Fillable Application For Temporary Certificates Of Completion Or Occupancy (City of Hialeah)

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Application For Temporary Certificates Of Completion Or Occupancy (City of Hialeah)

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Before submitting an application for Temporary Certificate of Completion (TCC) or Occupancy (TCO) be sure
the following steps are complied with:
1. Complete the TCC or TCO application including the notarized signatures of the qualifying agent and the
power owner.
2. Provide the building permit number to the building permit representative who will verify that trade permits
have been obtained and will indicate those categories that have not been finalized and the completion holds
that have not been released. Trade permits must be obtained for the application to be accepted.
3. The completed original TCC or TCO application must be at the jobsite for the inspectors to sign. Request
the required pending inspections by calling 305.883.5825 or by email at inspections@hialeahfl.gov. To
request an inspection you need your permit number; all requests must be done before 3:00 p.m. the
day before inspection is needed.
4. Obtain release final or temporary of all completion holds for residential TCC or TCO. For
commercial buildings; Fire Department completion holds must have final or temporary release.
5. Once all inspections are finalized or approved for TCC or TCO and completions holds have been resolved,
submit the TCC/TCO application form to the Building Department.
6. For Florida Building Code (FBC) permits, a TCC/TCO application remains valid as long as the permit is
active. Prior to the expiration date, final inspections and a permanent Certificate of Occupancy or Certificate
of Completion must be obtained. If finals cannot be obtained prior to the expiration, you may apply for an
extension to the TCC/TCO. Please follow the above referenced instructions.
7. A TCO/TCC may be revoked if any action by the contractor, owner or tenant created any code violation
affecting the proper occupancy of the area.
8. Any TCO/TCC that expires without renewal has been revoked and can result in a notice of violation, civil
violation and/or disconnect of utility services.
IMPORTANT: Application must be executed and records verified by the City of Hialeah, Building Department
before signed by inspector. See below.
Record Verification made by: __________________________________________________ _____/_____/_____
Permit Record Technician Date
The inspector must approve those categories indicated below for temporary occupancy. Inspectors must verify
outstanding work listed and verify that all code provision relating to public safety have been met prior to
granting temporary approval.
Permit # ___________________________ Shell ____________________ Interior _____________________
CATEGORIES
SIGNATURES DATE COMMENTS
Building ___________________________
_____________________________
_______
Roofing ___________________________
______________________________
______
Electrical ___________________________
______________________________
______
Plumbing ___________________________
______________________________
______
Mechanical ___________________________
______________________________
______
Fire ___________________________
_____/_____/_____
_____/_____/_____
_____/_____/_____
_____/_____/_____
_____/_____/_____
_____/_____/_____
______________________________
______
City of Hialeah
501 Palm Avenue, 2
nd
Floor
Hialeah, Florida 33010
Office: 305.883.5825
Fax: 305.883.8082
www.hialeahfl.gov
APPLICATION FOR TEMPORARY
CERTIFICATES OF COMPLETION
OR OCCUPANCY
Location Address ____________________________________________________________ Unit #: _________________________
Master Permit # ___________________ Shell Permit # __________________ Interior Permit # _________________________
REASON FOR TEMPORARY CO: List below all outstanding work which is to be completed in order to receive all
final inspections and a permanent Certificate of Completion or Occupancy. Indicate if outstanding work is for
shell or interior.
____________________________________________________________________________________________________________________
____________________________________________________________________________________________________________________
Projected completion date of work ______ /______ /______ Today’s date __ / _____ / ________ _
Note: please read all instructions and fill in all portions of this application. This application must be submitted to the
City of Hialeah, Building Department, and fees must be paid in order for the Temporary CC, CO or extensions to be
issued.
CONTRACTOR’S AFFIDAVIT: This is to certify that I am aware of my responsibility to obtain all Final Inspections
and to obtain the required permanent CC/CO or an extension of the Temporary CC/CO as described in the attached.
Sanctions against my license may be imposed for failure to obtain all necessary finals and the Permanent
Certificate of Completion or Occupancy.
Company Name: ___________________________________________
Qualifier’s Name: __________________________________________
Print Name
X ____________________________________________________________
Qualifier’s Signature
License No.: _________________________________________________ Phone No.: _______________________
STATE OF FLORIDA COUNTY OF MIAMI-DADE
Sworn to and subscribed before me this ______________ day of __________________________, 20______.
Personally Known
or
ID
_______________________________
X ____________________________________________________________
Notary’s Signature
OWNER AFFIDAVIT
I UNDERSTAND THAT MY EXECUTION OF THIS APPLICATION AND AGREEMENT INCLUDES AUTHORIZATION FOR THE CITY OF
HIALEAH, BUILDING DEPARTMENT, TO ORDER, WITHOUT NOTICE TO ME, FLORIDA POWER AND LIGHT COMPANY OR ANY OTHER
ELECTRIC UTILITY COMPANY, TO DISCONNECT ELECTRICAL POWER TO THE PROPERTY UPON FAILURE TO OBTAIN ALL FINAL
INSPECTIONS AND A PERMANENT CO. I FURTHER UNDERSTAND THAT FAILURE TO OBTAIN FINAL INSPECTION AND A PERMANENT CO
WILL RESULT IN A TICKET BEING ISSUED.
Owner’s Name: ___________________________________________
Print Name
X ___________________________________________________________
Signature of Owner
Phone No.: ________________________
Address: ___________________________________________________
STATE OF FLORIDA COUNTY OF MIAMI-DADE
Sworn to and subscribed before me this ______________ day of _____ , 20_______. __ _____________________
Personally Known
or
ID ______________________________
X __________________________________________________________
Notary’s Signature
APPLICATION FOR TEMPORARY CERTIFICATES OF COMPLETION OR OCCUPANCY
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Application For Temporary Certificates Of Completion Or Occupancy (City of Hialeah)

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Completed 16 July 2020

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