Town of Bay Harbor Islands ~ Building Department
9665 Bay Harbor Terrace
Bay Harbor Islands, Florida 33154
Office: (305) 993-1786
NOTICE TO TOWN OF BAY HARBOR ISLANDS BUILDING DEPARTMENT OF EMPLOYMENT AS SPECIAL
INSPECTOR UNDER THE FLORIDA
BUILDING CODE AND THE MIAMI DADE COUNTY ADMINISTRATIVE CODE.
I (We) have been retained by to perform special inspector services under the Florida Building Code 6
th
Edition (2017) and Miami Dade County Administrative Code at the____________________________________ project on
the below
listed structure as of ___________________________(date). I am a registered architect/professional engineer licensed in the State of
Florida.
Process Number / Master Permit:
__________________________________________________
􀀀 Special Inspector for Pilings, CMDC Sect. 8-22
􀀀 Special Inspector for Lightweight Insulating Concrete, CMDC Sect. 8-22
􀀀 Special Inspector for Soil Compaction, CMDC Sect. 8-22
􀀀 Special Inspector for Precast Units and Attachments, CMDC Sect. 8-22
􀀀 Special Inspector for Reinforced Masonry, FBC 2122.2.4 & CMDC Sect. 8-22
􀀀 Special inspector for Steel Bolted & Welded Connections, CMDC Sect. 8-22
􀀀 Special Inspector for Trusses over 35 feet long or 6 feet high, CMDC Sect. 8-22
􀀀 Special Inspector for Curtain Wall, CMDC Sect. 8-22
􀀀 Special Inspector for Structural Glazing, CMDC Sect. 8-22
􀀀 Special Inspector for Composite Floor System, CMDCC Sect. 8-22
􀀀 Special Inspector for _____________________________________________________
Note: Only the marked boxes apply.
The following individual(s) employed by this firm or me are authorized representative to perform inspections
1.
2.
*Special inspectors utilizing authorized representatives shall insure the authorized representative is qualified by education or
licensure to perform
the duties assign by Special Inspector. The qualifications shall include licensure as a professional
engineer or architect: graduation from an engineering education program in civil or structural engineering; graduation from
an architectural education program; successful completion of the NCEES Fundamentals Examination; or registration as building
inspector or general contractor.
I (we) will notify the Town of Bay Harbor Islands Building Department of any changes regarding authorized personnel performing inspection
services.
I (we), understand that a Special Inspector inspection log for each building must be displayed in a convenient location on the site for
reference by the Town of Bay Harbor Islands Building Department Inspector. All mandatory inspections, as required by the Florida
Building Code, must be performed by the Town of Bay Harbor Islands Building Department. Inspections performed by the Special
Inspector hired by the owner are in addition to the mandatory inspections performed by the department. Further, upon completion of
work under each Building Permit, I will submit to the Building Inspector at the time of the final inspection the completed inspection log
form and a sealed statement indicating that, to the best of my knowledge, belief and professional judgment those portions of the project
outlined above meet the intent of the Florida Building Code and are in substantial accordance with the approval plans.
Architect/Engineer’s Printed Name and Signature: __________________________________________________________________________________________________
Address, Telephone, and E-mail: _______________________________________________________________________________________________________________________
License Number: ________________________________________________________________________________________________________________________________________
_______________________________________________________________ ______________________________________________
Signed and Sealed Date:
_______________________________________________________________ ______________________________________________
Accepted at the Building Department by: Date: Updated 2/11/2020
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