|
BUILDING. INSPECTOR RECORO
<br />SITE.WOBK DATE ID/SIG.COMMENTS OWNEf, BUILDEI DEI,CAI TI('N
<br />I h.r.ty lttrn ufrr.r Fn:lry ,,r Frjury lh.l I n.i.qi nl)m rh. c:dnt4kB Lr.ne lr* fitr rh. r(,lk!* 8 E.rh (5.(70.!1.5
<br />aurmit .i.t Pnn. $n Cotl.): Any Cny or Counly uhrh tquEs . Fflri tt co.{dd. .h.r. mamw- &tul(h or tF, a,
<br />llto.r@, rn, r{' t N!lln., ds r.qumr rh. rpr rnt ti'r \u.h Fm b liL r r{Nd (.r.r.l thr! h. o. rh. s L(n(d llmlr
<br />nr lh. povnr,N I rrE Conlr(ktr r Lirc.Gl Lr l(]uFd 9. CommNms *rh S.rr$n 7mo ol D'v'qr .! ot rh aur ;r a{
<br />Pn'lisi.N C.,L) or rhrr lI o. \rE..r.m0r th.Efroh &t rh. tElt rar rlr tlLrd.r.n{'lo. Any v!,Lr6.drs..rtrn ro!l J bvei
<br />aprlEtrr ldr r Fmr {t .\R ilE .lplunr b . .,v,l l'..!xy or hr mE thzn r rv. huLlt.d Jollr,! (l5([l
<br />-1.
<br />r\ ohr.f rh. lr,Fny. (t m,.n{|t,F! enh *!3.1.! rh.r $L..nYtnu$n, hU & rlE qrt {rl rlr \hlw 6 ..r
<br />id.bl6l M.n.EJ r, rrk rS(7(xa. alrml.rl Pml6\i)n\ CuL:-Ih. G'dt&nn ! tx.n{ bwdE! 'l{'olvbootrolth. nn,If,ny w'l butllt or ut{FrE dIlta .n rlx) dF sh unl hmr.lf or h..clt or thruu8h hn i{ h.r oh.iI'loy..s
<br />FNtldl rh.r rkh mFrlw.b R dn nrml.J oroltiBl Lr nL l. n)*!w, rtt t[uh3 or uqnEEd B v'U wifia ra Fa
<br />o, drl'LtDn. trx Owmr BudJ.r sO h.E llE hntn ol FnyrB rtj ti or dE drl nn lDUl ( rtmt tr rtuFrY tr rlE FqrEo,
<br />l. 8 o*E olrh.
<br />'I'IEry,
<br />o.r(hnEly conlr&rh3 * h lf,.nd .odtdtF fu con(to.r rlr lhrFr (s.r 7044 BurEs
<br />',rt hl,(*s.n Cql.: Th. Co.ir-(, ! Lf,.nr l:w ** nn.rlly ro uo*ocr ol nmFny qrF hurllr or imnm*\ rhd$h.
<br />rnJ wtE d, Brr lq tu.h t'oFk *trh. (i,dBhnl l&nql lt66r b !h. codn.l il-..n\.liwl
<br />I . ctcmpr ull.r Sdrpn-
<br />*ffi*
<br />I lErhy i lrn uftlcr Ff,rlly of Fjury o* dr rlf rou.wrS J.(L,.1irnt:
<br />-l
<br />hrv. rn *'ll mrl.D r CcdraEilc or Ci,n€d ro S.lrl.iuE lir u,t6' .uqnrrrM, $ F,'d.! ntr by S..'Dn 1,(I) or tlE
<br />lltxtr Cd.- tu rh. lErro,r1ae ol tlI *st for !ti.h ih. Fo' s Lsrud.
<br />dflf,u ru ",rr ronrrn *ql.E' u.ny.nq,i.n ,nenE.. !r r.quE! t y s..rM r7rx) or rlE l-.br car., lttr rh. FrrmM Di
<br />rh. -wk k{ *hrh rhn rEdr rt nq6! My s'lt.r' @mIEnoDn B.urm. ds $l F ty numhn E'
<br />,"".,- qwtl.r i (An Zuu'1lft
<br />-l
<br />&nrlirMr rn llE FdnrmN. oart *Dr* ld Phrh rh( F.mn r lsn d.l \h:U ftn .mohy rny !.uon rn rnymter
<br />o .r ro tE$tr rul'Fi t, rh. w.*.r'.{qEnr.l{n LsrotC.llfumu, mJ rgc rhd rfl snru! tE(om obirl l.ltE
<br />wo d\ !,r{Eneri,i pi,vnnnr of Ser$n l?00 of rhc lillr Cdt . I rhru. li*ih} h lrmply *trh rho- ItDvNr)n!.
<br />lVAnIt:_(: Fi,lnr kJ {!urc }orkcr\ (.tr'Il.nurx)n ('vdi. s unl!*tu|. .iJ ttult iuhr.r M dl{'!'y.r h 'miEl FMiF .rd
<br />k' oE huniEti ih)ueal JoUa (ll0o,mor. o rddxr'. i' ilE co{ of.omF
<br />Sdi[n tt]76 ol rh. Lahtr C,ilc. mrcr.d aft]
<br />,",., r I talr.o2o--r l
<br />I kr6ynnnm unt r IEMlry ol rE.JUry rh.r I d l(sGl untt.r Flvnrnol (lBpis 9 (o6mmin3 *(h Sdrnn 7(m, ol l)tnn'n I
<br />ol llE Burft$ dJ Pnn (k,.s Cirl.., .,n my lioc ! h tu[ nnt ,n .6.rr
<br />o
<br />o
<br />lortla!4f,lla-LlidDac-dcEltx
<br />I lrmty .ntm undcr Fmh y ol Fr,Ury rh{ th.E rs a Lln(Mrnn ldtrs .sd } rrtr lrE lErrollr]s. ol rhc u** ntr *h.h rhn rnr !
<br />r\k{ (S.r !lr7, Civ C)
<br />t LLrr Adrlrlts:
<br />-
<br />APPLIC)\NT DECT ARATION
<br />I hst,t'y rlim un,lcr Fntrxy or F.jury om of llr tulk,*int &rl,,r nnr:
<br />l)(fr'l nn Pcrm rA{h.{or Nollr(trr)n Fed.r.l RquLrrw(Itrk 4l),l"d6)
<br />Rcqumd li(cr ol t{.'liL.rrh
<br />-l
<br />dni lh.l rtr Gtr.r.lEslhri,B r8db8 rth.tur r.mrrl N r,!ll'll$k !i! rhr 0n,i!t
<br />[tkc ,r! rhr( I hr\c i(.r,r ,hr ]npr'(rrrnmr {rrc rru, ,tr rrr*c nr,trnL i , N 1rn ,Er , (otr{ y * h.llCiYrd (i,urY
<br />htl,'llhFC y nJ C"u.'y!. oh uFn rrxoiiortucs and Srrt. Llws Ebrb3t' boilln8.
<br />rh)k mnr$mti F,lEny t,E msre-.l
<br />Appli.rnl or ,lE nl Sinn.l
<br />n{turhn, Jhl h.r.hyrtrrhDrrc r.F
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenVlnsulation
<br />Roof Sheathinq
<br />Shear Wall
<br />Framino
<br />ln su latio n/Ene roy
<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 />Enoineer Final Report
<br />FINAL 70
<br />Certilicate ot Occu anc
<br />Notes, Remarks, Etc.
<br />Set Backs
<br />Flood Zone Certil.
<br />?Z)
<br />c
<br />,.,. tllzlz"z"
<br />f---r--
|