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BUILDING- INSPECTOR RECORD <br />DATE ID/SIG.COMMENTS <br />Set Backs <br />Forms/Steel/Holdowns <br />Erection Pads <br />UFER Ground <br />Roof Sheathing tL/u.ta.e <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 />Handicap Req <br />Deputy Final Report <br />Engineer Final Report <br />Flood Zone Certif. <br />).1 <br />FINAL //Llt7 >'W+n/ <br />Certificate of Occupancy <br />Notes, Remarks, Etc <br />OWNER BUILDER DE.cARATION <br />I h6.!y .lrm uidd Fdry oa FJury rld I m ddB fmn rh. Contr.clm t-t.nc Law ft)r tlE follo*als ltetr (s€ ?01I t <br />&Bin* ild PreiBlion Cod.) Ary Chy oi ftmy *hth Equir6 . rrnrl ro codtu.i rna, iotmc &moli]h or le.n oy <br />3h.r@ Fbr to il! i!triG. .ho reqln6 th€ !p?li@r for sch FoI lo liL. rirn d drmr lhr lE or dE a lkdB.d F,e.rr <br />ro rlE FovisioE oatlE Conreldi L'e.Ed u* {ClrO6 9, Comdins wnh Sdio. 7000 olDiviriod I of tlE BuiIB &d <br />PEl6b6 Co<t ) d thd lE o. ,lE li q.npl $qlton .nd rrE b6n for rlE .1L8.d aatrBior Ary *)l,tbn orsdbn 701 I 5 b, oy <br />.pplicur for r pdhi $bj.rt! lh. .pplicul lo . .ivil p.rhy of ml mE tha lir. huldtd doll,6 (1500) <br />-1, <br />s 0*6 ofd. FoFry, o oy .n bt6 sth *!s6 s tlEi. -L eneqlrior'. $i[ 6 dE *Eh rd 0t l'lriG i mr <br />iddd.d or otrd.d lb. $L (s6 ?0,{. BsiB ed Pbf4r6 Cod. TtE Co,rr.dd r LtGe t *'d6.ol +ply lo E or€ of <br />rh.FoFq sho bilil d irqoE tlEq trd sno &E f,rt q* hiElf or h6Elrq lleur! hn 6 h.r o*. arpht6. <br />Foit drh,l o.[ liForsEdtc d ddt t d dorkld rr, -l ll tbw. tlE hi]diB n irqDrqd ir sld sifii m d <br />otcqiprri&dEo'.EelUd*iUh.ctEhddofFouCdl.lEud!dndblld !rp.!E ltE FlFty it d. F,pc of <br />I. s o*G ot rh. FFy. o a(luil.ly .otudh* wnh li.guci 6drso6 ro @lsru.r tr. Frjd (sd. 704.1, AliB <br />eld Ebls& Co&: Thc conlrdoir l.ic.e t $ &€mr.ppltro -of,,6of FoFry who hu'lds or dprold rndo.. <br />ed who onr(s for tu.h Foj.{l! wnh r (oirrxro(rl lEd!.d p{Eur lo drConrddi Lie b$) <br />I m.rmF !nd6 Sdlio <br />l[( r \n \ rl0\ <br />I hqcby amm und6 Fnalty or FJury ofrh. nnhr 'ry d6-larrrk,as <br />I hav.r sill mdinlrin a Ccn ofco,Kr to S.lf-lNur. tor q,rk.a' conrp.nslion. a Fovid.d for bySEtion 3700 oflh. <br />t!bo. codc, for rh. Ffo,l@c. ol rha *o a.rshirhrh.tqmn i! isu.n <br />Iha\randwillmsi.itreorr.racomp.N.iioniEu!rn...Nr.qutcdbyS.clnrn1700oIth.bborcod.,forlh.pqforlMc!of <br />lh. mrk for wnich lhi! p6hil ir isu.rl My world, corDdnion irou,uc! 66 ald Fli.y.mbd a. <br />Potdy Nub< EIpi6 <br />-I <br />cal,ry rh.r in lh. Ffolrje. of rlE *o nx *hkh rhir p<nn t isoai.l rhlll ml mpby &yFen i!oymuM <br />$ G lo baor $bjcr ro tlE rvi6 onFarion |.tr! ofcdifodn. ud ,sE ${ if I ilbold heoE $bcl lo ll! <br />e*6 otr'FE lion FlEiod ol Sdb! l7O0 of0E lllx, Coj.. I lndl fodhq nh .o,pl, *hi th- Fovirio6 <br />WARNING: F.il@ 16 s@ *ut6 smFdir. o\'d.g. lr oLw6)I &d {dl $t*{ d snploF 16 ohin l Friis xd <br />ctr nn6 up ro or hudr.d fiousd .bl <br />!d6. 1076 of rh. bboi c6da inrd r <br />lm.oml in rdlnNn io llE or ot ( d,e.!s6 a Fo\ d.d lor rlE <br />pr( r \R\|t0\ <br />I tErtly arm u.dd F,.Ir of Friury I m li€El u& rrcvirhn of Chlors 9 (on,lff'q! *nh Sdbn 70qr) of Dr !(n l <br />ot ln. BsiB &d Profdha ( 6&. nrl my l..e n $ tull for.. i{.lld <br />CANIBUCITA,UIEBITIIGIG!!(I <br />I hq.ny .Itm unda F.ahy o f p.rJury rhrr rhq. 'r ! connrudirn Lndins dxd.y aor th. pafomffi. oflh. \ ort lor *hich rhi! tmi . <br />issu€diS(.1097.Crv C ) <br />ATIIII;ASLDICIdf,AIIAN <br />I hoitt rGE u.d6 pollry of F)ui, o.. of rh. aolk win8 d<Lrd n .J <br />D.oolirFo PmireAsbdrd Norific ion r.l6il Rcsuhr ioN {l l.40. Pd6) <br />-R.qund <br />lnl6 olMni6<iio. <br />I cd iS rhYE r.ddd quld rN r.*&j,ry .lb6N ,m\ d d. m' +pli(.bk ro rhE pr.6r <br />-lfolrb 'hr/hd. ftld rhE irplrdir !d rir. rhd UE.hor. 'nto'rnta,n <br />i!.ffi I +r ro orply wnh ![ C'ty.ttl Cout]m;w*-'--,'-"i;:j;:;? <br />)4O,lnrw?o €o>-ft2 <br />SITE.WORK <br />SLAB Floor <br />SubfloorfuenUl nsulation <br />Lend.as Addr6: