RC-20-240 SPECIAL INSPECTORMiami Shores Village
01_
Building Department
10050 NE 2"d Ave.
Miami Shores, FL 33138
305-795-2204 / Fax 305-756-8972
NOTICE TO MIAMI SHORES BUILDING DEPARTMENT OF EMPLOYMENT AS SPECIAL
INSPECTOR UNDER THE FLORIDA BUILDING CODE.
I (We) have been retained by-:,: tea l�c�l,�� 104N17"t6 perform special inspector services under the Florida.
Building Code 5th Edition (2014) and Miami lade County Administrative Code at the -i 30RE �G% � 11��7� 5A-J
project on the below listed structure as of r o li o / Zc, j (date). i am a registered y " - 631—o
arch itect/professional engineer licensed in the State of Florida.
Process Number: P-6n-1,V �
-�5pecial Inspector for Reinforced Masonry, Section 2122.4 of the FBC 5th Edition (2014)
Miami Dade County Administrative Code, Article II Section 8.22 Special Inspector for
Trusses > 35 ft. long or 6 ft. high
L 11 Framing and Connections welded or bolted
S/ail Compaction
Precast Attachments
Roofing Applications, Lt. Weight. Insul.Conc.
70ther Iza
Note: Only the marked boxes apply.
The following individual(s) employed by this firm or me is authorized representative to perform
inspection"
3. _ L "��_ 4.
'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 Miami Shores 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 Miami Shores Building Department Inspector. All
mandatory inspections, as required by the Florida Building Code, must be performed by the Miami Shores
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 Icg foi'm and d sealed statement indicating that, to the best of my knowledge, belief and
professional judgment those par ions of the project outlined above meet the intent of the Florida Building
Cod nd are i substantial ac• dance with the approval plans.
J Engineer/Architect
Name k& t.� /k� e)
Date: O y
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Address JJj;Wt 5[.3J_ 115'T-Nt,a . FL 33' e'-i