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INSPECTION PAPPERS
^T\ Engineered Tower Solutions (919) 782-2710 E■ S 2624 Leighton Ridge Dr., Suite 100 (919) 782-2495 eNeecxuoTowert Wake Forest,NC 27587 ETS # 160040 �oivnouc ruc I Q SCANNED BY St. Lucie County TOWER -POST MODIFICATION SPECIAL INSPECTION SS TOWER F LE `09Y Angle Road 5110 PREPARED FOR: At AMEMCAN T431WEW cowry Rw TIox PREPARED BY: Tarma Fontaine Project Manager Engineered Tower Solutions,PLLC DATE: February 26, 2016 JAN e 4 2016 Public Works St. Lucie ccLtntg FL j^\ E1 S SI REPORT SUMMARY .xaraxco rowcx owe �,ic, CLIENT: American Tower Corporation DATE AT SITE: SITE NAME: Angle Road ATC PROJECT#: SITE NUMBER: 5110 TOWER TYPE: ADDRESS: 12200 W. Angle Rd TOWER HEIGHT: Fort Pierce, FL 34945 WEATHER: LEAD: Stacy Moms SUPPORT: PROJECT SUMMARY: Monday, February 15 2016 63412935 SS TOWER 300' Sunny, 67'F Wind 14-22 MPH Bryson Williams Subject: TOWER -POST MODIFICATION SPECIAL INSPECTION Location: 12200 W. Angle Rd Fort Pierce, FL 34945 Let:27.47083°N Long:80.45096°W Structure: SS TOWER Purpose: The purpose of this special inspection report is to ensure that the proposed construction and or construction activities have been completed and undertaken per design and meet all required Codes, Specifications, and Guidelines. PARTICIPATION PERSONNEL ATC Representatives: Jerry Gore ATC Construction Manager (CM) Florida (678) 357-0681 Engineer of Record: Aldin Navarro Tan, P.E. Structural Team Leader ATC Tower Services, Inc 3500 Regency Pkwy, Suite 100, Cary, NC 27518 (919)468-0112 General Contractor: Chester Janose Construction Manager ATS 450 S. Ronald Reagan Blvd., Longwood, FL 32750 (407) 423-9071 SUPPLEMENTAL INFORMATION ' Appendix A - Special Inspection Checklist Appendix B - Modification Drawings - As Built Appendix C - Cold Glav Verification ETS SI REPORT CHECKLIST £NGINFCRC■G SOJFR SOURION6. 1'llC CLIENT: American Tower Corporation DATE AT SITE: Monday, February 15, 2016 SITE NAME: _Angle Road ATC PROJECT#: 63412935 SITE NUMBE 5110 TOWER TYPE: SS TOWER ADDRESS: 12200 W. Angle Rd TOWER HEIGHT: 300' FortPierce, FL 34945 WEATHER: Sunny, 67°F, Wind 14-22 MPH LEAD: Stacy Morris SUPPORT: meson Williams PROJECT Subject: TOWER -POST MODIFICATION SPECIAL INSPECTION Structure: SS TOWER Inspection Approvals: TOWER -POST MODIFICATION SI SM/BW Fit -up of materials SM/BW Material grade, shape, fabrication, placement SM/BW Verification of proper material coating N/A Structural weld verification SM/BW Structural bolting / Expansion bolting