Please provide revision form

{
  "business_display_name": "CHARLES E FLOYD",
  "city": null,
  "confidence_notes": "Live Accela date-window import; value and contractor parsed from public CapDetail page.",
  "county": "Lee",
  "description": "Please provide revision form",
  "email": null,
  "insurance_or_bond_summary": null,
  "jurisdiction_scope": "Lee County Accela Permitting jurisdiction",
  "legal_or_dba_name": "CHARLES E FLOYD",
  "license_number": "CCC1328172",
  "license_status": null,
  "license_type": "Certified Roofing Cntr  CCC1328172",
  "mailing_or_firm_address": "FLORIDA STATE ROOFING AND CONSTRUCTION INC BRADENTON FL 34204",
  "parcel_id": "264521200000000",
  "phone": null,
  "portal_key": "lee_accela",
  "postal_code": null,
  "qualifier_name": "PO BOX 20991",
  "raw_payload_path": "artifacts/business-backfills/lee_accela/run_date=2026-06-04/09-26-2023_09-26-2023_type-all_pages-50_details-all.json",
  "scope_layer": "county_permitting_authority",
  "site_address": "10 BEACH HOMES, CAPTIVA FL 33924",
  "source_fields": {
    "detail": {
      "detail_text_sample": "Accela Citizen Access\nLogin\n|\nRegister for an Account\n|\nAnnouncements\n(\n)\n|\nMark as Read\nTip:\nThe Global Search can be used for quick searches, using a case number, address, strap number (no special characters), or license number.\nNew Record Creation & Document Uploading:\nReport Issues, Ask Questions, Provide Feedback, or Request Training\nhere\n.  For more information about uploading documents using our new Digital Projects feature, click\nhere\n.\nCredit Card & Payment Info:\nLee County Government staff will never call you and ask for credit card or other sensitive information. Please report all fraudulent activity to the Lee County Sheriff's Office Fraud Unit at 239-258-3292.\nmore\nmore\nMessage Bar\nRecord\nROF2023-22573-R01\n:\nPermit Revision\nRecord Status:\nWaiting on Applicant\nCreate a New Collection\n*\nName:\nDescription:\nspell check\nAdd\nCancel\nRecord Info\nRecord Details\nProcessing Status\nRelated Records\nInspections\nPayments\nFees\nConditions\nWork Location\n10 BEACH HOMES\nCAPTIVA FL 33924\n*\nRecord Details\nIMPORTANT NOTE:\nFor Record Dates (i.e. Received Date, Issued Date, Expiration Date and Finaled Date) or Certificates of Occupancy, Compliance & Use, click Reports at the top of the page, and select the appropriate report name.  Certificates of Occupancy, Compliance & Use are only available for records in Closed-CO Issued, Closed-CC Issued, and Closed-Cert of Use Issued, record status.\nApplicant:\nCharles\nFloyd\nFlorida State Roofing & Consruction Inc.\nP.O. Box 20991\nBradenton,\n34204\nPrimary Phone:\n9413792501\nCell Phone:\n9419156231\nFax:\n<div class=\"ACA_PhoneNumberLTR\">9417554680</div>\[email protected]\nLicensed Professional:\nCHARLES E FLOYD\nFLORIDA STATE ROOFING AND CONSTRUCTION INC\nPO BOX 20991\nBRADENTON, FL, 34204\nPrimary Phone:\n9413792501\nCertified Roofing Cntr  CCC1328172\nProject Description:\nHurricane Damage - Beach Homes #10\nPlease provide revision form\nMore Details\nApplication Information\nOWNER BUILDER\nIs the permit being pulled as Owner-Builder?:\nNo\nDISASTER RECOVERY INFO\nIs the proposed work a result of hurricane damage?:\nYes\nIs there additional damage to the interior/exterior of the structure, not included in this permit?:\nYes\nGENERAL INFORMATION\nWill any structural work be done, or is this for a Tesla Solar Roof System?:\nNo\nType of Structure:\nPrimary Structure\nProperty Use Type:\nSingle Family\nType