Form DBPR BCAIB4 "Application for Provisional Certificate - Building Code Administrator" - Florida

What Is Form DBPR BCAIB4?

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 July 1, 2020;
  • 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 BCAIB4 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 BCAIB4 "Application for Provisional Certificate - Building Code Administrator" - Florida

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State of Florida
Department of Business and Professional Regulation
Building Code Administrators and Inspectors Board
Application for Provisional Certificate- Building Code Administrator
Form # DBPR BCAIB 4
APPLICATION CHECKLIST – IMPORTANT – Submit all items on the checklist below with your
application to ensure faster processing.
APPLICATION REQUIREMENTS
ALL provisional certificate applicants must submit:
Fees:
• Provisional certificate applicants - $5
• Provisional certificate applicants
and
also applying to take certification exam - $10
• Make check payable to the Florida Department of Business and Professional Regulation.
Official transcripts from colleges or universities, if using education as part of experience requirement.
Course completion certificate for a board-approved state laws, rules and ethics course
of at least 20
hours, if you
are applying by using post-secondary education when applying for Building Code Administrator.
Supporting legal documentation, or copies of charges or disciplinary record, if necessary. See Sections 2(e-g) of
Instructions.
If you have previously passed the building code administrator examinations, submit a copy of the passing
certificate with your application.
If affiant of your work experience is not Florida licensed, submit a copy of affiant’s license from issuing authority
or proof of the affiant position if licensure is not required from the government authority.
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
WORK EXPERIENCE
Work experience detail is often too general and is missing hands-on experience. The person certifying your
experience
(affiant)
should be specific when explaining your duties and actual hands on experience. In
order to process your application more quickly, and not have your application returned to you, describe
work experience in detail including hands-on, supervisory or management responsibilities.
If affiant of your
work experience is not Florida licensed, submit a copy of affiant’s license from issuing authority
or proof of
the affiant position if licensure is not required from the government authority.
BCAIB 4 Provisional- Administrator
Eff. date: July 2020
Incorporated by Rule: 61-35.008
1 of 11
State of Florida
Department of Business and Professional Regulation
Building Code Administrators and Inspectors Board
Application for Provisional Certificate- Building Code Administrator
Form # DBPR BCAIB 4
APPLICATION CHECKLIST – IMPORTANT – Submit all items on the checklist below with your
application to ensure faster processing.
APPLICATION REQUIREMENTS
ALL provisional certificate applicants must submit:
Fees:
• Provisional certificate applicants - $5
• Provisional certificate applicants
and
also applying to take certification exam - $10
• Make check payable to the Florida Department of Business and Professional Regulation.
Official transcripts from colleges or universities, if using education as part of experience requirement.
Course completion certificate for a board-approved state laws, rules and ethics course
of at least 20
hours, if you
are applying by using post-secondary education when applying for Building Code Administrator.
Supporting legal documentation, or copies of charges or disciplinary record, if necessary. See Sections 2(e-g) of
Instructions.
If you have previously passed the building code administrator examinations, submit a copy of the passing
certificate with your application.
If affiant of your work experience is not Florida licensed, submit a copy of affiant’s license from issuing authority
or proof of the affiant position if licensure is not required from the government authority.
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
WORK EXPERIENCE
Work experience detail is often too general and is missing hands-on experience. The person certifying your
experience
(affiant)
should be specific when explaining your duties and actual hands on experience. In
order to process your application more quickly, and not have your application returned to you, describe
work experience in detail including hands-on, supervisory or management responsibilities.
If affiant of your
work experience is not Florida licensed, submit a copy of affiant’s license from issuing authority
or proof of
the affiant position if licensure is not required from the government authority.
BCAIB 4 Provisional- Administrator
Eff. date: July 2020
Incorporated by Rule: 61-35.008
2 of 11
Instructions
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.
1. General Requirements:
a. Provisional Certificate:
Pursuant to Section 468.609(7), Florida Statutes and Rule 61G19-6.012, Florida
Administrative Code, a provisional certificate may be issued to local governmental employees
newly employed or promoted as a building code administrator, plans examiner or inspector
which demonstrate, at the time of their application, that they possess all the qualifications to
obtain a standard certificate set forth under Rule 61G19-6.012(1), Florida Administrative
Code.
b. Certification by Examination:
In order to qualify as a building code administrator, you must:
i.
prove a minimum of ten (10) years of experience as an architect, engineer, plans
examiner, building code inspector, registered or certified contractor, or construction
superintendent, with at least five (5) years of such experience in a supervisory capacity;
or
ii.
demonstrate a combination of post-secondary education in the field of construction or
related field, no more than five (5) years being applied, and experience as an architect,
engineer, plans examiner, building code inspector, registered or certified contractor, or
construction superintendent which totals ten (10) years, with at least five (5) years of
such total being experience in supervisory positions. The applicant must also have
completed board-approved training consisting of at least twenty (20) hours, but not more
than thirty (30) hours, of instruction in state laws, rules, and ethics relating to the
professional standards of practice, duties and responsibilities of a certificate holder.
