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2. Submittal Type*

   1. Notice of Scheduled Inspection(s)
   2. Report Inspection Result Record(s)
   3. Apply for Certificate of Occupancy or Completion
   4. Cancel Scheduled Inspection(s)
3. Permit Number*
4. Job Site Address*
6. Inspection Date*
   Inspection Date
7. Approximate Time*
   Approximate Time
8. Inspection Report No.
9. Structure/Building*

   1. 001-Primary
   2. 002-Accessory
   3. BOTH
   4. Not Applicable
11. Inspection Type

    1. USP: Underslab Plumbing & Lead Test
    2. FTNG: Footing/Stemwall
    3. SLAB: Monolithic Slab
    4. CF: Block CMU Cell Fill/ICF Walls
    5. WSN: Wall Sheathing Nailing
    6. RSN: Rough Sheathing Nailing
    7. EXS: Exterior Strapping/Tie Downs
    8. DRY: Wall Dry-in After Tyvek/Tape

    1. RDRY: Roof Dry-In
    2. WINR: Window or Door Rough & Dry-In
    3. WIND: Window or Door In-Progress
    4. SIDE: Siding In-Progress
    5. SOFF: Soffit In-Progress/Fastening
    6. LATH: Lath & Fastening/Stucco
    7. RF: Rough Framing and All Trade Roughs
    8. INS: Insulation

    1. EP: Early Power Electrical
    2. BLDG: Building and All Trade Finals
    3. FM: Final Mechanical
    4. FE: Final Electrical
    5. FP: Final Plumbing
    6. FG: Final Mechanical Gas
    7. ADA: ADA Accessibility
    8. OTHER: Describe Below
13. Other Inspection Not Listed
15. Is this a PHASED commercial project?

    1. No
    2. Yes
16. Phase No.
18. Inspection Results Status

    1. Pass/Approved
    2. Fail/Disapproved
    3. Approved with Exceptions
    4. See Attached Inspection Report
19. Exceptions/Notes
21. Upload Inspection Results

    Pursuant to F.S. 553.791(11)

22. Upload Certificate of Compliance

    Upon completion of all required inspections, the private provider shall prepare a certificate that complies with F.S. 553.791(12).

24. Office E-Mail Address*

    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).

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

    This field is not part of the form submission.

28. Submit

* indicates a required field