HomeMy WebLinkAboutIsland Club - SI Form Signed and SealedVirginiaBuilding and Code Regulations
2300
Fort Pierce, FL i 6'
RestorationProject Name: Concre e
BOXESNOTE: ONLY THE MARKED APPLY
SPECIAL INSPECOR. FOR PILINGS
SPECIAL INSPECTOR FOR SOIL COMPACTION AND FOUNDATIONS
-SPECIAL INSPECTOR FOR SHORING
SPECIAL INSPECTOR FOR REINFORCING MASONRY N ALL O'. ''.
SPECIALSPECIAL INSPECTOR FOR POST -TENSION CABLES AND ACCESSORIES
INSPECTORO AND/OR
SPECIALSPECIAL INSPECTOR FOR PLYWOOD DECK AND/OR METAL DECK AND ATTACHMENTS
. R THE FOLLOWING (if not identified above):
* 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
Kevin
3. r, BN 6186 4.
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location1, (we) will notify the St. Lucie County Building Department of any changes regarding authorized
personnel performing inspection services.
1, (we) understand that a Special Inspection Log for each building must be displayed in a
convenient n the site for reference b the
Page
Special#.- o> 121
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 wit enerally accepted engineering standards.
Engineer Printed
Engineer Sig
Company Name: Hellas Engineering Inc.
Address: 2475 Mercer Ave Ste 106
City: West Palm Beach State: FL Zip: 33401 Phone (561)469-1907
PE # 73160 SI # 73160 (See attached)
Signed & Sealed: �4 .,,.. K O f►
• 0 /''•
Digitally signed = *'
by Elias Kokkoris
Date:2022.01.10 ��
16:25:18 +02'00'4 O P t .• tip'`
-"r� �0 N A i
Owner/Agent Printed Name:
s
Owner/Agent Signature,
For St Lucie County Office Use Only
M
Date document received: / / By:
Permit #
Page 2 of 2
Special Inspector Form 2/17/2020
Authorization:
Date: / /
v
THE OFFICIAL SITE OF THE FLORIDA DEPARTMENT OF BUSINESS &
PROFESSIONAL REGULATION
d b'p"r
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KOKKORIS, ELIAS (Primary Name)
2475 MERCER AVE
SUITE 106
WEST PALM BEACH Florida 33401
PALM BEACH
616 CLEARWATER PARK RD APT 404
WEST PALM BEACH FL 33401
PALM BEACH
Professional Engineer
Prof Engineer
73160
Current,Active
06/04/2011
02/28/2023
Special
Qualification Effective
Qualifications
Civil
02/01 /2010
Advanced Building
12/18/2018
Code Course Credit
7th Edition, Florida
03/08/2021
Building Code
Special Inspector
05/24/2021
Limited
Alternate Names
https://www.myfIoridaIicense.com/LicenseDetaiI.asp?SID=&id=5771306716143FS5047627533D5FA037 Page 1 of 2