CODE Online Request for Service

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Please correct the field(s) marked in red below:

Request Information:
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Request Information:
NOTE: You may attach image or video files if you believe they convey additional, important information related to your request for service.  The total size of the files must be no more than 10 MB, and the files must be in common formats.

Do you wish to remain anonymous?

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Do you wish to remain anonymous?

If you answered yes, please note that we will have no way of contacting you. If you wish to remain anonymous, do not provide personal information in the spaces below. State law requires that all information submitted with this form becomes public record.

Do you wish to be contacted by a Code Compliance Inspector?

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Do you wish to be contacted by a Code Compliance Inspector?

If yes, please provide contact information so that an inspector may contact you:

If yes, please provide contact information so that an inspector may contact you:

Is this a public records request?

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Is this a public records request?

If yes, please provide contact information so that we may fulfill your public records request. (If you do not wish to provide this information, please call our office instead: (321) 608-7905.)

If yes, please provide contact information so that we may fulfill your public records request. (If you do not wish to provide this information, please call our office instead: (321) 608-7905.)
Questions?

Call (321) 608-7905.

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