verification N/A Guy tension verification SM/BW Full installation verifications per design Ri of Itl G9p® No. 742` 1 q, C 2/26/2016 ETS EX�INiOaRFO TOWFa PHOTO SUMMARY CLIENT: American Tower Corporation DATE AT SITE: Monday, February 15, 2016 SITE NAME: Angle Road ATC PROJECT#: 63412935 SITE NUMBER: 5110 TOWER TYPE: SS TOWER ADDRESS: 12200 W. Angle Rd TOWER HEIGHT: 300' Fort Pierce, FL 34945 WEATHER: Sunny, 67°F, Wind 14-22 MPH LEAD: Stacy Morris SUPPORT: Bryson Williams Inspection Item Description All modifications are within conformance to the modification documents provided by ATC Towers Services, Inc., ATC Project Number: 63412935, Dated: r October 16, 2015 with no deviations or FOR approvals required. ETS used contractor photos to inspect corrections to deviations identified during inspection. TOWER -POST MODIFICATION SPECIAL INSPECTION EITS CLIENT: American Tower Corporation DATE AT SITE: SITE NAME: Angle Road ATC PROJECT#: SITE NUMBER: 5110 TOWER TYPE: ADDRESS: 12200 W. Angle Rd TOWER HEIGHT: Fort Pierce, FL 34945 WEATHER: LEAD: Stacy Morris SUPPORT: APPENDIX A SI Checklist Monday, February 15, 2016 63412935 SS TOWER 300' Sunny, 67°F, Wind 14-22 MPH Bryson Williams StEpALASPECT10tlCHE000;j acrtaattt-rmrt omw�nx ecrmurrtamo y Y1f1Y8KA14Y3 wia swrca rtna. nasal KOMII oaAfuns manor erc�wwruaumarcuummucrvirHrntt++�t•�mexa4rrnxnx�+artame+meroracasa 9ECftal5Pt41a1YGa{'pN0.&R�a AaKRIklMrvxiJAlaGanrWCC"nn1Mt4AtWMrBxaRMaA3fxiwCakOliWWxtCxrN8:S1 � a -�( YIKAGIY xxmrtvucaanmroaAxecs csvuucairwuviw�¢eaanawwvoaowt J a:. .� i18144iaWIM1LLN66&$[wi[aa4CiCi: f N fFNfi1WW1AfWl48Y116FOM1afYIfiOtHRfiY9WpW1Pd1YT9YdIXaRM0B70KFLU9l9roP AWiRI97lof:1W41'kAf.YEW0.EiL0WiogafAPa,ECIW89[ROBfnIXakAWRIi�C t_omWOUR . 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Angle Rd TOWER HEIGHT: 300' Fort Pierce, FL 34945 WEATHER: Sunny, 67°F, Wind 14-22 MPH LEAD: Stacy Morris SUPPORT: Bryson Williams APPENDIX B MODIFICATION DRAWINGS - AS BUILT SEE FOLLOWING PAGES POWER -POST MODIFICATION SPECIAL INSPECTION As Built By: Chet Janose Date:02125/16 1:31 AMERICAN TOWER® ATC TOWER SERVICES, LLC 31500.REGENCY PARKWAY SUITE 100 CARY, NC27518 .PHONE: (919).468.0112 COA: 9053 5110 - ANGLE ROAD, FLORIDA. 