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Tropical Chevrolet, 04-06-23 UES No 350720 SPECIAL insp rept #022 (drilled and epoxy anchor rods into footings @ exp. bldg.) - GDZProject No.: 2110.2100049 Report No.: 350720 Date: April 6, 2023 8050 NW 77th Court · Miami, FL 33166 · P: 305.249.8434 · F: 305.249.8479 STRUCTURAL OBSERVATION REPORT No. SPECIAL-022 CN: GDZ: ASD Page 1 of 4 cc: 1 − Job Site; 1 − Client; 1 The Original of this Report was Signed and Impressed Sealed by the Above Registered Engineer in Accordance with Rule 21H-18.11, Chapter 471, Florida Statute Client: Lebolo Construction Management, Inc. 2100 Corporate Drive Boynton Beach, FL 33426 Project: Tropical Chevrolet Renovation/Expansion 8880 Biscayne Blvd. Miami Shores, FL 33138 Agent: Gaetano Di Zio, E.I. Date of Services: 04/06/2023 Village of Miami Shores Building Permit No: CC-12-20-2951 (issued date 11/07/22, expires 05/08/23) Scope of Field Services: Professional observation of completed structural elements (Special/Welding Inspector). Reference Documents: • JSG structural drawings sheets S1.0 thru S-4.2 (15 pages), Bulleting 7 dated 07/21/2022, signed/sealed by Mark Johnson FL-PE#51983, reviewed/approved for structural compliance by the Village of Miami Shores Bldg. Dept. on 08/22, (permit set review by the Miami-Dade County Department of Regulatory and Economic Resources on 05/16/2022). Record of Field Observations: Visual verification for the reinforcing steel placement at the following locations indicated below: 1. Column pad footings as per S2.0, S1.1 & S4.0/S4.2: a) Column footings type F66 at grid-lines B.8x9 & D.5x9 completed (*). b) Column footings type F90 at grid-lines B.8x10 & D.5x10 completed (*). The above mentioned reinforcing steel placement was found to be performed in substantial compliance with the reference documents except (see below ↓↓↓ *), completed on 04/06/2023 (refer to items 2a and 2b below) ↓↓↓. (*) as per S1.1 “column / base plate schedule: the bottom hex nut shall be “tack welded secured”. SUNCOR did not include a clarification/approval question for omission of the tack weld under dwg. Sheet AB1 “approver note”. As per approver note #2 a plate washer was approved above the previously mentioned hex nut. This plate was found to be loose (floating) not secured preventing displacement at the time of conc. placement. GC to provide clarification for the observed AS BUILT conditions. For items 2g & 2h. DRAFT Project No.: 2110.2100049 Report No.: 350720 Date: April 6, 2023 8050 NW 77th Court · Miami, FL 33166 · P: 305.249.8434 · F: 305.249.8479 STRUCTURAL OBSERVATION REPORT No. SPECIAL-022 CN: GDZ: ASD Page 2 of 4 cc: 1 − Job Site; 1 − Client; 1 The Original of this Report was Signed and Impressed Sealed by the Above Registered Engineer in Accordance with Rule 21H-18.11, Chapter 471, Florida Statute 2. Visual verification of drilled holes for post-installed threaded rods by means of approved anchoring epoxy Hilti HIT-HY 200 at the following locations indicated below: a) Cleanness/depth check (7” min. embedment) and epoxy application for ¾” Ø anchor rods into existing CIP concrete footings at gridlines B.8x9 and D.5x9 at expansion service building, as per attached drawing No. SK-01-17-23 (RFI #62), completed. b) Cleanness/depth check (14” min. embedment) and epoxy application for ¾” Ø anchor rods into existing CIP concrete footings at gridlines B.8x10 and D.5x10 at expansion service building, as per attached drawing No. SK- 01-17-23 (RFI #62), completed. Mr. Jim Jenco, Project Superintendents with Lebolo Construction, was notified of the aforementioned visual verification results. Please see adjacent report pages for photographs and drawing No. SK-01-17-23. DRAFT Project No.: 2110.2100049 Report No.: 350720 Date: April 6, 2023 8050 NW 77th Court · Miami, FL 33166 · P: 305.249.8434 · F: 305.249.8479 STRUCTURAL OBSERVATION REPORT No. SPECIAL-022 CN: GDZ: ASD Page 3 of 4 cc: 1 − Job Site; 1 − Client; 1 The Original of this Report was Signed and Impressed Sealed by the Above Registered Engineer in Accordance with Rule 21H-18.11, Chapter 471, Florida Statute DRAFT Project No.: 2110.2100049 Report No.: 350720 Date: April 6, 2023 8050 NW 77th Court · Miami, FL 33166 · P: 305.249.8434 · F: 305.249.8479 STRUCTURAL OBSERVATION REPORT No. SPECIAL-022 CN: GDZ: ASD Page 4 of 4 cc: 1 − Job Site; 1 − Client; 1 The Original of this Report was Signed and Impressed Sealed by the Above Registered Engineer in Accordance with Rule 21H-18.11, Chapter 471, Florida Statute Reviewed by: Universal Engineering Sciences Certificate of Authorization No. 549 Carlos Naumann, P.E., S.I. Florida Professional Engineer No. 18594 Florida Special Inspector No. 181 DRAFT DRAFT