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2. Type of Inspector*

   1. Yes (Private Inspectors - F.S. 553.791)
   2. No (City Inspectors)
3. IS THIS A WINDOW,DOOR, SIDING OR WINDBORNE DEBRIS INSTALLATION?

   1. Yes
   2. No
4. Permit Number

   OMIT ANY LEADING ZEROES AFTER THE HYPHEN, I.E. 83-00001983

5. To be INSPECTED ON
   To be INSPECTED ON
7. Street No.
8. Street Name
   -- Select One --Abaco LaneAmerica AvenueAlmonaster StreetAnhinga CourtArden WayAshford Oaks WayAshley Oaks DriveAvalon CircleAzalea DriveBarbara LaneBay Island CircleBeach BoulevardBentin DriveBermuda PlaceBirchwood RoadBlue Heron LaneBoardwalkBonaire CIrcleBurling WayCardinal CourtCayman CourtCilewood CourtCoastal AvenueCoconut KeyColonies DriveConstitution PlaceCoral WayCosta Verde BoulevardDeclaration DriveDemocracy CourtDogwood CourtDuval DriveEastern DriveEastwind DriveEvans DriveFairway LaneFairway RoadFoss LaneFreedom WayGail AvenueGonzales AvenueGorden AvenueGrande BoulevardGrassey KeyGreat Abaco CourtGreen Heron CourtGreen Heron PointGrove StreetGulfstream DriveHeron DriveHolly DriveHopson RoadHorn CourtHorn StreetIndependence DriveIsabella BoulevardJacksonville DriveJardin de Mer PlaceKings CourtKings RoadLaguna Villas BoulevardLakeside DriveLiberty LaneLincoln CourtLions Club RoadLois LaneLower 4th Avenue NorthLower 8th Avenue SouthLower 36th Avenue SouthMadrid StreetMarathon KeyMarsh DriveMarsh AreaMarsh Inlet CourtMarsh Landing BoulevardMarsh Landing ParkwayMarshside CourtMarshside DriveMarshview DriveMcClure LaneMerrill BoulevardMilie DriveMills LaneMourning Dove LaneNorberta WayOak Forest DriveOak Grove CircleOakbreeze CourtOakbreeze LaneOaks DriveOakwood CourtOakwood RoadOcean DriveOcean Cay CircleOcean Course DriveOcean Pond CourtOcean Pond DriveOcean Terrace DriveOceanfrontOsceola AvenueOwen AvenuePablo AvenuePalm CirclePalm WayPalm Tree RoadPalmwood CourtParadise WayPatricia LanePenman RoadPinewood LanePinewood RoadPintail DrivePlantation Oaks DrivePoincianna BlvdPonce de Leon BoulevardPonce de Leon StreetPonte Vedra BoulevardPonte Vedra CourtPullian CourtPullian StreetQuail LaneRannie StreetRepublic DriveRiley StreetRio LaneRip Tide BoulevardRita Rae LaneRoberts DriveRosewood DriveRoyal Fern LaneRoyal Palm KeyRoyal Tern CourtRoyal Tern RoadRuth AvenueSable Palm LaneSan Pablo CircleSanctuary BoulevardSanctuary WaySandpiper CourtSandra DriveSea Grove LaneSeabreeze AvenueSeagate AvenueSeagrape DriveSeaside DriveShetter AvenueSnowy Egret WaySouth Beach ParkwaySt Augustine BoulevardSt George CourtSt Johns BlvdSt Maarten CourtSummer CourtSunset DriveSunshine CourtTallwood RoadTanglewood RoadThe Greens WayTheodore AvenueTrident CourtTropical TerraceTrudee Dee LaneUpper 4th Avenue NorthUpper 8th Avenue SouthUpper 36th Avenue SouthVictory CourtWaterway Island LaneWestwind DriveWhippoorwill CourtWilliams StreetWillow Oaks DriveWoodstork CourtZephyr Way1st2nd3rd4th5th6th7th8th9th10th11th12th13th14th15th16th17th18th19th20th21st22nd23rd 24th25th26th27th28th29th30th31st32nd33rd34th35th36th37th38th39th40th41st43rdOther Not Listed Above
9. Street Type
   -- Select One --AvenueStreet
10. Direction
    -- Select One --NorthSouthEastWest
12. APT, BLDG, FLOOR, SUITE, UNIT NO.
13. DATE/TIME WHEN 50% OF PERMITTED COMPONENTS ARE INSTALLED
    DATE/TIME WHEN 50% OF PERMITTED COMPONENTS ARE INSTALLED

    DATE/TIME WHEN 50% OF PERMITTED COMPONENTS ARE INSTALLED

    Installer/Technician must be on-site and ready for in-progress inspections. 

15. Virtual Inspection Eligible?

    Upload four (4) photos that show compliance with applicable Codes.

