Building Safety Inspection Report Form STRUCTURAL
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1 Broward County Board of Rules and Appeals Building Safety Inspection Report Form STRUCTURAL Policy # Amended Building Information Building Structure address Legal description Folio # of Building Structure Owner's name Owner's mailing address Building Code Occupancy Classification In accordance with Building Code Edition Type of Construction In accordance with Building Code Edition Size ( Square footage Number of Stories Inspection Firm Inspection Firm or Individual Address Phone Inspection Commencement Date Inspection Completion Date Inspection made by In accordance with Section of the Broward County Administrative provisions of the Florida Building Code and the Broward County Board of Rules and Appeals Policy # the required safety inspection has been completed. No Repairs required Repairs are required as outlined in the attached inspection report. Licensed Professional Engineer Architect License # " I am qualified to practice in the discipline in which I am hereby signing." Seal Signature and Date As a routine matter, and in order to avoid possible misunderstanding, nothing in this inspection Report Form, attached Minimum Inspection Guideline and our Non-Destructive Observations, should be construed directly, or indirectly, as guaranteed or warrantee for any portions of the structure. To the best of my knowledge and ability, this report represents an accurate appraisal of the present condition of the structure, based upon careful evaluation of observed conditions, to the extent reasonably possible
2 MINIMUM INSPECTION GUIDELINES FOR BUILDING SAFETY INSPECTION STRUCTURAL I. Masonry Walls General Concrete masonry units Clay tile or terra cotta units Reinforced concrete tie columns 4. Reinforced concrete tie beams 5. Lintels 6. Other type bond beams Cracks: Identify crack size as HAIRLINE if barely discernible; FINE if less than 1 mm in Width: MEDIUM if between 1 and 2 mm in width; WIDE if over 2 mm Location - note beams, columns, other Spalling: Location - note beams, columns, other Rebar corrosion None visible Minor Significant - structural repairs required (describe II. Floor and Roof Systems: Roof: Describe type of framing system (flat, slope, type roofing, type roof deck, condition Note water tanks, cooling towers, air conditioning equipment, signs, other heavy equipment and condition of supports. Note types of drains and scuppers and condition. 5.89
3 Floor system(s: Describe (type of system framing, material, condition Heavy equipment and conditions of support Inspection - note exposed areas available for inspection, and where it was found necessary to open ceilings, etc. for inspection of typical framing members. III. Steel Framing Systems: Exposed Steel - describe condition of paint & degree of corrosion. Concrete or other fireproofing - note any cracking or spalling, and note where any covering was removed for inspection. Elevator sheaves beams & connections, and machine floor beams - note Condition. IV. Concrete Framing Systems: Full description of structural system. Cracking: Not significant. Location and description of members affected and type cracking. General condition. Rebar corrosion None visible Minor Significant - structural repairs required (describe V. Windows: Type (Wood, steel, aluminum, jalousie, single hung, double hung, casement, awning, pivoted, fixed, other Anchorage - type & condition of fasteners and latches. Sealants - type & condition of perimeter sealants & at mullions. Interior seals - type & condition at operable vents. E. General condition. 5.90
4 VI. Wood Framing: Describe floor system Note condition connector or stress Note rotting or termite damage Note alignment problems E. Note bearing deficiencies F. Note any significant damage that might affect safety and stability of building structure. VII. Exterior Finishes Note any structural deficiencies in the following. Stucco Veneer Soffits Ceiling E. Other 5.90A
5 IX. X. Branch Circuits: Identification Requires Repair ( ConduitRaceways: Requires Repair ( Requires Repair ( Building Illumination: Building Egress Emergency Exit Signs Requires Repair ( Requires Repair ( Requires Repair ( Fire Alarm System: Requires Repair ( Requires Repair ( Generator: Emergency StandbyOptional Requires Repair ( Requires Repair ( Site Wiring: Requires Repair ( Requires Repair ( Requires Repair ( XI. Low Voltage Wiring Methods XII. XIII. XIV. Smoke Detectors: XV. XVI. XXIV. Swimming PoolSpa Wiring: XXV. Wiring to Mechanical Equipment: XXVI. General Additional 5.90 D
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