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BUILDING- INSPECTOR RECORD <br />SITE.WORK DATE ID/SIG.COMMENTS <br />Set Backs <br />Forms/Steel/Holdowns <br />Erection Pads <br />UFER Ground <br />SLAB Floor <br />Subf loorA/enUl nsulation <br />Roof Sheathinq <br />Shear Wall <br />Framing <br />lnsulation/Energy <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 />Engrneer Final Report <br />Flood Zone Certif . <br />.{>ll //*qu <br />FINAL o- )"q L /,./s, <br />Certificate of Occupancy <br />Notes, Remarks, Etc <br />OWNEA BUILDET DELI)IN T|ON <br />I lE br rlrm undq pdrl'y ol Fjury lha I e ddfl &oft fic Comr&to6 Li.@ Lrw for th. fouowins lEsn (!E?011.5 <br />Bilo6i dd Prot6io! Cod.) A,y Ciry or Coun, $tah ,!q!i6 . Fni ro 6dM. .IE. i,p@tq damllh or rq! uy <br />tucraq Fi,r to c i$lltrc &6 rcqun6 r& 4plisl for uh pahir ro frk r rkn.d slntut lhn L or dE ! lica!.d pleen <br />to rh. tro6DB of (E co.r.stoir Lko..d t * (CtuFq 9. ConnftinS wnh sdion ?000 ol Divitbn I ol dE ttulilB !d <br />Pref<ioN Cod.) d rh.r lE c slr ir .rdrF $a.6oE .,rd rlE bcL tor lh. .lLs.d qoFion Ary lblxion of Sdbo 70315 b, dy <br />lppli.dl for s pc h rubj6t! rh. .pplicur lo i cilil pctuhy of rcl mr. rho fiv. tu.dcd &ll!r (1500) <br />l. s om* oath. ,,oFly. or ny cnrlo)c wnfi *.s6 s lh.n rk omFlnioo. *iI d, lt asr tn [E lttllc i! d <br />ina.Ld trotu ld rd. (Sd 70{4. EBin6 Dd P,Da6bN Cok Th. cotud 'rlidgtrr&6ml+dylo6owot <br />rn FiFry eh! bil&or hpmv6 E6., si wh do6.stwn ti,Mlf ortdslf orltmusnhn d ha oF!41016, <br />Fo\ *,.d th. sh imF!\ErEg Gd iidiLd M olird 6r -r.. ll h.Bq, ft hoilrnB d idFesEr i sE pith m rr <br />ofo'npk ioG tlE Osd B{drti w h.wllEbnldrofFlwE Or lEd*. dtd iEll build itp.lE dE FDFy 6t tlEprFaoa <br />_1. a orG of rh. FDFry, m qclGndy codrr.rms *'{h lr@r.d.od.doB to c.trrnd tlE Fli*l (56 7044, B6i!B <br />drd hoto B Co&: Tn. ConltrloiJ l,i.at. L.w do6 nor lpply lo e o*na of FoFry who buildi or inprera rh66l! <br />.!d slE @iir*13 lor N.h FoFrt sith ! codffro(, lt6.d pol:u! h rhc cotuEloat Lkre L.w). <br />I m .r@F udr Serion , a & P c. Ior fiit l@n <br />Orn.r <br />\IOR(f Rs COnTPE\SATtOt\Dl;(trr{llllr <br />I ha.!y llIm !.da FEht of pajury oE oftlE followha d6Lrnio6 <br />I hrE dd will rid.in . Carifi.{. oaco.gr ro Sdf-lM for mrt6 omradio.. E Fovij.d for b, Serb! l70O of llt <br />t hor Coda lor O. p6fo.ile. olth. worl for *ii.h th. Fnn ic isu.d <br />,11 hln &d will ocinl.il world comFnsrioo isu,Mq E rcqun.d by Scrrn ]?m of rh. kbor Co&, tu rt Ffolrlffi. of <br />th. sorl for shah rhir Fen i! e!d. My wt6 orrdrbn i,ull,4. @; id poli.y nunb.r fti <br />r\or1 ?r!' <br />Bi wu. rstl-? &L -'L t <br />l.difr rh.t in rh. Ffolrm. ofrh.*ort fd shi.h fis Fnn L! u.4 I !h!ll mr dploy &y F$n in e, nj,,E <br />s s ro b.roft eucr ro rhc uorl6' comDsad ion hwr ol C.lilom{. 3rd rsie rhd if I lhould bcon ruu<l lo tlE <br />*o 6 odFslIn povi'i.B olsdion 1700 016. lrbor cod.. I sliL fodhvnn @ndt *nh <br />'ho- FovirbB <br />W RNING Ti,lu. b Bu. *orld contpaMrio. .o!6a8. r l. ud shlll suqd & oploF lo dnn'od rEuhs dd <br />.hi nn6 up ro oE hlntal thore,rt.!.llrs (tlm.o0o). '.Sdl6n 1076 of ih. llbor Code inrcdl6d dom?y s f€. <br />o[@l4d.'ior d&!{6 ! Fov'd.d tu 0E <br />1l <br />ull.llrtlll)}lBrl_l9B![rl!l&lrQr <br />I horb, .Ifm uda pa.n, of FiEy rlr I h lrG!!.d udlq Fovitbi ofcbtt!.d 9 (@ntt1* trtB *th Scrbn 7000) oI Diviriot ! <br />of th. &!iK Ed Pblsio6 Code ed my lice ir i! tull foEG dd.lT61. <br />1,.d. cras: C'l!noY{o1 <br />?o 1 | ,-,-n- et'dnus\s.,,.. r:-1. ,^ <br />colirarcrQttl.ElDacSc[lcr <br />I nclnt .ftn u,ir Frly of Fjury rhn $e it r enrMio. laiins tSey ror lL Ffotuc ol0E erl lor *,I'{h rhit pd'lir i <br />$u€dlse. lo9?, crv. c.). <br />AIIIrcAII.DECIASAIIO! <br />I fid$y.,Im unda F!!y ofpsju.y on. oflhc tollowins delt rcns <br />D.dolnion PmheAtbdor Norificd io. a.da.l R.SuLrbN (Tt1. 40. Pal6) <br />-,Ratuild Ldra of r,lori6.dir <br />, .dib rh, rh. f€d6.1 quht'oB qEdin3 6ldor rom\ .l r. Nr 4,lE.bl. ro rh6 For4r <br />. ,i!d rh6 q'rli.lrion erl 3r .thc .bor infotuion 6 otr.1 ! !t e ro onply wnh .il Ciy d Counly <br />i$r Elaliis ro hrldinr conll ,d hdC,) adt(rir rcF66rdiv6 of rhisCn,-L_ad Counly lo als upon lh. <br />.bo\. mdriomd prcFd' ror 2t L r. ppli..nr o. ^*arshn.luE <br />Pdn& !.n.(prln0; <br />Trufl-