Cartersville, GA · Bartow County

No notary required

Statement of Special Inspections

Project applicants use this statement to identify special inspection services and the individuals, agencies, or firms intended to conduct inspections.

What this form is

This project-specific statement identifies special inspection services and the individuals, agencies, or firms intended to conduct them. It asks for project and design professional details, whether seismic or wind inspections apply, inspection report frequencies, and signatures from the preparer and Building Official. The document says it is submitted in accordance with Section 1704.3 of the 2018 International Building Code.

Who needs it

A permit applicant or other project representative preparing a Statement of Special Inspections for a project with applicable special inspection services needs this document.

How to submit it

Submit it to the city department named on the form; check the city website for current contact details.

About notarization

This document is signed without a notary; the preparer and Building Official sign and date it, and the preparer’s seal is requested.

How to submit this form

  1. 1

    Download The Statement

    Download the Statement of Special Inspections PDF.

  2. 2

    Complete Project Details

    Enter project, applicant, design professional, inspection service, and reporting frequency information.

  3. 3

    Gather Inspection Information

    Identify the individuals, agencies, or firms intended to conduct inspections and indicate whether seismic or wind inspections apply.

  4. 4

    Sign And Submit

    Have the preparer sign, date, and provide a seal; obtain Building Official acceptance, then submit the completed statement to the city.

Frequently asked questions

What does the Statement of Special Inspections record?
It records project and design professional details, applicable special inspection services, inspection report frequencies, and the people or firms intended to conduct inspections.
Who completes this statement?
The form provides spaces for project and design professional information, a preparer’s name, signature, date, and seal, plus the Building Official’s acceptance signature and date.
Do I need a notary for the Statement of Special Inspections?
No. This document is signed without a notary; the preparer and Building Official sign and date it, and the preparer’s seal is requested.
How do I submit the Statement of Special Inspections?
Submit it to the city department named on the form; check the city website for current contact details.

Need something notarized?

This Statement of Special Inspections doesn’t need a notary — but if you have another Cartersville form that does, a commissioned online notary can help.