Form DBPR AR2 "Application for Threshold Building Inspector Certification" - Florida

What Is Form DBPR AR2?

This is a legal form that was released by the Florida Department of Business & Professional Regulation - a government authority operating within Florida. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on November 21, 2013;
  • The latest edition provided by the Florida Department of Business & Professional Regulation;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form DBPR AR2 by clicking the link below or browse more documents and templates provided by the Florida Department of Business & Professional Regulation.

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Download Form DBPR AR2 "Application for Threshold Building Inspector Certification" - Florida

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State of Florida
Department of Business and Professional Regulation
Board of Architecture and Interior Design
Application for Threshold Building Inspector Certification
Form # DBPR AR 2
APPLICATION CHECKLIST – IMPORTANT – Submit all items on the checklist below with your
application to ensure faster processing.
APPLICATION
APPLICATION REQUIREMENTS
 Submit non-refundable fee of $100. Make check payable to the Florida
Application for
Department of Business and Professional Regulation.
Threshold Building
 Submit three letters of recommendation from architects or engineers
Inspector
whose principal practice is structural engineering in the state of Florida,
Certification
one of whom must be certified special inspector.
Please mail your completed application, documentation and required fee(s) to:
Department of Business and Professional Regulation
2601 Blair Stone Road
Tallahassee, Fl 32399-0783
General Requirements
All applicants must be architects, in good standing, licensed in the state of Florida. In addition,
they must:
1. Have had three years experience in performing structural field inspections within the last ten years on
at least three threshold type buildings.
2. The beginning dates of projects shall be no older than ten years prior to the date of the application.
3. Submit three letters of recommendation from architects or engineers whose principal practice is
structural engineering in the state of Florida, one of whom must be a certified special inspector.
A threshold building is defined in Section 553.71(11), Florida Statutes, as:
1. Any building which is greater than three stories or 50 feet in height, OR
2. An assembly occupancy classification as defined in the Florida Building Code which exceeds 5,000
square feet in area and an occupant content of greater than 500 persons.
General Information
Section 553.79(5), Florida Statutes, require a special inspector to perform structural inspections on a
threshold building pursuant to a structural inspection plan prepared by the engineer or architect of record.
The structural inspection plan must be submitted to and approved by the enforcing agency prior to the
issuance of a building permit for the construction of a threshold building. The purpose of the structural
inspection plan is to provide specific inspection procedures and schedules so that the building can be
adequately inspected for compliance with the permitted documents. The special inspector may not serve
as a surrogate in carrying out the responsibilities of the building official, the architect, or the engineer of
record. The contractor’s contractual or statutory obligations are not relieved by any action of the special
inspector. The special inspector shall determine that a professional engineer who specializes in shoring
design has inspected the shoring and re-shoring for conformance with the shoring and re-shoring plans
submitted to the enforcing agency. A fee simple title owner of a building, which does not meet the
minimum size, height, occupancy, occupancy classification, or number-of-stories criteria which would
result in classification as a threshold building under s. 553.71(11), may designate such building as a
threshold building, subject to more than the minimum number of inspections required by the Florida
Building Code.
In accordance with Rule 61G1-25.003, Florida Administrative Code, upon receiving the assignment as
Threshold Building Inspector for a building, you must file a signed, dated, and sealed certificate with the
enforcement authority stating that you are competent to provide inspection of that structure.
Prior to the issuance of a Certificate of Occupancy, you are required to file a signed and sealed statement
of compliance with the enforcement agency in accordance with Section 553.79(7)(a), Florida Statutes.
DBPR AR 2 - Threshold Building Inspector Certification
Eff. Date 11/21/13
Incorporated by Rule: 61G1-25.003, 61-35.002
1 of 6
State of Florida
Department of Business and Professional Regulation
Board of Architecture and Interior Design
Application for Threshold Building Inspector Certification
Form # DBPR AR 2
APPLICATION CHECKLIST – IMPORTANT – Submit all items on the checklist below with your
application to ensure faster processing.
