <br />UFER Ground <br />SLAB Floor <br />Subf loor/VenVlnsulation <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 />Deputy Final Report <br />Engineer Final Report <br />tl <br />FINAL rl 6 l1 bA ooaw +61 <br />Certificate of Occupancy <br />Noles, Remarks, Etc. <br />DATE <br />Handicap Req. <br />Flood Zone Certif .