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BUILDING- INSPECTOR RECORD
<br />COMMENTSSITE.WORK DATE ID/SIG.
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenUlnsulation
<br />Rool Sheathino
<br />Shear Wall tc t fi-a,,2 JA7rilFraminqA11'/4
<br />lnsulation/Energy
<br />Drywall
<br />Gxi")lnt. Lath (tlb/"o
<br />Eoirnr-f;ox /-6tJt Vt,q?ALf
<br />Masonry /
<br />Pool Fence
<br />T-Bar
<br />Handicap Req.
<br />Deputy Final Report
<br />Enqineer Final Reporl
<br />Flood Zone Certif.
<br />tq )fr*sFINAL
<br />Certif icate of Occupancy rl
<br />Notes, Remarks, Etc
<br />owNDR BUt!.tr!:R Dlil,c^t TtoN
<br />I tnby.llm u!,1.. Foly or F.jor, tlui I a.x.n+ nun rll codB'6' l,i.tN bv ror E,olb,iry E en {Se?011.5
<br />ItsiEl rd Pror6bn C{n ): any Cty nr CNdwhth r.quic . Fma ro onrd. .lt(. in!troE. &mlill o. EFn sy
<br />{lllfu- Fu ro ii rs.E. rko 1916 rh. +?lrd tu uh Fd t, fr l. !*En {ldrni inr lE d rr ! U.tB.d Frrd
<br />ro rh. lxnv6i)s.rth. Cotrtr-rni l-iuEd lrv (CtrF.r 9. C.lrxEri.8 qirh Sar.n ?fir|.t Dvitifl I .r(E BuiEs.rd
<br />Pof.s!,N Cod.) or rh.i lE or itE a .r.r{i rh.r.nDm rnl rlr hds for rlE !lk3.il .rn{rbn ny vioLrion of Sdbn 701 LJ by .n!
<br />lpplktrnr lor ! p.mir suhj.cts rlE rppli.!.i ro o civil p.Mty of mr mE thrn 6v. hundEd dolldh (1500).
<br />_1, r .rd.llh. Fotdry. n ny.flChFa {h w{6 a rl'n ok onp.dh[ *ii d. rlE *rl rn dE idE - d
<br />iraLd r ofliiql tr {t 156 ?ora- ButiEt lrl Pl!frrlin CoL: TIE ctdarn! LiBe l.r.lE d +tly ro r orE or
<br />dE FFry *lb hiltr d ,qhB tlEa !d wlE dG rdr mlt hiN.f or ls*lf or !lro!d! hn d trt oM.itbya,
<br />provid.d fi.r teh iml,nEG,nr c r* i .trdcd d o,t rd lor .L. Ii thw.E, irE tliEi$ n itrptDEdd n $ld *ihi. om Ft
<br />of cotrpLriq rlE o,d Buil&a wiu h.r rlE t rd.n orFovmA lhd tE or lll dil d bu'ld 4 itFE UE FbFiy tu rlE puilor ol
<br />_1. r.wE or E F.fany, d.rclliEly.oddir3 w{h l.l.Ed.adrr6 r.6tu rlr Fois lsd.?o+a. ButiB
<br />rn Plrrinn Co&: Th. abdtuolr Lr.ns Lrv d6 Dt rpf,y ro r owd of prop.ny wl$ bu lt tr irq,mwr rh.@tr
<br />.nd wlF ..nrtur Ior $ch Fajcu wnh. C.deb(, lir&d pu^uafl k, rrE Codrdor'r lttw rIw)
<br />_l n.&q{ ud.r Sdbn-, B aPC turlnirMs
<br />!AE[!ELCI}!IE!5AIIA!
<br />DACIAf,AtrO!
<br />I h.Eby rmrn udd n dlry oa pojury or ofr& follrsinS deLrdira:
<br />lfr r,.*.l.irl -it-. C*itd. olclond io S.r.l E fi* wtd, Nnp.dil[.r Frth lo.l'y Salbr rrOO olrlE
<br />t i{ Cod., ad trE Frrlm of tE wl fd rni.t rh. Fmi ! isxd
<br />U-r rr.* n,"r .irr *i,,,.in *,*- cotr"Er.tDn in.uru., r! EquiEd b, sc! ion 3700 or rh. bbor cadc, ror trE pqtolM. of
<br />rh. rorl L, *hih rhir pdtu ! it at. My *orl6a enqEutiln iNu.wc dii lld PIty nun*Er e:
<br />eV(ieS)
<br />o trZtS otlU /et
<br />-l
<br />ccnity rh, in ttE Frlorlffi ol rlE w.rl fq *hth rtn ll.rhir n iskd, Lh.ll d dilpb, my p.ren h &, ME
<br />$ I b lEor sbid ro rtE srt6'@qEnr.rbn lrr! of Cttromia .rl {E rnd if I rhuL, tc@d $bj.q ro tlE
<br />*dt6 N.p.Mm povn.E ot Sdu l?0O oa rll ll!, Out . I arll tdhpah oiply rfi tlDt ProErE
<br />TYABNING: Frnm b M wI6 oqEdbn 6Ent. ! unlrvtot rul tll st'i< a .lrploF h sr!!.] Pa.fi(r.d
<br />civil liEr up to oE hundr.d rho6M rloll.d (lllx,.fitlr. $ .ddniF b r& cor ot conp.Mrion, d.rq.t e proviLd aor rh.
<br />s.dntr 1076 ofrh.l]htr ( ul.. 'nr.rn lrltrrLtrEy s ie\
<br />Y-
<br />LIGNSII) (\)NT8.A(r(lr
<br />DE]ITdSAITq!
<br />I h.rby .filrm und.r p.rly .l p.rri,.y rh.r I rh lieB.d u.d.r Ftyiri.6 .l (l!.Fs 9 i..'jwmi.3 snh S<bn llrflD or Dirthi l
<br />of rrr Bu:i*s ,nd PmGsiotu C.d.. rnl nty li.ns tr h tull lDr rri .f..r
<br />b iosz z 3:.
<br />itlAlat (rY^ t
<br />CIIIEIBICIIONI.EUITG.AGEX.g
<br />I tmhy rlrm ud6 FDr, ol Firy ili ttft ! r coniert,. bniinr Uldy io, tb Fnru! of rrE k t ,or rtEh rht Fd a
<br />n*n rS< l{}97, Or C.)
<br />AITIICANLDECSB6IIOB
<br />I hd.t'yrfmu j.. p.r.lv ol p.,ju.y w ot rE folt *nB JaLhrion!.
<br />D.ml ion P.rmirlAib.dos Ndificubn F.rknl R.3uhrbn: Onl. .10, Prn6)
<br />R.{uiE! L.lEr of tt fE tiM
<br />_l .dit rhi rh fdLil Etlt m Etr n! ah.nor Em,r.! e d qnlrrhL b rhi. toFl
<br />N(a,rr rrw I rr'* o,r rrr^.oplrdiuhdi n!r. trr th. dbor. maoml'on n coGr. l is,a ro 6mply pnh.lr cny !d c@nry
<br />'oduEfrlr !n I 5,{. t rr EE,ii ro build,nr .o^{ru(1btr lrl tlEhy.urtDri! EpEcrrriy.s or ihn Cny !d Counry ro erd qnn rlt
<br />rh)\. tu i,ftrl torffy f( itrtlEdio.
<br />appli.$i or
<br />^rdr
<br />sku!Llc4tzo
<br />GW
<br />{
<br />Rev.08-07-2015
<br />Set Backs
<br />412</7,)
<br />tN +r
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