Mesa, AZ · Maricopa County
Special Inspection Certificate
This certificate documents required special inspections and is completed by the property owner or representative and the professional responsible for inspections.
What this form is
The certificate identifies the project and records the owner or representative’s designation of a registered design professional for required special inspections. The owner or representative completes and signs the notification before a building permit is issued; the professional signs the responsibility certificate before permit issuance and the compliance certificate before a certificate of occupancy. It also lists inspection categories.
Who needs it
Property owners or their appointed representatives and the professional in charge complete the applicable sections when a project requires special inspections.
How to submit it
The form names Mesa Development Services Department at 55 N. Center St., Mesa, AZ 85201, and lists phone (480) 644-4273. It does not specify a submission method.
About notarization
This certificate does not require notarization; the owner or representative and responsible professional sign and date their sections, with the professional also providing a seal.
How to submit this form
- 1
Download The Certificate
Download the Special Inspection Certificate PDF.
- 2
Complete The Project Details
Enter the project, date, address, and permit number, then complete the owner or representative notification.
- 3
Have The Professional Complete Their Sections
The professional in charge signs and dates the responsibility certificate before permit issuance and compliance certificate before a certificate of occupancy.
- 4
Submit To The City
Use the contact information listed for Mesa Development Services Department; the form does not specify a submission method.
Frequently asked questions
- Do I need a notary for the Special Inspection Certificate?
- No. The certificate has no notary block; the owner or representative and professional sign and date their sections, and the professional also provides a seal.
- Who completes the Special Inspection Certificate?
- The owner or appointed representative completes and signs the special inspection notification. The professional in charge signs the responsibility and compliance certificates at the specified project stages.
- When is the Special Inspection Certificate required?
- The owner or representative completes the notification before a building permit is issued. The professional signs the responsibility certificate before permit issuance and the compliance certificate before a certificate of occupancy.
- How do I submit the Special Inspection Certificate?
- The form lists Mesa Development Services Department at 55 N. Center St., Mesa, AZ 85201, and phone (480) 644-4273. It does not state a submission method.
Need something notarized?
This Special Inspection Certificate doesn’t need a notary — but if you have another Mesa form that does, a commissioned online notary can help.