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Submit Suspected Code Enforcement Violation

 Under Florida law, email addresses are public records.  If you do not want your email address
released in response to a public-records request, do not send electronic email to this entity.  
Instead contact this office by phone or in writing.

Name: 

Address: 

Phone: 



TO BE FILLED IN BY STAFF:

 

Date Received:   ___________________________________________

 

Received By:     ___________________________________________

 

PROPERTY INFORMATION

 

 

 

 

 

Strap No.:     C-

 

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Lot:

 

Block:

 

Parcel No.:

 

 

 

 

 

Subdivision:

 

 

 

 

 

Plat Book:

 

Page:

 

Map No.:

 

 

 

 

 

Owner:

 

 

 

                                 

 

 

Staff can assist you with parts of this form, but to facilitate this process, please include as much information as possible especially                           the address at which possible violation has occurred.

We suggest that the individual who submits the complaint also provide their name, address, and phone number, but it is not                       mandatory.