300 FT SELF SUPPORT TOWER MODIFICATIONS PROJECT SUMMARY PROJECT DESCRIPTION ,SHEET SHEETTITLE REV. ATC _PROJECT NUMBER: 63412935 CUSTOMER: T-MOBILE CUSTOMER SITE NUMBER: A2PGG48A CUSTOMER SITE NAME: ATC WOOOCREST SITE ADDRESS: 12200 WEST ANGLE ROAD FORT PIERCE, FL 34946 DATE 10/13/16 REVISION: 0 TEE MODIFICATIONS PRESENTED ONTHESEORAMG3 ARE BASED ON THE RECOMMENDATIONS OUTLINED IN THE STRUCTUIVU.M LTSIS COMPLETED UNDER ENGINEERING. PHOJECTNUWER& 12922 DATED 0MU15. SATSFACTORY COMPLETION OFTIE WORK INDICATED ON THESE DRAWINGS WILL RESULTINMESTRUCTURE MEETNG THE REQUIREMENTS OFT4E SPECIFICATIONS ,UNDER MICH TIE STRUCTURAL WM COMPLETED: e•1 BILL OF MATERWS 0 ION IBCGEI,F A NOTES 0 SIC SPECIALINSPECTIONCHECIGIST 0 AI MODIFICATON PROFILE, 0 A-2 HIPBRACEINSTALUITONDETAOS. 0 A.y HIPBRACEINSTALLATIDNOETAILS 0 Ft HIP BRACE FABNICATON DETAILS 0 BILL OF MATERIALS QUANTITY REQUIRED QUANTITY PROVIDED I PART NUMBER DESCRIPTION LENGTH SHEET LIST PART WEIGHT WE HT NOTES AM AFI:ARSOTNEB- THRE0.0® ROD HIP BRACING. ATCTOMR.SERVI6M UC 60 60 IiBiii fL 3/8°X 8° tl-81l4" A-2,A-2A;kB�1 3.3 198 avoauU0.1.giiw4v. --'80- 8 —6. .--.-. 60 6 _6_ NBA•1 -- .. .-..rr... ..._-..-.._-.._.._-__.... L4"X3°%'3/8 SIB"G/ASTMA387F9iFADH)RODASSB'JBLY - 59.m ASIMA36 TFRFAAbE RO ASSBJELV tl31/2" 1T-0` 15'-6" A-2A,HB-1 A-2A. A-2A 1.8 -- :--. 114 -._ -.-. (4)H LKW(COUPLER F NEED®!GALVANIZE] ) (4) HH+LKW(COMER F N®M. I GALVANIZED surtsrm m9: m-)m4 h10ME�(N°laeanr AaAiwm .. 6 6 T— Wee-ASMIA36ThREADEDRODASSBJIBLY 15'-6' A-2A - --- -- 4).HFW-LKW.(000 Ft•�BJ)IGALVANIZ® w ,�e ^q`�++'+^Tar mwewu.ww B 8 ..y 8 e --. -- -5/8"OASTMA38TWFADEDRODAS$E4BI.Y 5l8"OAS1MA38TTR2FA0®RDDA$$Eu1BLY 14.T f41 A2A A2A- - .... ...... ..._ (4)WALLKW(COII%Bt FIJ®®)/GALVAN2DJ. (4)WW-LKW (GODPIBtFND�®)./GALVANO� _. __ mm[ Mr tvau mm o-ewaama..e°m..A:aa's"`nror."o.O1.: 80 80 SUOfNS73 VANSE6iT GREEN PINS) SHACKLE IR"— A.2A O/;'CROSBY00.209-A 01017494 48 58 _ ---- - BOLT:B"OASTMA325 13/4"' -- ---- ,--- H49LKW/GALVANIZE] **"" )2 ]6 - - BOLT, IDB°OASTMA325 2" -:- ---- -- 16W}LKWfGALVANIZED nFV oFscBivnox er 'oAnl �_...-.._..:_ ... ......-f!85TAawe --- ---- - ................ __ ..^�.". ATC SItEIYMeFR 5110 -. _.. ..-�_-:_. .___..-.._.. ...... ..... __ .-- _II �__--:.y�_'_'....... .....__.- .. _._-.-_. ANGLE ROAD ...... .... _.-_._._ FLORIDA - ------. 1amvesl etwlsnoAo kaRIOIFRCE, fLNefs nxap SJATE9F AY.ORIO' Io.Q:�s ............... _........ .-.-.... _. .<... - .. _. — OMmm OMB .- 4PPPOVE49Yi °}. . YM tp11 maim WI - -- - - BILL OF MATERIALS �. PIEEYNONBpt. PEV5101t .. __..-_.._....w_—_..- E TOTAL WEIGHT (II) 312 PAGE 1 OF 1 13'1 0 GENERAL 1: A91N9W,i0�[ONR¢TEOPEPAPPLMA61EL004:61AI6 NDfFGFML L00Es 0.W ORpNPHPSin1E MMRACIdfl15 RE6WNywffVy09INp1Nj /jIp IBAMW DYALLYFAIAREOIEPAIITA ¢.: A14VAMrMIGTEDONMN EwUnNGBEFW.4MKRFORNEUBYq nEO. •EOMPALIDg9EMPEPIENCEDINTOwERANQFOVN64nOHCDH61rywiX1N 1 TIECONIPACIOR 6NULNOM'tlf CWItTE90PF[LdWImYF1MTRYOF.. INSTALNnDN WIEgFFRfNLE6: ALLHEWµ9PR6WU. 