APPLICATION
APPLICATION REQUIREMENTS
 Submit non-refundable fee of $100. Make check payable to the Florida
Application for
Department of Business and Professional Regulation.
Threshold Building
 Submit three letters of recommendation from architects or engineers
Inspector
whose principal practice is structural engineering in the state of Florida,
Certification
one of whom must be certified special inspector.
Please mail your completed application, documentation and required fee(s) to:
Department of Business and Professional Regulation
2601 Blair Stone Road
Tallahassee, Fl 32399-0783
General Requirements
All applicants must be architects, in good standing, licensed in the state of Florida. In addition,
they must:
1. Have had three years experience in performing structural field inspections within the last ten years on
at least three threshold type buildings.
2. The beginning dates of projects shall be no older than ten years prior to the date of the application.
3. Submit three letters of recommendation from architects or engineers whose principal practice is
structural engineering in the state of Florida, one of whom must be a certified special inspector.
A threshold building is defined in Section 553.71(11), Florida Statutes, as:
1. Any building which is greater than three stories or 50 feet in height, OR
2. An assembly occupancy classification as defined in the Florida Building Code which exceeds 5,000
square feet in area and an occupant content of greater than 500 persons.
General Information
Section 553.79(5), Florida Statutes, require a special inspector to perform structural inspections on a
threshold building pursuant to a structural inspection plan prepared by the engineer or architect of record.
The structural inspection plan must be submitted to and approved by the enforcing agency prior to the
issuance of a building permit for the construction of a threshold building. The purpose of the structural
inspection plan is to provide specific inspection procedures and schedules so that the building can be
adequately inspected for compliance with the permitted documents. The special inspector may not serve
as a surrogate in carrying out the responsibilities of the building official, the architect, or the engineer of
record. The contractor’s contractual or statutory obligations are not relieved by any action of the special
inspector. The special inspector shall determine that a professional engineer who specializes in shoring
design has inspected the shoring and re-shoring for conformance with the shoring and re-shoring plans
submitted to the enforcing agency. A fee simple title owner of a building, which does not meet the
minimum size, height, occupancy, occupancy classification, or number-of-stories criteria which would
result in classification as a threshold building under s. 553.71(11), may designate such building as a
threshold building, subject to more than the minimum number of inspections required by the Florida
Building Code.
In accordance with Rule 61G1-25.003, Florida Administrative Code, upon receiving the assignment as
Threshold Building Inspector for a building, you must file a signed, dated, and sealed certificate with the
enforcement authority stating that you are competent to provide inspection of that structure.
Prior to the issuance of a Certificate of Occupancy, you are required to file a signed and sealed statement
of compliance with the enforcement agency in accordance with Section 553.79(7)(a), Florida Statutes.
DBPR AR 2 - Threshold Building Inspector Certification
Eff. Date 11/21/13
Incorporated by Rule: 61G1-25.003, 61-35.002
2 of 6
Application Instructions
a. Section I- Application Type
Check the box, Threshold Building Inspector. Include your Architect License number in
the space provided.
b. Section II- Applicant Information
i.
Fill out each section completely.
ii.
In the Full Legal Name section provide your full legal name as it appears on your license.
Do not use any nicknames or initials.
iii.
Provide your mailing address. This will be used for sending correspondence regarding
your application and license.
iv.
Contact information is often used to quickly resolve questions with applications by
telephone call or email. If contact information is not provided, questions regarding
applications will be mailed to the applicant’s mailing address and may take longer to
resolve.
c. Section III- Experience
i.
Provide the project identification and location and check the box if the building is greater
than three stories or 50 feet in height or the assembled building occupancy exceeds
5,000 square feet and has occupancy content of greater than 500 persons.
ii.
Provide the name of the Architect or Engineer’s name, Florida license number, and the
dates for the project validation.
iii.
Provide a detailed description of the structural field inspection.
d. Section IV- Competency Statement
Please read, sign, seal, and date the competency statement section
e. Section V – Affirmation by Written Declaration
i.
Please read, sign, and date the affirmation by written declaration.
ii.
If the applicant fails to sign the affirmation statement, the Department will not process the
application.
