Form DBPR BCAIB8 "Application for Reexamination" - Florida

What Is Form DBPR BCAIB8?

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 January 1, 2017;
  • 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 printable version of Form DBPR BCAIB8 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 BCAIB8 "Application for Reexamination" - Florida

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State of Florida
Department of Business and Professional Regulation
Building Code Administrators and Inspectors Board
Application for Reexamination
Form # DBPR BCAIB 8
APPLICATION CHECKLIST – IMPORTANT – Submit all items on the checklist below with your
application to ensure faster processing.
TRANSACTION
APPLICATION REQUIREMENTS
 Pay $21.25 fee (make check payable to the Department of
Business and Professional Regulation)
Reexamination Application
Note: This should only be completed if you are a non city/county
employee. City/county employees should be able to reschedule at
any time.
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
DBPR BCAIB Application for Reexamination
Eff. Date: January 2017
Incorporated by Rule: 61-35.008
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State of Florida
Department of Business and Professional Regulation
Building Code Administrators and Inspectors Board
Application for Reexamination
Form # DBPR BCAIB 8
APPLICATION CHECKLIST – IMPORTANT – Submit all items on the checklist below with your
application to ensure faster processing.
TRANSACTION
APPLICATION REQUIREMENTS
 Pay $21.25 fee (make check payable to the Department of
Business and Professional Regulation)
Reexamination Application
Note: This should only be completed if you are a non city/county
employee. City/county employees should be able to reschedule at
any time.
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
DBPR BCAIB Application for Reexamination
Eff. Date: January 2017
Incorporated by Rule: 61-35.008
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State of Florida
Department of Business and Professional Regulation
Building Code Administrators and Inspectors Board
Application for Reexamination
Form # DBPR BCAIB 8
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 – Applicant Information
PERSONAL INFORMATION
Social Security Number*
Phone Number:
Last/Surname
First
Middle
Suffix
MAILING ADDRESS
Street address or P.O. Box
City
State
Zip Code
County (if Florida address)
Country
CHECK ACTION REQUESTED
Check category:
 Modular
 Residential Mechanical Inspecto
Inspector Categories:
 Building
 Coastal Construction
 Residential Plumbing Inspector
 Mechanical
 Commercial Electrical
 Residential Electrical Inspector
 Plumbing
 Roofing
 FL Principles & Practice Exam
 Electrical
 Residential Building Inspector
Plans Examiner Categories:
Building Code Administrator
 Building
Categories:
 Mechanical
 Management
 Plumbing
 Legal
 Electrical
 Building Codes & Standards
 Modular
 FL Principles & Practice
 FL Principles & Practice
* The disclosure of your Social Security number is mandatory on all professional and occupational license
applications, is solicited by the authority granted by 42 U.S.C. §§ 653 and 654, and will be used by the Department of
Business and Professional Regulation pursuant to §§ 409.2577, 409.2598, 455.203(9), and 559.79(3), Florida
Statutes, for the efficient screening of applicants and licensees by a Title IV-D child support agency to assure
compliance with child support obligations. It is also required by § 559.79(1), Florida Statutes, for determining eligibility
for licensure and mandated by the authority granted by 42 U.S.C. § 405(c)(2)(C)(i), to be used by the Department of
Business and Professional Regulation to identify licensees for tax administration purposes.
Section II – Reexamination Information
SPECIAL TESTING ACCOMMODATIONS
Do you require special testing accommodations due to disability or do you have a religious conflict with
the scheduled examination date? Yes  No 
If yes, please contact the Bureau of Education and Testing immediately at (850) 488–5952 for detailed
information.
DBPR BCAIB Application for Reexamination
Eff. Date: January 2017
Incorporated by Rule: 61-35.008
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Section III – 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 BCAIB Application for Reexamination
Eff. Date: January 2017
Incorporated by Rule: 61-35.008
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