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HomeMy WebLinkAboutNotice to Building Official of Special InspectorPlanning and Development Services Building and Code Regulations 2300 Virginia Avenue Fort Pierce, FL 34982-5652 NOTICE TO BUILDING OFFICIAL OF SPECIAL INSPECTOR I (we) have been retained by �� na J AJO & �KA i , Owner, to perform special inspector services in accordance with the Florida Statutes 471 & 553 and the Florida Building Code — 6th Edition 2017, Project Name: 0 c e avi a C oA (pPl a Q- R t al'r S Permit # Address: c(4 H 0 S ©e f a n 0 r ;./ ( City ) P o 5m zip 3 4 9 5 NOTE: ONLY THE MARKED BOXES APPLY SPECIAL INSPECTOR FOR PILINGS SPECIAL INSPECTOR FOR SOIL COMPACTION AND FOUNDATIONS SPECIAL INSPECTOR FOR SHORING SPECIAL INSPECTOR FOR REINFORCING MASONRY AND ALL CONCRETE ELEMENTS SPECIAL INSPECTOR FOR POST -TENSION CABLES AND ACCESSORIES SPECIAL INSPECTOR FOR STEEL AND/OR WELDED CONNECTIONS SPECIAL INSPECTOR FOR FLOOR AND ROOF TRUSSES SPECIAL INSPECTOR FOR PRECAST UNITS, TILT WALL, ATTACHMENTS & REBAR PLACEMENT SPECIAL INSPECTOR FOR CURTAIN WALL AND/OR STRUCTURAL GLAZING SPECIAL INSPECTOR FOR PLYWOOD DECK AND/OR METAL DECK AND ATTACHMENTS SPECIAL INSPECTOR FOR THE FOLLOWING (If not identified above): f 0'4CV%eIf rf51vda+tcO * The following individual(s) employed by this firm are authorized representatives to perform inspections on the project named herein and are authorized by the signature and seal below 1. 2. 3. 4. * a. Authorized Representatives of an Engineer or an Engineer performing threshold inspections shall conform to Rule 61G15-30.004 of the F.A.C. & FL Statute Section 553.79(5)(a),(b) and (c), Sections 110.7 & 110.8 of the Florida Building Code (FBC) b. Special inspectors performing building department required inspections shall conform to the 6th Edition (2017) Florida Building Code, comply with Section 110.8, and be licensed under FS 468 Part XII. Permission to perform these inspections may only be performed under specific authorization of the Building Official C. The special inspector may not serve as a surrogate in carrying out the responsibilities of the building official, the architect, or the engineer of record d. A list of all individuals performing actual inspections with their qualifications, resumes and license information shall be furnished to the Building Department for approval with this document. Only persons listed on this document and authorized by the Building Official or his/her representative will be accepted I, (we) will notify the St. Lucie County Building Department of any changes regarding authorized personnel performing inspection services. I, (we) understand that a Special Inspection Log for each building must be displayed in a convenient location on the site for reference by the St. Lucie County Building Inspector, All Page 1 of 2 Special Inspector Form 2/17/2020 - --- mandatory inspections, as rei County. The St. Lucie Count Inspections performed by the mandatory inspections perfor under each Building Permit, I time of final inspection the co indicating that, to the best of i the project approved for spec accordance with the approves installed on an emergency be Building Code and in conform Engineer Printed Name: Engineer Signature: _ Company Name: _ Address: City: St. PE #SJ-'0 SI # Signed & Sealed: Owner/Agent Printed Name: Owner/Agent Signature: aired by the Florida Building Code, must be performed by the Building Inspector must be called for all mandatory inspections. special Inspector hired by the Owner are in addition to the ied by the Building Department. Upon completion of the work ire) will submit to the St. Lucie County Building Inspector at the ipleted inspection log form and a signed and sealed statement y knowledge, belief and professional judgment, those portions of it inspections and permits outlined above and are in substantial plans. I (we) hereby certify that if shoring is needed to be is, it will be in compliance with the provisions of the Florida nce with generally accepted engineering standards. John D. Breitenbach, PE 4853 SE Pilot Way Stuart, Florida 34997 For St Lucie County Office Us - .__--- - - - ---- - --- Breitenbach Engineering 4853 SE Pilot Way Stuart, Florida 34997 2 Date document received: Permit # Page 2 of 2 Special Inspector Form 2/17 N•''`'�,p,REI O • B '''% .,9 > • No. 59770 _ . CTA1 • � Authorization: Date: sio�� olt-