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BUILDING- INSPECTOR RECORD
<br />SITE.WORK DATE ID/SIG.COMMEi{TS
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loorA/enVlnsulatron
<br />Roof Sheathing I v_zt- ( 7 Kit-rrr.;4D
<br />Shear Wall
<br />sFramin
<br />ln sulation/Energ y
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Masonry
<br />Pool Fence
<br />Handicap Req.
<br />Deputy Final Report
<br />Engineer Final Report
<br />FINAL >l r ltq 6rl,,bil)'/lo
<br />Certificate of Occupancy
<br />Remarks , Etc
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<br />O\{NER EUILDEi DEI]CARATION
<br />I hd4. drm und6 F!t! of Fjury rhr I m ddpl 6om rlE Con6d6' lriE I$ tM rlr E'lloxile ,drn (s.< 70tl t
<br />Buind rrd Prof@n ('od.) Ary Ciry or C@nt $hah r.qun6 . p6mi ro odtud. 6. inproE damlirt or rq., my
<br />nndr. Fi,r lo ilr iseq &. EquiG l,E ptlkd for s.h Fnn b 6k r rigEd tlrsE lhr lE or at . l,.qFl F@!!
<br />to rh. FovtioB of dE Conu.dd r Li6t d t * ((1rpr6 9. ( onm@ing * nh sdion 7m) .l DitlrioD I of lh. B6iltg sd
<br />ftlrBions Cod.) ot rh.t lE or rhc ir ermF rhs.nom $d rfi. ti.ri! tor rh. rlhs.n .roFiln Ary viohlio! of Sdio.70.tl t ttd,
<br />ipplicmt for a pqnir lubjct' rh. !ppli.@l !o i civil pduhy o f nor nor. rhr. 6!. hrndr.d dolle! (t500)
<br />a.(.'* o* or,n.
<br />^*rr.
<br />or ny dplo)B *irt ul[6 u rh.n sk compdEdon. *rrl & rh. }dt &xI uE ltrErm ir Dr
<br />idoi.n 6rq.d for nk (Sc 7(}14. BEiB ad PrnfBhB ( oda Th. (o'lrr.rd ! Liw lle &6 lor Fply to D .*E of
<br />rh. FrFty *h tlild or rr$roE tlE@ nn rho &6 ult s$t htrr!.lf or lE*lf or rl,ruih h6 d lE oE .nplo)te
<br />For ii.d lh.l *h imForqEr. ft d noi.d dolE.l *r rt l[ hos6u- dE hl'tlig ( EsorEd ir $B $rhh tr s
<br />ofdtpkiE dr o$G Brilb wi! hE $. hda ofFltlv ! lEr n8dn d bild or il!..E dE FoFr-v 6r llt F Fxof
<br />-1.
<br />BosEof th. Fopcry, escluidyco diry w h hcdE d conr{loE ro coi!rucr rlE Fojoct (S-. 704r. B.ui6
<br />lnl Plblsb. Cod.: lhc('nnrdols LicGc Llw do6 hr qrll ro e 0{16 orrturary $ho boild! o. i$prov6lha6rn,
<br />ind *lD contnclr lor such pmj.ds wnh a Coirmdo(r ltd.d pu6ua, lo ltc Conrr..r., . l.icN lrw}
<br />I m.rop ondd s(!on
<br />.e. t )t -1"/?"""".X-L"',r., <l
<br />DECIJSAIIQ!
<br />I E@r.J drm unds FalD ol tEJUr- or oath. lollol int &(l&!rD6:
<br />_l hlrc id * iU minrtu ! ( dtiL.r. of CoB6r ro scll16u,. tor N k6r 6mF.exon, a For iLd fo. b, S*lion t700 .l rn
<br />Iitar Cod., for th. r,6fol1rM. o I lh. *arl for wnich llE Fini! L is€d.
<br />_l hi!. ed *ill mrinrrih work.R conpGsrion iNuhn.., s r.quii.d b, s..rion :r 700 of rh. l,hor Cod., aor thc Ftomuc. o t
<br />rh. *ort aor which rhn pdmn ir i$.d My wrta comp.Mioh idlre. ffi.r Md lrlky numbq a.
<br />A-i.-,ry t* ,",,. *r"* of rh. @rt 6r *hth thn F6n i! ie.{ I 3h.ll ot @pbr ey F$n r oy mlE
<br />$ arob<oruute!tnrlE*{ 6 ooFqio. b6or(-difomi lrd !8Rit if I nsllll tEroE suti6l loltE
<br />sort6' comFs! io. FmvirioE of Setiof, !7m olr h. l,$. ( dd.. I rltrll. lo.th*ilh srply {nh rbs prcvirioN
<br />WARNINC: Flilurc ro sw srk6'corpdtrion cornc. ir unlastul. ed rhlll $bjd o dplotd ro sinlnrl psuhid Md
<br />cril fu6 up h Dn. hundrcd tho@d dollrB (1100.000), r rddirnn b lht cos oa.ompoBr'b.. dm.86 a provid.d tor lhc
<br />sdrnrn 1076 orrh.l,htr('d., inr6d..d.nomrt 16
<br />L.J LjLPLl appr-",,qL L-"-f I 'S
<br />TICIITA1IOB
<br />I H, .fam u.& F.lty ol FiJry rtr I 6 li.qE d u!!& FDvition oaor4ra c (eltllBu\s wnh Sdrb. 70001 of l)lr'im. l
<br />ot rh. BGi6 lld Pmfdbd Code rn Ev li.e i! i. tull fore rd.fid
<br />co!l]a!(1la!.rEdDtNclc!!(r
<br />, hdirty arfm uftr6 Fahy of F iu,, ihn rha. a . coirrucrbn lddins ,s*]_ for rh. Ffo,lij4. of rh. $!rt 6r trtih lh! F6'l i
<br />'ecdts6.1(/)?,
<br />(-r! ( )l..nd. Nrm.
<br />l-.nd.i! Ad&G
<br />ATIIIIABLIr;CIABAI&!
<br />I h66, lmm und€ p.nah y or Dqjuy oe of thc tollosina d( lad hB:
<br />D€mhion PdnneAihaloJ Ndific.lhn F.ddl Rqlldirnt (lnl.40. Pan6)
<br />Rctu&d tlG orNo[frd$n
<br />-l
<br />cdiry thl rh. tu r.l EBuldioB rtadi.8 sbdo! roR r.l e. mr .pplE.bh h rhir F.F
<br />6! csliolhd I har. @d rh6 {planion ed !rd.llu $r rlFr. i.ronnniod i.ocl I rgrE ro ompl, *nh .ll cny md ( ounly
<br />ordhanc6 lrd Sr!!c l,u! Eldlls h bu ilduls coirrudg+ &ll hq.t y .urho.i4 EF#niivd ofrhn Ciry ed Cou'y lo 6rd u[rn 0!
<br />!bov. nhrrnal proDdr ror iE!.dion purlos / /
<br />n orn^,* n ^,t"-,",. 1frto,,r, Lat t">
<br />o.rc - o I'2B"Ztl
<br />"-,,.....,,-( 61", i q LeLls
<br />I
<br />T-Bar
<br />Flood Zone Certif .
<br />Notes,
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