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BUILDING. INSPECTOR RECORD
<br />SITE-WOBK DATE ID/SIG.COMMENTS OWNFI AUT,DET DELC R TION
<br />I tmby rruf, un&. FMh,orFjurylhd I m.r.'ri{ rn,m rE A, rdrs La.* Li* t.rtE lollotnB Er$n ls"mll5
<br />Bori6r rn Pr.f.(io. Cd.) Any Ciry or CN , shth t.aliEr. Fmi rr' lrdMr. rll(. inttoh. & nirh or rFn uv
<br />{ru.turc. ri, io ik t$m.. ilg, tuquirc! rtE +Plico.r ri, 1kh Frmn tI lik r riSFd slalcEnr thll rE or slt ir li"n€i Ilmmr
<br />!i' rh. pmvi\ioni or rl* conb&roir l-i(n{d bs ((h./$ g Conm.min8 wirh serion 7lxx) 6f Divithn I of rh' Br'iEs r'd
<br />Pmcsltunr Cod.rd rh.l lr d sh. i. .rctrq:l rhdthom.d rh. h.sn lltr rh lu.scd .rcmgbn Anv virlltio'ofS€lnn 7o'll5 hvmv
<br />{'plk. for . rEmii rlbjets rlE rl'rlkmr ro r civil tEul' y or n, mE lt n lir. hldrcd &ll[i (,tDl
<br />-1.
<br />as ouEr of rlr F.Fnr. or my .n{,loFl r{h r.34 $ ri.i, $L c.qEn{! bn. eill iio iE *vt r^l tlE rndft il nn
<br />dc l€d or ofi.Ed n; ;r ( Sd 7(x4. BuriEs lnd Pror.lrhnr (dc TIF ( onkd.ir l,ii6€ l.P ds mr !p!lv l' e o*E or
<br />ih. rrFny snrlxildsu qmBlt En.,rld *rs&Es$.hu hnns.lr or h.r*lr or lhioush hn or lEr own 'q)hv"r'pn,a"a rin .*rt inlmErns m nn inrr i.i o. olTmal (, {L ll h'*cEr. rh. h{iklias or nrlln)tEd i\ $ld wilhin nc FU
<br />;rNripkri,( rtr ()!E Buildd *ill h,k irr h,i.{ orlrdin8 rhd ,r tr nt dU ft{ tlild tr 4ftw 0r IqEr, rm
<br />'h' J'6Pt or
<br />-1..rorH
<br />olrlr FlFnt. .m.r.tu.itlr_ cotu rmS rnh l.cn{n.onrdrh k' dINrM rlE FFI iS(' ?OT ' B!'fts
<br />Ml hntcarid CRL Th. Conlrlctn \ I -(.n( li* dr. n aPflv to an osk. or Pmn d, rlb hlildl or inprov'r
<br />'h'rdrn'ind who onrmcl r for \u.h lruFls *ilh ! Co.h.nl.l t ) ltcnsd lx6unr k' rlE G'ntrlols l,t.nt I f,e )
<br />! ,m.rcnrpr uulcr S(rn'n ri ( l't rrtn' ..F,1' () - <\
<br />-{ -,{*.-,.- rttc* zr
<br />.slrBbr:45:(ai[Elilallla/o "// /7 "-
<br />DECIAEAIII]d
<br />I h.rctJy .ftrm und.r FNlty 6f FJUry oB of rh. rdlklsin, daluirinns
<br />-l
<br />h,v. rn rill mi.ilin r c.niff,.l. of Consr ro S.ll-ln$E thr qnkn onl{Endion. !t Ftrvihn aot bv Sarhn r7m 'f 'lEL.E C.'rlc. fd rlE IEfffi of r& ufi ftr *tth rh. Frur ir isrkd
<br />-l
<br />h.E rrl *ill minr.h rottd coin Hrin in]hdc ( ttuird hv s.dsn l?@ olilr lrtrr Cd' for dr Frfim ol
<br />rh mrl rc *hih rhir Fmn k i.n d M, vtrt6 o'ti.dk . iKulIF ffir !n Dohv rumhcr c:
