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TRANSMITTAL TYPE

TRANSMITTAL TYPE*
1. Resubmittal
2. Revision to Active Permit
3. Correct an ePermit Submission
APPLICATION, PERMIT NO.
CIVIC PLUS ePERMIT SUBMISSION ID NO.
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LOCATION OF WORK AND PROPERTY DETAILS

STREET NO.*
STREET NAME*
STREET TYPE
DIRECTION
APT, BLDG, FLOOR, SUITE, UNIT NO.
LEASEHOLD/TENANT NAME
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CONTRACTOR OF RECORD

CONTRACTOR OF RECORD*
CONTRACTOR E-MAIL ADDRESS*
CONTRACTOR PHONE NUMBER
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TRANSMITTAL DETAILS & ATTACHMENTS

DISCLAIMERS & ELECTRONIC SIGNATURE AND DATE

I understand Building Code Plans Examination does not start until all required plan review fees are paid*
1. Yes
After the initial review is completed for projects valued under $25,000, the required plan check and/or Fire Marshal review fees must be paid before any subsequent submittals will be processed. Fees can be paid with cash, check or money order made payable to "City of Jacksonville Beach".
I understand Building Code Plans Examination does not start until Zoning Conformity Review and Approval is obtained*
1. Yes
ePlans submissions are not considered sufficient for processing if there are any outstanding fees owed to the City (including but not limited to application, plan review, permit renewal, and/or inspection penalties).
I understand that I may be responsible for printing all "Approved Construction Documents" and ensuring a to-scale, stamped set is posted on the job-site for required inspections.
1. Yes
I understand that work may not begin until a valid permit is posted on site.*
1. Yes
COAST ePLANS REQUIREMENT ACKNOWLEDGMENT
-If there is an error with one of the files during processing, I may be required to submit in hardcopy format.
-All construction documents shall be submitted in PDF format.
-Contractor may be responsible for printing and posting on-site ALL approved construction documents prior to inspection.
-Digitally signed/sealed documents cannot be locked or restricted (password protected); this allows for the placement of required stamps from City Staff.
-Digitally signatures must comply with Florida Statutes Chapter 481 and Florida Administrative Rule 61G1-16.005 for Architects or Florida Statutes Chapter 471 and Florida Administrative Code Rule 61G15-23.003 for Engineers.
Certificate Authority services can be purchased through a number of third party companies including Entrust, eTrust, GeoTrust, GlobalSign, IdenTrust and Verisign. This is not a complete list and the City does not recommend one firm over another. It is the purchaser’s responsibility to ensure the service meets the requirements of the Florida Statutes and Administrative Rules.
1. I have read the ePlans requirements and understand
ELECTRONIC APPLICATION SUBMISSION STATEMENT*
By checking the box below, I agree to conduct transactions with the City of Jacksonville Beach by electronic means. I understand the electronic signature and date below serve as my signature authorization on permit applications and/or construction documents to be used for the review, approval, and issuance of building permits electronically AND that I may be required to provide traditional signatures at a later date.
1. I agree and understand.
ELECTRONIC SIGNATURE OF PERSON SUBMITTING TRANSMITTAL FORM*
DATE*
DATE

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

This field is not part of the form submission.
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ePlans Resubmittal or Revision Transmittal Form

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TRANSMITTAL TYPE

LOCATION OF WORK AND PROPERTY DETAILS

CONTRACTOR OF RECORD

TRANSMITTAL DETAILS & ATTACHMENTS

DISCLAIMERS & ELECTRONIC SIGNATURE AND DATE

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