SITE.WORK DATE ID/SIG.COMMENTS
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenUlnsulation
<br />Roof Sheathing
<br />Shear Wall
<br />Framing
<br />lnsulation/Ene rgy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />lvlagonry
<br />T-Bar
<br />Handicap Req 9-t-t9 Z.ln
<br />Deputy Final Report
<br />Engineer Final Report
<br />Flood Zone Certif.
<br />FINAL 5-t /1 R e,t*in
<br />Certificate of Occupancy
<br />Noles , Remarks, Etc
<br />-?
<br />BUILDING. INSPECTOR RECORD
<br />OWNEI BUILDER DET,CAXATION
<br />I hd!b, rrm u.& palhy of Fjlry thr I m a.mF no6 dE Colrncl6 lic@ t { for llE folbwDs 16,. (sd.)Oll.r
<br />BBin6 !n Prot*ion (o&): Aoy City or Couny whah r.quiE i Fai 'o
<br />@n!.u.r. ilra, ioprove da@lirh or r.p.! My
<br />.h.rqc Fir lo tu 6ucq &o ,lquiE th. lpplter for su.h Foii ro 6k. rbn d ndmi rhd lE or Jr i lic6*d p{d,n
<br />ro th. FlvirbB of rE Colt.fu't Lie.t d Lrr' ((lur'rd 9. ('offiine $ih SGib. 70@ of DilEi.n 1 of rlE BulitB &d
<br />Prcfqiod Co&) or thlt lt or sh. i. .rdpt th6.fron md th. b.!B for rh. sll.8.d dariiotr Any vioLlion ofsdiion 701 L5 by oy
<br />.!pli<.d for . FEn $b,Er] dr ryPlicrl'l lo r ciril F ryof mr mr.lh& lir. hulxH &rUd {!500}
<br />-1.
<br />! orG of rlE F$Frr. c m, a4by6 *ni {.s6 6 $.i sL coDFliiotr siU .L rE wi !d $. rttdE it El
<br />iddrt d otrqd lor sl. (SE 70.r,1. Buins ed ftlt*ioN Co&: Tt Co r.dd ! Li.q& Llw &6 noi @pl, t6 u oMa ol
<br />th. FrFry $h. hiillbor iqD€ddqr.n $'b &6raltsit hi@laor lE*lfor rlllwh hir lE o*n drbrq
<br />p.ovli€d rh.r suh imFDvsE ! E Dr inlsi.d notu 6r sL l[ hosd6, tlE hl diis * iEsNvqd'l i sld *ithin or. ]6of.dlpldiotrrh.ol,E B{itL wi! hE0EhnL' olFDrrr 0.lE iE dirl d hiil] o tqDE tt FFry ii(uE F,FEol
<br />GGI o* nr,,,",r"p-r. e dclun ly codr..liu *ith k!s.{t co'nrsro6 b Nlfud rrE Fotd (s6.7u.. tloliB
<br />!n PD6.bo Co& llE Co r.crs ! Li.dE Lle dc mr .p?ly ro & owra olFoFiy rho toildr or 6prcv6 rhq6..
<br />.nd sh6 .o,u.r!! lor $cn Foj.rlr *nb I Contr&tol!) li.cG.d pu,rd r. th. ( o.lrr.r 't Ltae L.w).
<br />_l ecro lndd S6rion_. B &PC for thii rar
<br />DT'L,/\IIATION
<br />I ha.t), rmm un(k F..n, oa p6iuy oG of
<br />'h.
<br />aollosi,g d<hr.rioB:
<br />-l
<br />h.v. !d *rll miire. Cdiftdc olCoMr ro Sctr-lM. for erl6r @mpcnnto.. a Fovi<l.d for b, serbn 3700 orrh.
<br />L.hG Co& fn lh. Ffm olllE trqt 6r Entn lll. Fhn a is.d
<br />_I h,r. !d vill tui.riin mlldi .omFddbi ilwa., B cqunld b! S41ion:r7u) oath. Llt'or Co&. lor llE F o,i:]4. of
<br />rh. worr for which rhi! pann b iq.d My wortfit comF r.lnr. i6dan.. .Ei6 !n poli.y nrmh.r rc
<br />FrptrB
<br />-6Eniry,r', . rr'" ror"^.. of rh.sor! foruhrhrhn pqm( t B!u.d.l3htll ml mploy rnv pd)n m inym n6
<br />r arobcomotidtorlEm d'omFsio. l,ss otcdiaomir rd*r$r if I $ould ttod tutin oll:
<br />sork6 comp.Mtion pmvnioN ols&1ion 1?00 ofrh. t bor Codq I dEll. lonhrilh omply rnh thoe pmvnioa
<br />\iARNINC FdrE ro sw. *o.t6' @oFBiion o16!3. it ulhstuL .nd rh.il sbitl d mpr,ts ro ainin l Frl6 rd
<br />civil fin6 up lo oN hud,.d rnouud doll6 (1100.000), rn addnion ro rh. .on oa.o,np.Mrio.. drnEa6 6 provid.d lor lhc
<br />scrFn 1076 ofrh. L$d Cod.. !n6ti rn<t.ndErr ld.
<br />o,*.-ll*'7-t t? ^*"^@UIENSEOIANIIICIAADlcrl8Allrr!
<br />I @y .tfm ondd Falt! of Fjury lh, I m li(a!.1 unda Fvilio. nf (hrpts c (@mnffiins q'nh salbn 7000 ) of Di!i!n\. l
<br />oa $c 8616 r.d Prcl6io6 ( od., ftt ny licce 'i o tull forcc &rl clIer
<br />(A!,SIBJ].CIONIEdIIXGAGItrCI
<br />I hd.by lrm unds Fulry of rEjur) lhal lfi@ ii ! cotr{rucl ion ldde* lsfrr for rlr Ff!,1,1m. of th. $ orl for \thrch lhs F nil i
<br />isu.n (sd.1097. crr c.)
<br />t ds ! N.m.
<br />-
<br />L,ndr'r Ad.tE
<br />-
<br />AITIITAILISJJAAIIO!
<br />I hddy arrn ui& FEht of Fjury oN of dr folb$ ins ddlenbG
<br />D.molirion Pmns-AltEdo! Ndiliqtion F.d.ral R€3ukt ionr (Till. 40. P6l6)
<br />-R.qut.d
<br />l.lla of l.lo|'lEdnr
<br />t (diry rhd rh. Lddalr.&l.rioN agEdin8 ab6brdNde. nor.ppl(oblc lo this poi.c1
<br />-l
<br />.srit rhar I h.vc r.od rhi! applicdion arl !ral. lhll rhc *ovc inaon n nn n .or..l I 6sre ro conpl, wnh .ll Cily .f,d Counly
<br />@dite6 .,!d Srd. Lru! n&te ro hlildilq otgru.ti,[ !d hs.by drb,nc r.Fsitn 6 ol !hi! (-ny dd Cou yloo sr4{nllE
<br />.bov. nalion.d pmpdy for iBpelion puFr6.
<br />-Z,t-*)aoNoS -,,. . l1^*l'l B
<br />^
<br />ppriL.n, or Asm, si*tr.r u.c * C) .-' \-
<br />r\.rn,i!.rtrrn,e,nrrn,,: X CC o R 4Z
<br />Erection Pads
<br />Pool Fence
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