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REiPwµttnaaow.itwlEwEnenxL AWCA"76wmk•, AM 'm9�?°R°D muxm ATO TOWER SERVIOEB}LEC, ��{ EOWREOENCY%.gNWAVc DAQ•;NS}R11 _. I I J p4 C NI Y�1 ravel un ¢ I ul, tM9re°mp2Eedtil cDAlPo6T •.. . COUPLER DETAIL. TYPICAL (IF NEEDED) 'HM.BMCING INSTALLATION CHART TTOWER MODIFICATION: 'ELEVATION.,,, 'TOTAL ,THREADED ROD',', CENGTN. CONNECTION PLATE WSTALLATION 16ECjI0N ETM .TOP DAOGE DIMENBIOI BOLT MOTH I W'a'... 26-0" .1" . .... 2' 2'... • 2i .3tla' -,:4tl-0"." 16W 2' �. '.. Y... E BUIlt se Date:02/257161:33 rear . CaaELlwNw:rE bEE6xE1T1[il {IR fIH1EGTIPNtgiMS 'Am uR NUBER 6110 ATLNIEtVLE` ANGLEROAD ,L EEETA6lEFM HIPSRACE L -owae on¢xslau INSTALLATIONDETAILS SECTION"C,G° CONNECTION PLATE/ANGLE INSTALLATION' srtaimymc 'TYPICALDETAIL A-2A AMTOWBR• ATOWECTOWER R SERVICES, LLC` iW4 �6ENGYPARAYlPY ,eXey�aN aeu . owoxflkfgaecofYf coeadv>... �+xta+•wnn,a.uwor �� r _44�muMNwiplfv.fll � uMWnYMuvAi.. ¢u.Krt°uw1i 6WGRkOxn.1 WFE6M�MMiMN' PEV.. CEBGRIPTIaN 9Y :ia1T I^1 I Y�• giG6HENWLBER: 5110 mot' S-� A]CSHENIYE: y N ANGLEROAD FLORIDA -flr ^. 1 wregowce3s d .tE3WWE9Y<NGIF.NOP➢ ,'FOPi PIERE2 PLMP16 _ vem vvo isae Will / `4 N�0 ry CONNECTION ANGLE HBP•1 :No. 68883 y, CONNECTION."TE STATE OF W F(ORIOP' �4w i f1 l4tAiS' mgf+Ner: aNu arrwavEaen ' aEfEwnwt iw�vfs Aa7 R ly 1` gfuwwo: aulmn .HIP BRACE.. `/ � I By: Chet J-,-- 0a1e:02/25/16 1.33 FABRICATION DETAILS H6P-f HBA-1' PLLB•%el LC°.%3•%313"' -O'61M" SHAPE O'.21IT' ... 'L9/. 1.Bk SHEE]NUVaErc R[Nsww PARTNO, DESCRIPTION- LEN6TN NOTES BLK WfOALV WC F-1 O MATERIAL: AM MIMI DALVANRED 'HOLES: 111100 DND:' ETS CLIENT: American Tower Corporation DATE AT SITE: Monday, February 15, 2016 SITE NAME: Angle Road ATC PROJECT#: 63412935 SITE NUMBER: 5110 TOWER TIDE: SS TOWER ADDRESS: 12200 W. Angle Rd TOWER HEIGHT: 300' Fort Pierce, FL 34945 WEATHER: Sunny, 67°F, Wind 14-22 MPH LEAD: Stacy Morris SUPPORT: Bryson Williams APPENDIX C COLD GALV VERIFICATION SEE FOLLOWING PAGES TOWER -POST MODIFICATION SPECIAL INSPECTION �T S EXPERIENCED , RELIABLE - PROFESSIONAL P • 800-797-3692 12544 E. Landstreet Road, Suite 600.Orlando, FL 32824 i Cold Galvanization Verification Letter February 25, 2016 Site I13:5110 Site Name: Angle Road To Whom It May Concern: This letter certifies that American Tower approved cold galvanizing compounds were used on the modifications of the tower in accordance with American Tower Standards Chester Janose Construction Manager Atlantic Tower Service