of Roof:\nCedar Shake\nTear Off:\nYes\nIs this a Partial Roof Replacement?:\nNo\nJob Value:\n63000\nRoof Pitch:\n7:12\nWill the applicant recycle the construction debris?:\nYes\nPrivate Provider Inspections?:\nNo\nPrivate Provider Plan Review?:\nNo\nIs the Address on the record correct and complete? :\nYes\nDo any additional Addresses or Unit/Suite Numbers need to be added to the record?:\nNo\nI hereby certify that my license qualifies me to perform the improvements proposed herein, in accordance with the applicable sections of the Florida Statutes, including F.S. 489, or Executive/Legislative Order currently in effect.:\nYes\nDirections:\n#10\nParcel Information\nParcel Number:264521200000000CE\n*\nBlock:00000\nLot:00CE\nSubdivision:--\nPLANNINGCOMMUNITY: Captiva\nMUNICODE: Lee County Unincorporated\nHISTORIC: N\nFIREDISTRICT: Captiva\n1) Parcel Number:26452120000000100\nBlock:00000\nLot:0100\nSubdivision:21452620\nFees\n*Fee Reductions are calculated at 25% of the Fee Amount, and exclude certain fee types (i.e. Impact Fees, Solid Waste Fees, etc.)\nEffective Date - 12/1/2020; End Date - 11/30/2022\nLearn how to view your discounts\nLoading...\nInspections\nIMPORTANT NOTE:\nThe system may NOT allow online inspection scheduling for permits submitted to the Agency prior to 6/7/2018.  These inspections may be scheduled through the automated phone line (IVR) at 239-533-8997.  We apologize for the inconvenience.\nClick\nHERE\nto access the Inspector Directory, with contact information.\nLoading...\nUpcoming\nSchedule or Request an Inspection\nYou have not added any inspections.\nClick the link above to schedule or request one.\nCompleted\nThere are no completed inspections on this recor",
      "job_value": "63000",
      "licensed_professional": {
        "city": "BRADENTON",
        "city_state_zip": "BRADENTON, FL, 34204",
        "company": "CHARLES E FLOYD",
        "license_holder": "PO BOX 20991",
        "license_notes": "Certified Roofing Cntr  CCC1328172",
        "phones": {
          "primary_phone": "9413792501"
        },
        "postal_code": "34204",
        "state": "FL",
        "street_address": "FLORIDA STATE ROOFING AND CONSTRUCTION INC"
      },
      "licensed_professional_raw": "CHARLES E FLOYD | FLORIDA STATE ROOFING AND CONSTRUCTION INC | PO BOX 20991 | BRADENTON, FL, 34204 | Primary Phone: 9413792501 | Certified Roofing Cntr  CCC1328172",
      "owner": "",
      "pcn": "264521200000000",
      "value_label": "Job Value"
    },
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      "10 BEACH HOMES, CAPTIVA FL 33924",
      "Please provide revision form",
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      "application_date": null,
      "description": "Please provide revision form",
      "record_type": "Please provide revision form",
      "site_address": "10 BEACH HOMES, CAPTIVA FL 33924",
      "status": null
    },
    "search_window": {
      "end": "09/26/2023",
      "start": "09/26/2023"
    },
    "work_category": null,
    "work_date_basis": "accela_search_window_fallback"
  },
  "source_record_id": "ROF2023-22573-R01",
  "source_url": "https://aca-prod.accela.com/LEECO/Cap/CapDetail.aspx?Module=Permitting&TabName=Permitting&capID1=23CAP&capID2=00000&capID3=02EE5&agencyCode=LEECO&IsToShowInspection=",
  "state": "FL",
  "status": null,
  "work_date": "2023-09-26",
  "work_event_id": "ROF2023-22573-R01",
  "work_type": "Please provide revision form",
  "work_value": 63000,
  "work_value_source": "Lee Accela Job Value"
}