05-839-002South Miami
U 1r 1 • r I
{114011W RY
CITY OF SOUTH MIAMI
SPECIAL INSPECTOR FORM
I (%re) have been retaixmed by ky to pia nn special inspector
services under the Flo ida B ' Code at the FmJ an 1Zelotiv listed
strwtures as of (date). I am o registered architect, or pr.&essional eaxgineer licensed in the
State of Fla dda.
PROCESS NLWERS:
❑ SPECIAL INSPECTOR FOR P )lw G, FBC 1922.120
❑ S?ECLkL DWECTOIR. FOR TRUSSES OVER 35FT LONG OR 6FT HIGH 2319.17.2.4.2
❑ SPECIAL INSFECTOR FOR REWORCED MASONRY, FBC 2122.4
❑ SpECLkL MpECTOR FaR STEEL CONNECTIONS, FEC 2232
SPECIAL INSpECTORFolt SOIL COW.ACMN, FBC 1124.3 -1
SpECIAL IL►1SP'EC°T(M FOR 1' MAST LTNM & ATTACEMENT,S PER FBC 1927.12
❑ SPECL&L INSPECTOR FOR
IV'ote. On[ the rnsrked boxes apply.
Tlle Mow-iug indrvid u11(s•) employed by this fim or me are authorized rimestadues to perfio u.
inspection *
1. 2.
4.
enthorlmd errtat�im shad
3.
Spanai tars i rwprvws irrsrrrs the atrtirari trd rep�resentatiwr is gatalr rod try ZU
scbrcaiion or iiewr=m to perfonn this dutrrs assignad by fire SpociAl &SPardar. 77w evalftaaaw shall inchide
- licansury as a professional engineer or architect; graduatran fyvm an enginserfng sducaftan pragrc m in CM1 or
stnrctrrrval er1hwering, Vaadu atioar frvm an amhitactyral erai=tionprogr,am; successful completion of the YCEES
Fundamentals Examinafion; ar registra fon its building inspector or general contractor.
L (we) will notify Mu Dade County Building Deprtmeut of any changes regardmg authorized pe laund
peafoiming inspection servicee.
(we) understand that a Special Inspeor iuspeu log for each brrildix►g rtuusF be displayed in x convesrir�.t
location an the site for reference by the Miami Dade C'awaty Building Department Iarspe;ctor. All mandatory
inspections, as reed by the Florida Building Code, must be permed by the County. The County building
inspections m=t be called for an all mandatory inspectimt Inspectiarrs perfarrned by the Sprciat Insp#cto IefhW
b�
the Ownar are in addition to the mandatary ingwtlons perfarmsd by the I��rperrtrnerrt. Further, upon completion
of the work under each Building Permit I will submit to the Budding Inspector at the time of fitn►1 i�xspection the
completed inspection log fmm and x sealed statement indicating th2t, to the best of my knowledge, belief and
proirssiorzal lr� t1w5e, pordous of the project outlined above meet the intent of the Florida Build Iing Cade and
are in substantial accordance. -with the approved pions..
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Date.