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Planning 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 Island Crest Condominium Association
to perform special inspector services in accordance with the Florida Statutes 471
Florida Building Code — 7th Edition 2020.
Project Name: Island Crest Concrete restoration
Permit #
Owner,
& 553 and the
Address: 10680 S Ocean Dr. City Jensen Beach Zip 34957
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
X SPECIAL INSPECTOR FOR THE FOLLOWING (If not identified above):
Concrete repair of columns, beams and balcony flooring
* 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. Zuhair Jalloul, P.E. 2,
3. 4.
a. Authorized Representatives of an Engineer or an Engineer performing threshold inspections shall
conform to Rule 61 G15-30.004 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 required by the Florida Building Code, must be performed by the
County. The St. Lucie County Building Inspector must be called for all mandatory inspections.
Inspections performed by the Special Inspector hired by the Owner are in addition to the
mandatory inspections performed by the Building Department. Upon completion of the work
under each Building Permit, I (we) will submit to the St. Lucie County Building Inspector at the
time of final inspection the completed inspection log form and a signed and sealed statement
indicating that, to the best of my knowledge, belief and professional judgment, those portions of
the project approved for special inspections and permits outlined above and are in substantial
accordance with the approved plans. I (we) hereby certify that if shoring is needed to be
installed on an emergency basis, it will be in compliance with the provisions of the Florida
Building Code and in conformance with generally accepted engineering standards.
Engineer Printed Name• Zuhair Jalloul, P.E.
Engineer Signatu
Company Name:
Florida Consulting Engineers, Inc.
Address: 134 NW 16th St. Suite 1
City: Boca Raton
State: FL Zip: 33432 + Phone (561 ) 353 _1152
PE # 35416 SI # 1017
Signed & Sealed:
2, 2�
Owner/Agent Printed Name:
Owner/Agent. Signature:
For St Lucie County Office Use Only
Date document received: / / By:
Permit #
Page 2 of 2
Special Inspector Form 2/17/2020
Authorization:
Date:
C E /V S �.. 9-
No. 35416 *'
7p STATE OF QJ
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