DBPR AR 2 - Threshold Building Inspector Certification
Eff. Date 11/21/13
Incorporated by Rule: 61G1-25.003, 61-35.002
3 of 6
State of Florida
Department of Business and Professional Regulation
Board of Architecture and Interior Design
Application for Threshold Building Inspector Certification
Form # DBPR AR 2
If you have any questions or need assistance in completing this application, please contact the
Department of Business and Professional Regulation, Customer Contact Center, at 850.487.1395.
For additional information see the Instructions at the beginning of this application.
Section I- Application Type
CHECK APPLICATION TYPE
 Threshold Building Inspector [0201/3021]
Florida Architect License Number: _____________
Section II – Applicant Information
APPLICANT INFORMATION
FULL LEGAL NAME
Last/Surname
First
Middle
Suffix
Birth Date (MM/DD/YYYY)
Gender
/
/
 Male  Female
MAILING ADDRESS
Street Address or P.O. Box
City
State
Zip Code (+4 optional)
County (if Florida address)
Country
CONTACT INFORMATION
Primary Phone Number
Primary E-Mail Address
ADDITIONAL CONTACT INFORMATION (OPTIONAL)
Alternate Phone Number
Fax Number
Alternate E-Mail Address
CURRENT EMPLOYMENT INFORMATION
Name of Employer:
Street Address
City
State
Zip Code (+4 optional)
DBPR AR 2 - Threshold Building Inspector Certification
Eff. Date 11/21/13
Incorporated by Rule: 61G1-25.003, 61-35.002
4 of 6
Section III - Experience - A threshold building is defined in Section 553.71(11), Florida Statutes, as:
1. Any building which is greater than three stories or 50 feet in height, OR
2. An assembly occupancy classification as defined in the Florida Building Code which exceeds 5,000
square feet in area and an occupant content of greater than 500 persons.
WORK EXPERIENCE
Project Identification
And Location:
 Building greater than three stories or 50 ft. in
 Occupancy that exceeds 5,000 sq. ft and has an
height
occupancy content of more than 500 persons
Name of Architect/Engineer for the project:
License number:
Dates Respondent is Verifying
(mm/dd/yy)
From:
To:
Provide a detailed description of the structural field inspection
WORK EXPERIENCE
Project Identification
And Location:
 Building greater than three stories or 50 ft. in
 Occupancy that exceeds 5,000 sq. ft and has an
height
occupancy content of more than 500 persons
Name of Architect/Engineer for the project:
License number:
Dates Respondent is Verifying
(mm/dd/yy)
From:
To:
Provide a detailed description of the structural field inspection
WORK EXPERIENCE
Project Identification
And Location:
 Building greater than three stories or 50 ft. in
 Occupancy that exceeds 5,000 sq. ft and has an
height
occupancy content of more than 500 persons
Name of Architect/Engineer for the project:
License number:
Dates Respondent is Verifying
(mm/dd/yy)
From:
To:
Provide a detailed description of the structural field inspection
DBPR AR 2 - Threshold Building Inspector Certification
Eff. Date 11/21/13
Incorporated by Rule: 61G1-25.003, 61-35.002
5 of 6
Section IV – Competency Statement
COMPETENCY STATEMENT
In accordance with Rule 61G1-25.003, F.A.C., I certify that I am competent to perform structural
inspections on threshold buildings.
Seal:
Signature:
Date:
Section V – Affirmation By Written Declaration
AFFIRMATION BY WRITTEN DECLARATION
I certify that I am empowered to execute this application as required by Section 559.79, Florida Statutes. I
understand that my signature on this written declaration has the same legal effect as an oath or
affirmation. Under penalties of perjury, I declare that I have read the foregoing application and the facts
stated in it are true. I understand that falsification of any material information on this application
may result in criminal penalty or administrative action, including a fine, suspension or revocation
of the license.
Signature:
Date:
Print Name:
DBPR AR 2 - Threshold Building Inspector Certification
Eff. Date 11/21/13
Incorporated by Rule: 61G1-25.003, 61-35.002
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