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  • Activity Inspection Request Form

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    mohammadhashourzadeh
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    The document is a School Board of Polk County Activity/Inspection Request Form that contractors must submit to request inspections at different stages of construction projects. It lists various types of inspections that may be required, including underground utilities, structural elements, concrete pours, and fire protection systems. Contractors must provide relevant details like requested inspection dates and times, mix designs, and amounts poured. Inspectors will then sign off on passed or failed inspections and the date work is approved to proceed.

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    IRF Guidline

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    The document is a School Board of Polk County Activity/Inspection Request Form that contractors must submit to request inspections at different stages of construction projects. It lists various types of inspections that may be required, including underground utilities, structural elements, concrete pours, and fire protection systems. Contractors must provide relevant details like requested inspection dates and times, mix designs, and amounts poured. Inspectors will then sign off on passed or failed inspections and the date work is approved to proceed.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    3 views1 page

    Activity Inspection Request Form

    Uploaded by

    mohammadhashourzadeh
    The document is a School Board of Polk County Activity/Inspection Request Form that contractors must submit to request inspections at different stages of construction projects. It lists various types of inspections that may be required, including underground utilities, structural elements, concrete pours, and fire protection systems. Contractors must provide relevant details like requested inspection dates and times, mix designs, and amounts poured. Inspectors will then sign off on passed or failed inspections and the date work is approved to proceed.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
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    of 1

    SUBMIT

    SCHOOL BOARD OF POLK COUNTY


    ACTIVITY/INSPECTION REQUEST FORM

    PROJECT NAME: DATE:

    BUILDING NO. TIME:

    CONTRACTOR:

    FAX: Facilities: (863) 519-8255 Attention: Inspection Services

    E-Mail: inspectionservices@polk-fl.net

    Inspectors Name:

    Fire Marshal/Fax No.

    These activities shall be inspected prior to proceeding. Check appropriate box for activity.
    Additional inspections may be required.

    Underground: Electric Structural Steel


    Plumbing Electrical/Plumbing Rough-In
    Storm Water Pre-Roof Conference
    Other Pre-Rock/Shingle

    Footer Reinforcing Steel Pre-Wire Conference for Fire Alarm & Intercom
    Pre-Slab/Grade Above Ceiling
    Fill Cell Sidewalk/Driveway Grade (Pre-Asphalt Inspection)
    Tie Beam Fire Systems, specify

    Termite Treatment (PCSB) Other

    Date & Time of Inspection Requested:

    Relevant Mix Design or Specification:

    Concrete: Mix # , Slump , Amount


    Date & Time of Pour:

    Threshold Inspection Needed Building #

    Contractor (sign) As Ready

    Inspection Passed / Failed Inspector (sign)

    Date OK’d to Proceed


    Date Failed Reason

    Threshold Inspector Called

    Testing Firm Called

    PCSB Inspector Called

    M:\Projects\Inspections\Inspection Request.pdf
    Revised 1/23/2017

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