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BUILDING- INSPECTOH BECOBD <br />SITE.WORK DATE ID/SIG.COMMENTS OW}IEI BUILDEA DELCARATION <br />I teb, !,Im unLr FoI, of Fri,ry lhd I e.r,9l nor dt Codr-r6 LitM Lrw ror r folhwinS ffin lsd?oll.! <br />auliffii rd Phf$ii'r Cd.). Ary Cny or Celry shth Eqlnlr r Ftl ro 6dd. .t6. itrPmE &mltt or EF! ay <br />slndr. Fs ro ik isurd. .Ls Btlnd dE.p?lisr ror uh Fd 'o <br />liL. r'8Ed ilLtul rt i l! o, rlE i lkY.r.n puld <br />ro rlE FlvtioB of dr Co.rrrld . Licnrrl Lr* {clrprd 9. CdI4rr! wnh Sdion 7000 of Divirb. I ol l,E Blrirs ..d <br />Prcf.sionr Codc) or rhr h. tr! !r.rcnpl ihdt6on!n irE h.t lor lL tlLSld.rqprbi Aryli)htbrofsdbtmll.5bysy <br />.ppli.rr ror r Fm subirB llE {'t,lt.nr to . civil FMlry of mr m)E rn n fiw hu.d,!d dolLs ($m) <br />I. ri owB. ul $. pn,tEn y, or my .ry,lo'tes Bilh wascs !\ l,rn s,! qmF.*rb., wix d. rlE wdt rn llt slrurE t ntr <br />inrc,i.d or olrcEd for {k ( sd.7llr,l. Busifts dd Prorcssions Cdc Th. Co rr.dor's l-t.nE tiw d*i m' +rl, t, dn owm, or <br />rhc ,,otEny slh hoildr or nqs)B rbcrr. ard *to &Es ixh Mrl hitucf.r hctcliot thmuah hh ot h.t oen..rlort(, <br />provtcd rhlr such in\mwntnrl @ to an'.nrdl or oficr'l [i, slc ll h'wE. lh tuildrE or irotoEd Lr sld virhin or ]te <br />ofo,rpLibtr itE o',nd Buihs will hrE tlE hnd.tr of prcvins lhsl lE or rh. dil &, tril(r or inprcrc dE I,DFry ror lh. puqns of <br />_1. s o*B of tli F Fny. rm .r.lu.iwly cotudh8 vnh lienrd codrr.roF io codrrud OE Foj.rr (sc. 7(x4, Bss'Es <br />un hltsin Co&: TIE Conxrroar Li.n* Lw il6.r mr .pply ro r o*mr ol FmFny *lE 6!iut or itprcEr rlEhn. <br />.rld eho sludr rs sh FnFk enh . Co Ero(r) lhnrn puFun h rlt C.dffit Lirnc L.s). <br />I dcr.mrr uflkr S..r0n <br />-, <br />a & P C. ror rha Ersn <br />Dale ()in.r <br />ltl)BliliEs:-corffNlAlla!Dlictt&ul0l <br />I h!rchl llltror utrJc, p(trrxt oltuJuryo'r olrh. fdbwins dc.lxr!trtrtr <br />-l <br />hlvc ad vill minrlin r C.n ia*d. or Consnr to s.lr lnsur. t r wo.l6t LlmrEnsr ion- rs rmtidcd f( bt S(hn 1700 or rh. <br />L.bo! Codc, ror ltu pcrlomurcc of rh. work tr lhih th. Fmh ir ksldl <br />| -,/lrf.* '* * u, "*,o. *ortcs .omr.nturion rnruBmc- s rcrrlrd hy s..r mn l?m or rh. t hor codc. ror th. JErftnnec orrfl \.,r ro, "r'.t' ,t'" p.^ir r n.rn M, "orm c"n{rnrdpn inru,n. rdEr lrl lbli.y numba e. <br />.*,. Call€otnx 7-*rr*rc C0. _ <br />..,,.,",.*, , llr-t2ot5 0-ol-o*{ ,.,,.., Llllolzott <br />_ladiryrherinr&Fnorffiorrh.eorlrdwhih'hi.p.rmrsirexn.Irh.llmrctrpl,,&,p6o.i.,MFro G ro b.or sutFr to rlE qtrts. oqEEsb. L*t or Crliromn. rdl +r rh, f I shuld h..or subixl lo 'lrwrt6' onp.Klio. pntiliE of Ssri,. l7@ of rh. tlh., C.rL. I rldl, lonhrnh @mply wilh drE ltoviionr <br />WARMNG: ljlitua ro sm hrtcB $,p.ndion ot.n8! ir unLpiil. .,n ih.ll iutFr d drpl6F. ro si.wl FEha ..d <br />civil fims !p lo DE hundrd rlDur.d dolls ($lm,Wi). iI.ddnro.tlE co{ oa o'rttMior d.flg.r I rova.rl Ltr rlE <br />S(rion 1076 ufrh. ljtrr Cul.. mr.E{ !.d <br />,r"r",'b/0 L <br />I h.Eby rmrm on&r Fulry.fpcrjury rh,l I d liNtu d unLr prov!6n orChritd 9 (Lnmmri.s *iriS.dhn 7q,D) 0rDivnion l <br />of ilE BusilK un Prcf.trionr Cod.. rnd ny li.en* i! in r!1, rorc .,n .fi..r. <br />I ltrny ralrd u.r&r FmxyofFr!ryrh, E isronrMio.L linr ls.Ey ro, tu Frfo,rrm olrrE mrt for rt'th !h( IEni ir <br />isrud (S<. 1097. Cit. C ). <br />AIII.ICAII.D&CGAAUO! <br />I hdttarmu Lr FnrI y oi Fr/,, oE of tlE follo*ins d.clanlion! <br />Dcmlitiatr Pc.miFArbr{'r fiotirk.rbn tu ral RcguLrbnt Gnh{0, Pd6) <br />R.auirEd trtrd of Ndifram <br />-lccnifylhdthf.nc,rlrsrth$nrE!rdi.8rib..rosRfr)vdentrr,lathbbrhi(,'mr.<r I <br />l v <br />,.,", t I /t o/tt <br />Set Backs <br />Forms/Steeli Holdowns <br />Erection Pads <br />SLAB Floor <br />Subf loor/Vent/l nsulation <br />Roof Sheathino H{.u Rc'zt I <br />Shear Wall <br />Framinq <br />lns u lalion/E ne roy <br />Drywall <br />Ext./lnt. Lath <br />Brown Coat <br />lVlasonry <br />Pool Fence <br />T-Bar <br />Handicap Req. <br />Deputy Final Report <br />Enqineer Final Report <br />FINAL 615-U P-Us rt?_/?D-'4'Zlf <br />Certiticate ot Occupancy <br />Notes, Remarks, Etc. <br />-+ <br />D.l.,-L <br />- t-5r <br />bl lolLt <br />\+Lit1 <br />.trv. mnriomd lmlrny lor inrFdion <br />xAppli.rnl or AA$l SiANhrF <br />P"* * nrn," I parrt, X L))n'ervll)-,t <br />UFER Ground <br />Flood Zone Certil.