11-1105-006Nov 1111 03:00p Permit Masters 7862387640 p.2
The City of South Miami
Building Department
6130 Sunset Drive, Second Floor
South Miami, FL 33143
305-663-6355
Fax 305-6664591
NOTICE TO CITY OF SOUTH Av1IAMi BUILDING DEPARTMENT OF EMPLOYMENT AS SPECIAL
INSPECTOR UNDER THE FLORIDA BUILDING CODE.
I (We) have been retained by k 40 MCL4. too orm special
inspector services under the Florida Building Ode 10V at the P,-
ep
project on the below listed structure as of 1 i (date). I am a registered
architectiprofessional engineer licensed. in the S ate of Florida -
Process Number. 1- . A "
_ Special Inspector for Piling, FBC 1822.1.20 (R4404.6.1.20)
i
ap
ecial Inspector for Trusses > 35 ft. long or 6 ft. high, FBC 2319.17.2.4.2 (R4409.6.17.2.4.2)
ecial Inspector for Reinforced Masonry, FBC 2122.4 (R4407.5.4)
Snecial Inspector for Steel Framing, FBC 2218.2 (R4408.5 2)
cial Inspector for Soil Compaction, FBC 1820.3.1(R4404.4-3.1)
Special Inspector for Precast Attachments, FBC 192712.2 (1Z4405,9.12)
_ Special Inspector for Roofing Applications, Lt. Weight. InsuI.Conc. FBC 1917.2 (R4405.12.2),
Other �l
Note: Only the marked boxes apply. At
The following individual(s) employed by this firm or me is authorized representative to perform 6
inspection*
I. 2. / PA
3. 4.
*Special inspectors utilizing authorized representatives shall insure the authoezed representative is qualified by
education or licensure to perform the duties assign by Special Inspector. The qualifications shall include licensure as a
professional engineer or architect: graduation from an engineering education program in civil or structural engineering;
graduation from an architectural education program; successful completion of the K'CEES Fundamentals Examination;
or registration as building inspector or genera( con actor.
I (we) will notify the City of South Miami Building Department of any changes regarding
authorized personnel performing inspection services.
I (we); understand that a Special Inspector inspection Iog for each building must be displayed in a
convenient location on the site for reference by the City of South Miami Building Department
Inspector. All mandatory inspections, as required by the Florida Buildina Code, must be
performed by the City of South Miami Building Department .Inspections performed by the
Special Inspector I 'red by the owner are in addition to the mandatory inspections performed by
the depart I on completion of work under each Building Permit, I will submit to
the B wing••—t��'neof the final inspection the completed inspection log form and a
seal 1 ' to the best of my knowledge., belief and professional judgment
tho •140 At roj ed above meet the intent of the Florida Buildirio Code and are
in ti co iCapproval plans.
Eq&em;Architect
Name L Wt A0(ka pr;
si�s . e� '
•
Date: �is • :O T. ����Address S T
1� .0,Nq, E• G`N � all Bell (f rZ 3�1