If you are licensed by the Building Code Administrators and Inspectors Board, you have maintained
an active license, continuous employment and continuing education, you will not be required to take
the Florida Principles and Practice examination again in order to receive a license or add an
additional category of licensure.
2. Application Instructions (by section)
a. Section I- Application Type
i.
Check only one application type. Applicant must submit a separate application for each
category of licensure sought.
b. Section II- Applicant Personal Information
i.
Fill out each section completely. A Social Security number is required in order to apply
for any individual license within the Department of Business and Professional Regulation.
ii.
In the Full Legal Name section provide your full legal name as it appears on your Social
Security card. Do not use any nicknames or initials. Please list any aliases or prior names
in the prior name information section.
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.
v.
Additional contact information is optional and will be used when the applicant cannot be
reached using their primary contact information.
vi.
Applicants must provide information on current or prior licenses held in Florida or any
other state, territory, or jurisdiction of the United States or in any foreign national
jurisdiction.
vii.
Applicants must provide information on any prior names or aliases used by applicant. If
the name on supporting documentation does not match the applicant’s legal name, the
alias used in the supporting documentation must be provided in this section. Failure to do
so will result in a deficient application.
c. Section III- Employment History
i.
Make sure that you clearly describe your work experience on the application form. Each
section must be filled out completely. If you do not have enough space to list all of your
experience history, you may submit additional copies of that section as necessary.
BCAIB 4 Provisional- Administrator
Eff. date: July 2020
Incorporated by Rule: 61-35.008
3 of 11
d. Section IV- Education
i.
List your educational history, if applicable.
ii.
If you intend to use any post-secondary education to qualify for the examination, you
must have your college/university forward an official transcript to the Central Intake Unit
for consideration.
e. Section V- Background Information
i.
Applicants must submit answers to each of the background questions.
ii.
For each “Yes” answer the person must provide an explanation in Section VI or VII, as
applicable.
f.
Section VI- Explanation for Background Question 1
i.
For this section, provide as much detail as possible.
ii.
Question 1:
If you answer “yes” to this question, you must complete Section VI [make additional
copies as necessary] of the application please provide the full details of the criminal
charges including dates, outcomes, sentences, and/or conditions imposed; the dates,
name and location of the court and/or jurisdiction in which any proceedings were held or
are pending. If you answer NO to this question because you believe that previous
incidents have been dismissed, no action taken, nolle prossed, or expunged, you may be
asked to supply documentation as proof of the disposition.
g. Section VII- Explanation for Background Questions 2-4
i.
For this section, provide as much detail as possible.
ii.
Question 2:
If you answer “yes” to this question, you must complete Section VII [make additional
copies as necessary] of the application and provide a copy of the judgment or decree.
You must also supply documentation proving all sanctions have been served and
satisfied, or if not, stating the current status of any proceedings.
iii.
Question 3:
If you answer “yes” to this question, you must complete Section VII [make additional
copies as necessary] of the application and supply copies of documentation explaining
the denial or pending action.
iv.
Question 4:
If you answer “yes” to this question, you must complete Section VII [make additional
copies as necessary] of the application and supply copies of the order(s) showing the
disciplinary action taken against the license, or documentation showing the status of the
pending action.
h. Section VIII- Work Experience
i.
Please use the Work Experience form to document your work experience. The
experience detail must be completed by the licensed building code administrator,
licensed contractor, licensed fire marshal, licensed architect or licensed engineer who
has knowledge of your duties.
ii.
Be sure to list your current employer on the application. You must submit experience
detail verifying your current position with the city/county.
iii.
Work experience detail is often too general and is missing hands-on experience. The
person certifying
(affiant)
your experience should be specific when explaining your duties
and actual hands on experience. In order to process your application more quickly, and
not have your application returned to you, describe work experience in detail including
hands-on, supervisory or management responsibilities.
If affiant of your work experience
is not Florida licensed, submit a copy of affiant’s license from issuing authority
or proof of
the affiant position if licensure is not required from the government authority.
i.
Section IX- Affirmation by Written Declaration
i.
Applicant must sign the Affirmation by Written Declaration.
3. Exam Information
a. Technical Examination:
The technical examinations are only offered via computer-based testing. The exam will be
administered by Pearson VUE on the date and location of your choice.
ICC is responsible for conducting reviews for those individuals that fail the examination(s).
