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By checking the box below, I certify that I am applying for an owner/builder permit to act as my own contractor to perform the work stated above and that all information provided is true. I further understand that if any information provided is found to be incorrect or falsely stated that this permit will be null and void and that I may be responsible for violations of other related state laws and local ordinances.
Owner/Builder (Exemption) Disclosure Statement
By checking the box below, I certify that I am the Contractor of Record or an Authorized Agent for the Company performing the work stated above and that all information provided is true. I further understand that if any information provided is found to be incorrect or falsely stated that this permit will be null and void and that I may be responsible for violations of other related state laws and local ordinances.
Site Plans Required
Application review fees will be charged in accordance with the City's Schedule of Permit Fees. These fees are non-refundable and are required to be paid even if your application for permit is denied. For projects valued at $25,000 or greater, Building and Fire Marshal plan checking fees shall be paid before an ePermit Application can be processed.
At this time, application fees are accepted in the form of check or money order only. Checks should be made payable to "City of Jacksonville Beach".
Certified copy of recorded NOC or unrecorded copy of the NOC & notarized statement that it has been filed [Ref F.S. 713.135(1)d] is required prior to scheduling the first inspection.
Application is hereby made to obtain a permit for the work as indicated above and I certify that no work has commenced and that all work will be performed to meet the standards of all laws regulating construction and zoning in this jurisdiction, whether specified herein or not. I understand: 1) Additional permits are required for Building, Mechanical, Electrical, Plumbing, Swimming Pools, Green Energy, Roofing, Fire Protection Systems, Signs, Fences, Driveways, Elevators, etc. and 2) Additional approvals may be required from other entities and 3) The right, title and interest of a person who has contracted for improvements may be subject to attachment under the Construction Lien Law and promise in good faith to provide a copy of the DBPR Construction Lien Law statement to any owner making improvements to real property. Issuance of a permit does not presume to give authority to violate or cancel the provisions of any other federal, state, or local laws. Unless owner builder exemption is elected, I certify the contracting firm listed above is authorized to act as my agent to obtain a permit for the work described herein.
By checking the box below, I hereby certify that any central air conditioning system replaced or installed on or after January 1, 2023 will meet or exceed the U.S. Department of Energy's New Energy Efficiency Standards required per the Code of Federal Regulations 10 C.F.R. § 430.32(c)(5)-(6). I further understand that the installation and/or sale of non-compliant equipment may subject a contractor, distributor, and/or manufacturer to an enforcement action by the U.S. Department of Energy.
Installation of roof mounted equipment/systems typically require roof system penetrations to allow attachments to the structure which may create additional long-term roof system maintenance requirements and/or jeopardize roof system manufacturer warranties. Roof mounted equipment/systems generally require removal and reinstallation in order to perform routine roof maintenance, repair or replacement. By checking the box below, I hereby certify that panel roof attachments, if installed, will be mounted and fastened in accordance with all applicable codes and standards as set forth in the Florida Building Code and/or the approved plans.
By checking the box below, I agree to conduct transactions with the City of Jacksonville Beach by electronic means. I agree that 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. Furthermore, the electronic signature, date and payment of required fees will make this application valid and binding to the same terms, conditions, force and effect as handwritten signatures and that I may be required to provide traditional signatures at a later date.
In lieu of signed, sworn and notarized signatures of the property owner, agent and/or contractor and under penalty of perjury, I declare that I have read and examined this application and all of the foregoing information is true and correct.
Must be a person's name. Name listed must be an authorized user on file for the licensed contractor.
DO NOT list a company name or the application will be rejected.
This field is not part of the form submission.
* indicates a required field