    1. Yes, Virtual Inspection Requested
16. Were You Instructed to Upload Photos?

    1. Yes
    2. No
18. Virtual Photo 1
19. Virtual Photo 2
20. Virtual Photo 3
21. Virtual Photo 4
23. Alphabetical List of All Inspection Types
    -- Select One --Backfill Stemwall (SLAB)Block CMU Cell Fill/ICF Walls (CF)Building and All Trade Finals (BLDG)Ceiling Cover Up-All Trades (CMEP)Ceiling Cover Up (CU)Cell Fill (CF)Certificate of Occupancy (CO)Column Pads (FTNG)Cross Connection Final, Public Works (CC/F)Column (COL)Drainage/Grading Compliance (DRN)Drywall, 2-Story/Fire Rated (WALL)Early Power Electrical Final (EP)Electrical Bonding (BOND)Exterior Strapping/Tie Downs (EXS)Fence Final (FENC)Field Evaluation for Change of Occupancy or Use (EVAL)Final BDA System, Fire (FBDA)Final Electrical, Fire (FEF)Final Electrical, Standalone Permit (FE)Final Sprinkler System, Fire (SPKL)Final Suppression System, Fire (FSUP)Final Fire, Completion (FFD)Final Fire, Occupancy (COF)Final Commercial Kitchen Exhaust Hood, Fire (HOOD)Final Mechanical, HVAC-Standalone Permit (FM)Final Mechanical, Gas-Standalone Permit (FM)Final Plumbing-Standalone Permit (FP)Final Underground Fire Main (FUGF)Final Zoning/Landscape Compliance (FZ/L)Final Public Works (FPW)Firewall/Fire Rated Assembly/UL List (FRA)Fire Rated Assembly/UL List (FRA)Footing/Stemwall/Column Pads (FTNG)Flush Test, Fire (FLUS)Grease Interceptor/Trap Final (GT)Grease Interceptor/Trap Final, Public Works (GTPW)Green Energy Final, PVEL Only (CVC)Green Energy Final, ESS Only (CVC)Green Energy Final, EVCS Only (CVC)Green Energy Final, Includes Service Upgrade Sub-Permit (CVC and FE)Grounding, Electrical (GRDG)ICF Walls (CF)Insulation (INS)Lath & Fastening/Stucco Application (LATH)Monolithic Slab/Backfill Stemwall (SLAB)Others Not Listed-Specify Below MISC)Parking Lot/Site Improvement Final (PRKG)PilePiping-Pressure Test, Pool (PIPE)Piping-Pressure Test, Gas (PIPE)Pool Deck, Department of Health Public Pools Only (PD)Pool Final, Coping Only (PF)Pool Final, Includes Pool Deck (PF)Pool Safety (SAFE)Pool Steel (PS)Pre-Demolition (DEMO)Pressure/Hydro Test, Fire (HYDR)Roof Dry-In (RDRY)Roof Final/In-Progress Affidavit on File(ROOF)Roof Rough (RR)Rough Alarm System, Fire (REF)Rough BDA System, Fire (RBDA)Rough Electrical, Misc Fire (REF)Rough Electrical, Standalone Permit (RE)Rough Fireplace, Custom Made (RFP)Rough Framing Only (RF)Rough Framing/All Trade Roughs (RFT)Rough Grease Interceptor, Public Works Only (RGT)Rough Light or Smoke Test, Fire (REX)Rough Mechanical, Standalone Permit (RM)Rough Mechanical, Misc Fire (RMF)Rough Plumbing/DWV/Top Out (RP)Rough Sprinkler, Fire (RSPK)Rough Suppression System, Fire (RSUP)Rough Underground Fire Main (RUGF)Sea Turtle Lighting Compliance (SEAT)Secondary Water Barrier (SWB)Sewer Tap, Private Property Only (S)Shower Pan Only (PAN)Siding In-Progress (SIDE)Sign Final/Zoning Compliance (SIGN)Soffit In-Progress/Fastening (SOFF)Stemwall (FTNG)Storefront Window Sill (SILL)Stucco Application (LATH)Temporary Construction Power Pole (TP)Tie Beam (TB)Tree Removal-Site Clearing Final, Zoning (TREE)Underslab Plumbing (USP)UL List (FRA)Wall Dry-In After Tyvek/Tape (DRY)Wall Sheathing Nailing Pattern (WSN)Waterproofing (WP)Window/Door In-Progress, Replacement (WIND)Window/Door Final, In-Progress Approved (WD)Window/Door Final, No In-Progress/Fasteners Visible (WDF)Window/Door Rough & Dry-In, New Installation (WINR)Wood Destroying Organism (WDO)
24. Alphabetical List of Fire Marshal Inspections
    -- Select One --Ceiling Cover Up-All Trades (CMEP)Field Evaluation for Change of Occupancy or Use (EVAL)Final Alarm System, Fire (FEF)Final BDA System, Fire (FBDA)Final Completion, Fire (FFD)Final Electric, Misc-Fire (FEF)Final Mechanical, Misc-Fire (FMF)Final Occupancy, Fire (COF)Final Sprinkler System, Fire (SPKL)Final Suppression System, Fire (FSUP)Flush Test, Fire (FLUS)Light or Smoke Test, Fire (REX)Others Not Listed-Specify Below MISC)Rough Alarm System, Fire (REF)Rough Mechanical, Misc-Fire (RMF)Rough Sprinkler System, Fire (RSPK)
27. Other Inspection(s) Not Listed Above:
30. On-Site Contact Phone Number
32. Lock Box/Entry Code

    Inspectors will not call on the day of the inspection to obtain Gate or Lock Box Codes. Gate/Lock Box Codes should be provided at permitting when at all possible. 

34. EMAIL OF PERSON SUBMITTING REQUEST*

    NOTE: E-mail hosts for some webmail accounts (including but not limited to BELLSOUTH and/or AT&T) may block e-mails generated from the City Domain. If you experience issues or do not receive a response within 5 business days, please contact your service provider for assistance.  You may want to enter a secondary e-mail address hosted by a separate domain (provider).

Leave This Blank:


36. 1. Receive an email copy of this form.
37. Email address

    This field is not part of the form submission.

38. Submit

* indicates a required field