<br />Polay Nunir
<br />-Lrnircs
<br />-
<br />I Miryrhd in rL FrorIrNolrtt *ort fd shi.hrhi.Frmir
<br />'3
<br />istn,l \hrlr ml cqthv'nvF$' inr'r.Mr
<br />$ s b rrftr {6Fi h rlt s.tdl'(Ir,IEndi{tn hwr ol C.l'fomi& t n .ar thr it I slFuld tE$d sbFr to lt'
<br />*orida omFnIlnD Fovkit.. of Scrhn .l7OO or rrE lrhn Co& I rhll rontu iin 6n9lv eirh rlr* Envtionr
<br />W,rnlWC i,it,. rn *.,. *rrc6 $mr.ns!rk,n o!.h!. ir unlarhrl. rid $rll \u6rir ti mnhFr ro niniMl Fmlrb 'ld.ivil lin.r !p k, om hudEd llx,ui{n dolls ltloo{(x)) in iddirion il' rrF co( of conqxnqlnrtr' drtug's rr Ptovidd tor tlE
<br />S(rkn 1t076 t !h. Iilx, Cod., inrcrq .fld arlm't! ler &*.-2a*7</o-// /7 n,o,,*,
<br />IItsCTJSAIION
<br />I h.E6y!llirm und.r l.h{lryol'pctxry rhdr I0m li.cnrn und.r Pmvnhn ol( nrflc.9 (conrmkin! rilh SsriJn Tunl'l t)ivki('n l
<br />of rh. Bu.ims rRl Pn'rcshns Cod.. anl ny li..n€ n in lull r{nt .rn .r'lE.'l
<br />l-f,.nc Chs
<br />-l..r.t
<br />Nutr E
<br />lltl.. (-onlm(lor
<br />coNsTtatlc'rI()N Ll-'tDINC ,!crNc-Y
<br />I lEEhy tlrtrn uds Fnrh,ofFt lry lhtr rh.r. n ! n,ndN.rim L:ftlinS !S.r'v n rlE Frf'nroft' oi
<br />Kkd rs( :l(r'r. cir c r
<br />l .^j., \ Nrr
<br />dE rqt tu rtth lhn Frni i
<br />t.ndcis AilLlr(sr:
<br />-
<br />APPLIE ATf DECLARA'I'I(IN
<br />I lrtrtl! r,lnrulrlcr ncnnlryof FrJurr.E of rh f()lk)\nrg ll.hr nn5
<br />l)..mhrx,n P.rnrr!A\h.{os Noolkarir ltlcnl RcAolJ!x r rl l. {). P3d6,
<br />-R.tui
<br />.d r.l'd ol l(,ifdnn
<br />-l
<br />carify lh.l rh. r.ndl Elrlhionr ca.dinB Bb6xx rmvi N rl aflla.hk lo llts pottl
<br />-l
<br />cdrir, $d I llr E d lhn .0tlallbn dd nd. rh.! l,E .l,E intoridhn ir (d.d l rgE b @n9! 'nnru Cirv rn Cou*,
<br />.ti"*'.,d Sr.r. r.* .lri"j io tuildii* mdrEIior rd hd.t, dlsi& EFtidti6 of rhir Cr, t'n Codv lo "lE uF' ttE
<br />ffi;:ffi::-*[re*--- Zb'- k ,,.,.ta /s. (7
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Sublloor/VenVl nsulation
<br />Rool Sheathinq
<br />Shear Wall
<br />Framino
<br />lnsulationi Eneroy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Masonry
<br />T-Bar
<br />Handicap Req.
<br />Deputy Final Report
<br />Enqineer Final Report
<br />FINAL tla lzo \\)ch,
<br />Certif icate of Occupancy
<br />Notes, Remarks, Elc.
<br />Pool Fence
<br />Flood Zone Certif .
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