|
BUILDING- INSPECTOR RECORD
<br />SITE.WORK DATE ID/SIG.COMMENTS
<br />Set Backs
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenVl nsulalion
<br />Roof Sheathinq
<br />Shear Wall
<br />Framing
<br />lnsu lation/Eneroy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />I\/asonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req.
<br />Deputy Final Report
<br />Enqineer Final Report
<br />Flood Zone Certil.
<br />ll
<br />FINAL ltt5tu Dkkt
<br />Certilicate ol Occupancy
<br />Notes, Remarks, Etc
<br />OWNI]R BUII-DAR I)EL('^f, ATION
<br />I h.rchv Jll"r unJcr rnrlr! !n ncqury rh,r I d.r.md lnm rh. cltnt&tn' l-r.n{ lr* tu rh. l.ll(,wnr* rc.*!! rS& nr.!l 5
<br />llrr'ncs\ r l l\oL*trm C( .r Any C , or C. trry uhf,h (qutrcr r F nm (' .Dn{n(r, .lrcr. rdfnvc. {hBnsh or rclrau uy
<br />{N(rur., rtrtr L) nr Niu,ft.. !l\. rcqlucs rh. snflrr.r tur $rh lrin b ilc s ssxd {rrcmnl rhtl lr r {k Lr lt(nql turqdnr
<br />k, rh( l'ovtrr r ., rlr G,nktr(r I L.cNd b* (ClEr{d 9. ai'mmmug wdh S(ll'n ?llxl .l DNtrr'n ] of rh. Utrwss .nd
<br />l'lncsEn\ (1ic)orrh.r hc rr\hc n c(nrnr lh{rctnnn m,l rhr hrns ntr rh. ,lk!.J .kmg!,n Anyv$bLon tS€ti'n ?0115 hylny
<br />rltlrunt lnr d Fflnir srucds llt ,mh( loa.i!rln Dlry lnorm rc l[nrl,v. hu r.!dollrsl!5lxr)
<br />_1,arowhc'.rrh.pn)Fdy,i(my.npn4re*nwas.s!rrhc"$1.$np.ns.rwnlU,tlEwdka llrllBrUNsft,l
<br />,cu Lcd or nllirJ l(r \dlc I S.( 7}{4 Bu\incs d d hntsnonr Cdl. Tlr C.trlri.l,tr'r Lrcnr lf,w J'rs ndl it'nly l{' i. nwNr oi
<br />rh ll.Irnv vhr ln'ilds., rqmE! rlnin. rnJ wh, dB rut u'lt hmrcltor tur{ll orrta'lgh h,s (tr hs osn ctr{&,yc.\,
<br />prorilcrt ih! {rh r{h'Er.B N n u drldl orolLr.n ln {lc ll,h,*.N, rh. bu [! ,r .n{iovcmd r *'ll *{ho orc F{
<br />ol $bddM, rh. Orn( Bu,U{ r'll hM rlk hoil.n ol rhv,n! rM h. ( sh. d rn tntrkl or ir[trorc rh. pn'Fny lr rh. pqr& oa
<br />_ l i\ o*n.r or rh. |,.ri]. nn .i.|trlRly .o t! xn8 ,ih l'!. scJ ..ntr( (h r' on{dd rlr ,r!,,( r ( S.c 7(}t-1. nuur\r
<br />kl llr,l.sr{Gxl.IIhcConrrntr\l-'(.n\cLlwJocsnor,nnlynJ nvn.! dlnn)Fay wh'r burlllor rnrF,v.s rhcr rnr,
<br />! wh, (onrfllrs r,r such F*\rs u(n a Codr&ronl lkcnhl [u u.fl')
<br />I rnr\ctrr|{ rnJ.r S.rldtr
<br />w,r9-\-'\
<br />Lrnby arlrmurJ.r rrnJlr!.1 ncrpry o&. ol rh. n,ll'*us tl(\
<br />Ih,rr. xlw'llnl,tri, n.' (irri'nnn ]nr tr,trk.rr (rnrrni(,', r\ ln)vll.d l,r hyScdnr ]7r[) l rhc
<br />irhr C,rl.. kn rhi p.rldnun(.t'lrlt s.rt l,]/
<br />rlt ,.r[ lnr*[rh r[rrn rmir i\ rslL\l Mywork.^ lonrFniru nntri{n.c(urr r] rrnky n'h.r I
<br />l',nry Nunrr r
<br />- _lr.nilrrlr 'n
<br />rhrlI.lorm:trkrofrh. work ntr wh,rhrhr\ Firnx r\ rn'c,],I rl[ll nrr .n{[)y rny ll.ron rn rnymr.rc!
<br />s) Js nr h.(trrF uh]e( k, thc * rlcn onrFtrs.rinr drs uiCrli,,'mi,. trnJ +rc. rhd ial shtti h...m suhr.r r, rh.
<br />klrt(s .or{ror r,tr Imvsnns ol Jcqr Dn .l?lxl ol ilE lilrr Gr[.. ] \hrll- ,(fhw h omdy q h rh,$ l'nrvnirr.
<br />WARNIN(; li ur [' r.trn p! .n .!impcn' k)n (.vcn'!c '\ !trI,'qrtrl. ] \full nrl'Nlr Jn cnDloyc. r' \
<br />(^' rnr\ trt) h !,r [trtrJr.r] r,L!tr^nk] !1,'llr^ r1r{nr.rrlxr). trr klJrrnl rr
<br />Sc.rknr ro7l,or rlt-lihtrc(xt . rir{ rnJ !konr!'\ r.c
<br />7-Lt
<br />I h.r.hyrlnnrtrn'1.' Irrtr]ry,irI\rrrtr] ihrr I Jm 1r.trarlu ivxrn, ol Chrlncr 91$tnr
<br />ol (h. U,rq'rsrtrJ ltoli\nor} (i ., rBl my lkr r.
<br />t_k.n\.(LJ\\
<br />gqNslalcrgts.LEBDB!,illiENcr
<br />I lrEhy arltn h.l4 FEtr, ol pcrJ{ry th.r rLr s . (,n{4.rDr leLlo8 .8ctuy fttr rlE FrlinmBc ol llE r.rit lor snah rhis Fdn t
<br />issu.d(Se.. .lu)?, Civ. C )
<br />APPLICANr DECLAR TION
<br />I hr.tt rflirm okl.r Jrinihy ol Frlury onc ol rh.li)11,,*rn-! dcrhnrnrr
<br />rxmnr$n llcrmir+ \l)cio\ N{tirrrrnr lcJcral R.atlarfn\ fl,rL il1r, P,n6)
<br />Rcqutrcd L.(cr.r N i(drn
<br />l.drryrhrllE ltlfrl r.!ulrri!,n\ tollrJrr r\tE{o\ r.nr,!!lxr nor irT'tknhlc n,lt! pF,Fr(
<br />_:l !.n yrhJr IlLlc rrrJ rhA rpnlrJr
<br />orJdrhrs a' Srar. bw\rhri+ t'6u
<br />rh*r mnr dJ ntuFry ntr rrFarx,tr
<br />I r|rr..n)(onrtnyrirhr IL 'ryr J Lnun{,
<br />v.i.rlnN Cny rntl Counlyr,cnrd uli)n rlr
<br />\Dpli(,nl or Ax$l SillNlu
<br />Forms/Steeli Holdowns
<br />Erection Pads
<br />,
<br />D.l.<'\
|