For those individuals that pass the technical portion of the examination, ICC will send you a
certificate as per their usual procedures. This certificate in no way indicates or implies that
you are licensed by the Building Code Administrators and Inspectors Board. The Department
will officially notify you when a standard license has been issued. If you are requesting an
additional category, the website will be updated once the category has been added.
BCAIB 4 Provisional- Administrator
Eff. date: July 2020
Incorporated by Rule: 61-35.008
4 of 11
b. Florida Principles and Practice (P&P) Examination
In addition to the technical examination, applicants are required to pass the Florida Principles
and Practice (P&P) examination before a new license can be issued. There is one P&P
examination for all categories (i.e. inspector, plans examiner, building code administrator).
This examination will take approximately two and one-half hours to complete. Please refer to
the Candidate Information Booklet for additional information concerning this examination. To
obtain reference material for this exam, you may contact the areas listed in the Candidate
Information Booklet or contact the Building Officials Association of Florida at 407.804.1001.
The P&P examination is given daily at various locations and is a computer-based
examination. Site information and the dates of the examination will be given to the applicant
once the applicant has been approved to take the examination.
The same topics covered in the P&P examinations are also covered in the Modular
examinations. Therefore, any applicant taking the Modular Inspector or Modular Plans
Examiner examination will be exempt from taking the P&P examination. This exemption is
ONLY for the Modular examinations. Applicants taking any other examinations will be
required to pass the Florida Principles & Practice examination.
c. Once you have passed the required examination, submit a copy of the passing certificate to
the Department at the address listed on page 1 or via fax delivery to 850.488.8040.
4. Required Fees
Fee Type
City/County
All Others
Employees
Certification Fee
N/A
$25 per category
Application Fee
N/A
$25
Examination Fee
N/A
$46.25
Unlicensed Activity Fee
$5
$5
QUALIFICATION FOR CERTIFICATION
The experience and education submitted should demonstrate one of the
Please
following methods of qualification. PLEASE SELECT ONE OF THE FOLLOWING
check
METHODS OF QUALIFICATION BY INDICATING YOUR SELECTION IN THE
ONE
APPROPRIATE CHECK BOX.
box
Demonstrates ten (10) years combined experience as an architect, engineer, plans
examiner, building code inspector, registered or certified contractor, or construction
superintendent, with at least five (5) years of such experience in supervisory positions.
468.609(3)(c)(1), F.S.
Demonstrates a combination of post-secondary education in the field of construction or
related field, no more than five (5) years being applied, and experience as an architect,
engineer, plans examiner, building code inspector, registered or certified contractor, or
construction superintendent which totals ten (10) years, with at least five (5) years of such
total being experience in supervisory positions. The applicant must also have completed
board-approved training consisting of at least twenty (20) hours, but not more than thirty (30)
hours, of instruction in state laws, rules, and ethics relating to the professional standards of
practice, duties and responsibilities of a certificate holder. 468.609(3)(c)(2), F.S.
BCAIB 4 Provisional- Administrator
Eff. date: July 2020
Incorporated by Rule: 61-35.008
5 of 11
State of Florida
Department of Business and Professional Regulation
Building Code Administrators and Inspectors Board
Application for Provisional Certificate- Building Code Administrator
Form # DBPR BCAIB 4
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 end of this application.
Section I – Application Type
CHECK TRANSACTION REQUESTED
Provisional Building Code Administrator Certificate- $5 fee required.
Provisional Building Code Administrator Certificate
and
Exam- $10 fee required.
NOTE: In order to receive a standard certificate you must pass both the technical and Florida Principles
and Practice (P&P) examinations. If you would like to use this application to also apply for a standard
certificate by examination,
please check the box above
indicating “Provisional Building Code
Administrator Certificate and Exam”.
SPECIAL TESTING ACCOMMODATIONS
If you require special testing accommodations due to disability or if you have a religious conflict with the
scheduled examination date, please contact the Bureau of Education and Testing immediately at
850.488.5952 for detailed information.
EXAMINATION HISTORY
Have you ever taken and passed the Florida Principles & Practice examination? Yes
No
Date you passed the Florida Principles & Practice examination: (mm/dd/yyyy) _____/_____/______
Section II – Applicant Personal Information
PERSONAL INFORMATION
Social Security Number*
FULL LEGAL NAME
Last Name
First
Middle
Suffix
Birth Date (MM/DD/YYYY)
Gender
/
/
 Male  Female
MAILING ADDRESS
Do you wish to mark your address private, pursuant to
YES
NO
Section 119.071(4), Florida Statutes?
Street Address or P.O. Box
City
State
Zip Code (+4 optional)
County (if Florida address)
Country
* 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.
BCAIB 4 Provisional- Administrator
Eff. date: July 2020
Incorporated by Rule: 61-35.008