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BUILDING. INSPECTOR RECORD
<br />SITE.WORK DATE COMMENTS OWNER BUILDER DELCARATION
<br />I hcr.h, affrn unJcr Fhrlrt of IElUry th.t I rm .rcr{, fi)m llE Ctrtua(kru Lr.h* bw tu rh. tollowh! r..s,n (S{c n,.rl 5
<br />Buirrcsr Un Pnft$ir CoJcl Any Cny or Couniy *hrh r.quE! . Frrr lo d'n(d.r. .lr€. iqroE. &fr'Lsh or Erf,{ 6y
<br />slerw. tff ki (r rsfri. r!k, Elums ltE .trfir.nr r.r tkh Fmr h tu . rqmil rllftnl rhl lr u !& B lit e{ Frrd
<br />I' rh. F,vEr'6 ot r}r Ci,nlr-ru! Lrcnsd trw (Ch.Fd e, O,l|mB'nr e h S(lEn 7lI)0 ol D'vi,x'n :l oa llr Au!m$ .nd
<br />Pturisi,ns CrxLJ or th.r lr oi \h. n crrnpr thcFrft,d ul rir bt$ nr rh. alL8.rl.r.qinr Any vn r(bndrsdr,.70ll5 br.ny
<br />amlirrnr fo. ! 0.mir xuhj(ls rn omli(.nl lo !.itilpcMhyolnor h)rc lhan fivc hull(lEd tloUe! (i500).
<br />-1.
<br />.r owr orr,r FlFny, q hy cd9t y..s * h v{.r a ttEr $L.otr{Etrsli,n. *i! dr rlE *,* !n ft {drE ! ftx
<br />idc o! or oflcrc! rir eL (S€.704a. Au.r$ u! th'r..snB OrL TlE Codrat, , ll.r I! dE ri rr'rlll L u ow or
<br />rlr r.'Fdy eh trrldr o qnwr ilEKn rn wh) LtB .kh srt h,msclf or h.rslf or rh$uah n( r h.r os .rr0hy.cs.
<br />provil.d rhrt such in{iormnb d. nn inrcfticJ or ollcE r nn sk. lf, h,scri rlx ttoUliry or uqn,kmor n s,U *irhr.m ).*
<br />olror+krD( tlrO*E Bui!.r *ill hlE rlE hhr.fl or Ftrvuu dll lr ,tr {E ,i! d tult r FttrK 0t trFrr lo. rlr lrqr$ ol
<br />-1.o.\cmfl
<br />unL. Ssr,
<br />I tFr.hy rrtrn und.r FMhy of Fl!ry or or rh.
<br />_lhr!.rtulwrlltu'nrrmaC.d',i . ol CoMnr r, Srll l n\u'. ktr rnrk.6' rotr\rnd ().. rr fovxl.{ntrhrS.rr(,n.1700.1rh.bhtr (i{c. ntr th. !d nr'Mh.^c ., rh( ro* lirrwh,rhrh.lrrm \ '\ucd.
<br />-l
<br />h.E.nJ rilldmirr ro.tai $,qEtu.ri). mur.Bc,.s r.qumd lry Saiin Jtm of lll L,lu Ccl., nr IE Ffn,I[..ltE k'l rx whrt rh! F.Ell ! BnE . M, wqt6 d,tr{ENrx'n Nru. ffi.nl rDliy nontq e:
<br />-
<br />l r.n 'iy rtur $ rh. p.raorDfr. ol trrc *oIk nr *hf,h rhF I'.nn r trlEJ, I \hrll ft, cmpli,y rny F onmt.ymrEr
<br />y) .r n) h.tum $rbFd t) rh. workcis' $nrr$srlon hwt ol C.l,ktrrr, rnJ !8ft rlll'l J I sh)ukl hcuom suhl.rr r, rlr
<br />worlr( (ompcn$' (r nn)vi\$ns ol Scttu .!'7u) or rh. llhtr C,rl.. l rhrll. tudh* h .o,lI)I, sirh r k,s I,n viri,)ns
<br />rvaRr.'t\(; ,ilttr'( n' yaur. ro,t(h lnnIitr\,irnl (or.tu!. s trtr dd ifid tubFr d or{rloFr ro diul Fds.d
<br />cn'l fmr ull to oB hudlrrJ dbotul ilou,r (ll(ll,lDo), 6 rtli '7 (r{EnytH,n. Jm3ct r Fovn.J ,(n rrr
<br />L-v---SNrtn, l()76o1 rlr Irhtr C u
<br />I lEEhy lll'un uBl.r IEMky of FrJUry rhlr I .n l&.Mn y$i'n ofCh.prd e lldntrBnrr * h SNir'n tur)) otOivnNn.l
<br />ol rh Bu\im$ aBl Pn,k$nrnr CuL, rn my lacnrc r h tull tur.! dd cfer
<br />coN\Tnl rc-floN I r\nl!\lc a(;FNcl
<br />I lE..hy .rrn uBLr FMlry oa F/i,ry rh4 ltEc N . NnrElrD llnh8 .8fty tu llr FnmB. ot llE *rt tn ehth rhB Fhr !
<br />6su.tl (sd 1097. crv c)
<br />kd.rr Allrcs: _
<br />ASSLIqAIaDSCIdEAT.ION
<br />I h:dry rllid un Lr Forlry of F.jury om olrh. nnbwir3 ddlsr'ii'ni
<br />D.fril .n P.rftk-Arh.n{r NdlrB.tbn F6l6rl R.8!Lrbns lT[L rto, Pd6)
<br />_R.q!!tJ l4dof t*i irr..
<br />I (rrrfy lh.l lhc lcd.rd rcStrhrr,ns r.!ddir8 a:hrdr rcnrvrlrr. hr rt'!lk!hl! k' IhN pn,rd
<br />rEr rlr.lor unturpn E(iN-r. I rgrro$r?lyern.llC,utG,unry
<br />fflDt.!rd Sr.rc lrrr ELlhs lrr r.F.rnt.!El ol rha Crty .nJ Counry r' cotd uFr r
<br />,tx,!. rnrnh-J llfi'Fn, n,
<br />Anplicsnl or Aq.nt SiSm I /zr /zo
<br />Set Backs \
<br />Forms/Steel/Holdowns )- riY ,)U
<br />Erection Pads rilo
<br />UFER Ground ,u
<br />SLAB Floor
<br />Subf loor/VenVl nsulalion
<br />Roof Sheathing
<br />Shear Wall
<br />Framing
<br />Insulationi Enerov Z I /-t. r/7-/ "',
<br />4b*7
<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 Certil.
<br />FINAL 8 z-ut(Q-cts,ee/2o5 v'ZD
<br />Certif icate ot Occupancy
<br />Notes, Remarks, Etc
<br />IDiSIG.
<br />_,. rr o*rr ol rhc F.I'.ny. rm . ( lurvc ly contkxnl * h [!.nql ro.nrek,F n' (.nrrru.r rh. In,Flr (5< ?1r1,(. ll".r*
<br />NnJ th,lssDn C*lc rh.qlntd(ntr r l,ircorc l-aw '.s nor 3mlyn, mowndolpi(,F y vlx' ho,ldr or mrk,v.r rh.rcon,
<br />.tui wh. !-nrrr i)r such rnrF.'.rs *irh ! Chnrr&ron o l.cr.n nu urnr brh. (inlrr&rois l,i.cnr D*).
<br />,..*
<br />Lr..* Nuds
<br />'-l ..nn, lll.i I hIw r.l rh! !p0!..ru !n
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