Form For "Special Building Inspector"

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Broward County Board of Rules and Appeals

Effective: June 30, 2015

One North University Drive, 3500-B

Telephone: 954.765.4500

Fort Lauderdale, Florida 33324

Facsimile: 954.765.4504

FORM FOR “SPECIAL BUILDING INSPECTOR”

SECTION

110.10

– BROWARD COUNTY ADMINISTRATIVE CODE

AND THE FLORIDA BUILDING CODE, 5

Edition (2014)

OTICE TO PROPERTY OWNER

You are hereby directed in accordance with Section 110.10.1 or 110.10.2 of the Broward County Administrative Code and the Florida

Building Code to retain a Special Structural Inspector (A Florida Registered Architect or Licensed Engineer) to perform the following

mandatory or discretionary inspections, as outlined in Section 110.10 of the Florida Building Code and submit progress reports,

inspections reports, and a Certificate of Compliance to the Building Official as per Sections 110.10.6 and 110.10.7 of the Florida

Building Code.

Note: The Building Official determines which discretionary inspections are to be delegated.

DATE: ___________________________________ IDENTIFICATION, CONTROL OR BUILDING PERMIT # ___________________________

PROJECT NAME: ___________________________________________________________________________________________________

JOB ADDRESS __________________________________________________________________________ ZIP _______________________

LEGAL DESCRIPTION: _________________________________________________________________ FOLIO # _____________________

A. M

ANDATORY

NSPECTIONS

YPE BY

ODE

□

1) Precast Concrete Units – Section 110.10.2.1 ........................................................................................................................................................................... Yes

2) Reinforced Unit Masonry – Section 110.10.2.2 (per ACI 530.1-13-Level B Quality Assurance)*

□

*unless noted otherwise on plan .................................................................................................................................................................................................. Yes

□

3) Connections – 110.10.2.3 .............................................................................................................................................................................................................. Yes

□

4) Metal System Buildings – Section 110.10.2.4 ............................................................................................................................................................................. Yes

□

5) Smoke Control Systems – Section 110.10.2.5 .......................................................................................................................................................................... Yes

B. D

ISCRETIONARY

NSPECTION

YPE BY

UILDING

FFICIAL

1) Building Structures or part thereof of Unusual Size, Height, Design or Method of Construction and

□

Critical Structural Connections – Section 110.10.1.1 ............................................................................................................................................................ Yes

□

2) Windows, Glass Doors and Curtain Walls on buildings over two (2) stories – Section 110.10.1.1 ......................................................................... Yes

□

3) Pile Driving Only – Section 110.10.1.1 ....................................................................................................................................................................................... Yes

□

4) Precast Concrete Units – Section 110.10.2.1 ........................................................................................................................................................................... Yes

□

5) Reinforced Unit masonry – Sections 110.10.2.2 ...................................................................................................................................................................... Yes

□

6) Other ................................................................................................................................................................................................................................................... Yes

C. M

ANDATORY

OCUMENTATION

1) Inspection schedule stating the specific inspection that will be made and at what phase of construction must be submitted with this application.

2) Progress Report/Inspection reports during construction in accordance with Section 110.10.6.

3) Certificate of Compliance must be submitted prior to the scheduling of the final building inspection, Section 110.10.7.

ACKNOWLEDGMENT

Owner’s Signature: _________________________________

Permit Holder’s Signature:

________________________________________________

Printed Name:

_________________________________