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BUILDING- INSPECTOR RECORD <br />SITE-WORK DATE ID/SIG.COMMENTS OWNER BUILDEN DEI'AR TION <br />I ha.!y dtm !.dd Frny oa Fjuy lhr I h etd}r 600 tlE co.mdm Uc.M tiu for llE follo*i.8 lan (S< ?01I J <br />Buin6 .,rl Pmfdion Co&): Any Cn, or Co!n, *hah t.q!i6 . pamil lo ennrud, tlrq, nnFove &mlah or q., ey <br />strucruq Fnr ro nr su4c, .tio rcqli6lh. pplhol for ruch Fnn ro 61.. tb.d 3t.lml lh.l lt or th. is li.a!.n Purlld <br />ro rlE FovthE ot rlE cond*r 'r Li..ud trw (alEf,d 9. coffibs s'nh scrb. 7000 of Dirirbr I of lh< a6in* rd <br />P&r6iod Co&) o, rhd lE q tlE i .r.nfl lnE.fion d llE h.i! lor $c tlLsod dapr ion. A.y riohbn of Sdi.n 701 I t br ev <br />applt&t for r F,ni lubjeu llE +plicul to . civil FMhy o l&l @c rho liv. hu&.d dolldr (1500). <br />l. s ow ofrlE I'opqry, o, ny @plot6 wnh wrg6 d $.t sL onlPqBiioa *il d, tti *ur ,n tlt ifld@ ! @t <br />it od.d or ollncd for d. (S< 70,14. Bwind ud ProldhE code Tt. co ,.cl '! Lic@ L.w da bl .prly b M omd of <br />rh.FoFry *to hiitld ir+.6tka rn $ho dG$h * t nijMlror h.t*laor rtmu*l hit tr lE 6m.nplotq <br />F.vii.d fid uh n4.o\oinr E@t .Iqd ofid 6r-t.ll ho*6s, tlE hriU,l d irgMEr n$sdlmm)C <br />oacon'pkion. rlE Own6 Buildd will hlw tlr hmln ofprolog tha lE or ih. did mt hrild or itrprct thc FDFIy for thc FrF$ of <br />-I, <br />s omq of lh. Fopcry. d qdBiv.ly .ollltacrDg wirh lica!.d co rlcld ro @tr3ru.r tr. Foj*l lsd. 7(X4. &.riK <br />srd ADkie Co&: I h. Co.h.rolt Licru Lrw &JB ml .!Ply lo d omd uf FoFly wl$ b{ild! or inpmvdlha@n. <br />.nd q'lD 6ffi! f.r *h Fljdr *'nn . CoIrBr6(r) la6.d p{llld h llE cdndd ! LiEE ts) <br />I m.xmpt un(k S6rio.-, B lt P.C. aor ltB Iarn <br />t'.r. oia6: <br />*OR|<!NS' COMPANSA'IION <br />DEC|dBAI9! <br />I lEd'y amd un&r Fun) of pdJor) oR ol th. follos'h8 dal[alrB <br />I hlvc ri will ruinri. a Cdiitud. of consr h S.lf- lBor. for *dkda <onrF.nrion, s pmvid.d lor bt Sdhn 1700 of rlE <br />L&r Cod., fd rlE Ffol]M. ol dE *ul for wnrn ilE Fnn it iecd <br />-l h.r. atuj *i!l nri.rlin worl.r! conFMliotr iBre.. s r.quiBd by Set ion 37ctr otllE ltbo. co&, for lh. Ftor,@c. of <br />rlr w\ td *hih lhb Fnn Lr isrd My *dtd' $mF !rio. i.gm. it !n polt) nunba e <br />\b*t G,nA <br />L cf;.2b n <br />I r6lib lh.r ir llE polotu. oarhc $orl for which thn pqEil it irs!.{ I iul mt 4Ploy uy Fe. i. D, nuE <br />$ e lo b..or $b<r lo ttE *rrt6 onFEiion h*! of C.lilomir dd +ft fit if I iruld htor $tiel ro tlE <br />{od6 codp6B.r'oi lmEioN oasclior l70O ollhc L.hrr Co&, I !h.ll. lonhwnh smply *'nh lho. r@virioa <br />WARNING: F.llm lo sw erl6 osFudhn ov6+. i uLwtuL !n ddl tubl.d m GnrloF lo sinirtl F"Xi6 ed <br />ro.E lundrcd rhou$d &lls (trm.om), in .dJitin lo lE cor oa.onFdion. dd.rsd a Forilcd tor rlE <br />sauon 1076 of th. l.bor Codc mrdd od rltorEy ! fG <br />DECIjAAUAU <br />! bd.6t .llm ur'dd r@It of Fjury lhr I 6 li6!.d drdd Fovnion of Clryla 9 (m@i!g vnn Sctb! ?000) of Diliri,n l <br />ol tlt BuiIB .d Proftsbd Co& !n ny ti.B t nr tul loc ild .fial <br />f't0 tlqtb]"1."' ac. <br />colslal]cuIrNrllllNclc[l(} <br />I heby altm un& p6dly or Fjury lh.l rha. h t mtrrtudbn ladin* lsdy tor dE psfol'm. olllE @rl 6r *tth tha Ftrl i <br />isr!.d (56 t097.C'Y ( ) <br />AfIIICAtrI.IISJAAITO! <br />I hdlbt rJiin uRld F.hy of Frury oE ol $. folhwinB d..lrahB <br />D.dohion Pslnil3 Albdros Norilic.lion tidi6ll R.s!latio.t (Till. 40, Pan6) <br />_R.qu,.rl L.Id of Ndi6dbn <br />I cdiry fid fi. f.ddd rcsuhrio6 Egadrn3 sb6to! lmvd ec not lprli..bL b thn poF <br />-yl cdifr rhar I h6c Ed rhn .p?lic.ron a'd sr!r. thi infnmdion it cor6l. I AlrG lo @mply wth d Cny .nd Counr, <br />ordiunc6 d sral. Il*r r.h! iry ro h{ildiry coNrrucrioc iz r.F6or rv6 ofrh6 ('ily md ( ouly n, drd uFln lh. <br />.bo,. nE,h..r er!F!, ror &rdf,rlDos <br />\ /app[.rrr oraBmrskn.ru( l::- v <br />r-rr. -* oa,u -E lrl \41{:1? <br />Set Backs <br />Forms/Steel/Holdowns <br />Erection Pads <br />UFER Ground <br />SLAB Floor <br />Subfloor/VenUl nsulation <br />Roof Sheathing <br />Shear Wall <br />Framinq <br />lnsulation/Energy <br />Drylvall <br />Ext./lnt. Lath <br />Brown Coat <br />Masonry <br />Pool Fence <br />T-Bar <br />Handicap Req. <br />Deputy Final Report <br />Engineer Final Report <br />FINAL Ir/ !/tff ,TYX <br />Certificate of Occupancy <br />Notes, Remarks, Etc <br />Flood Zone Certif. <br />-", l0 l(.r( <br />L.lrld ! Adl6 <br />tt