Violation Complaint Form

Code Enforcement Violation Complaint Form

YOU MUST PROVIDE THE STREET ADDRESS OF THE PROPERTY WHERE THE ALLEGED VIOLATION(S) IS/ARE LOCATED. Be specific when registering your complaint. Include the date and time you observed the condition(s). Describe the conditions of the property in detail, i.e. trash and what type; disabled vehicle and make, model and color; trash in yard, old tires, old bikes, appliances, etc. If you observed these conditions, simply complete a website complaint form and submit it to our office. All complaints are investigated as soon as possible. Please understand that if you do not provide an exact address for the property where the alleged violation(s) exist and the Code Enforcement Officer cannot locate the property based on the information provided, the case will be closed.

	*Date Complaint Observed
	*Time Complaint Observed
	*Street Address (or Cross Section)
	*Type of Violation	Inoperable or Unlicensed Vehicle Junk, Garbage or Trash Work Without Permit Overgrowth of Weeds or Trash Dilapidated Structure Other (Please Specify Below) Please give details below:
	*For Vehicle Violations Indicate the Make, Model, Color, and Year of Vehicle
	Name
	Street Address
	City
	Zip Code
	Phone Number
	Email

*Indicates Required Field

If you do not know the address where the violation is located, you may contact the addressing division of Public Works at (904) 269/284-6357 for assistance.

Email Disclaimer: Please Note- "Under Florida law, e-mail addresses are public records. If you do not want your e-mail address released in response to a public-records request, do not send electronic mail to this entity. Instead, contact this office by phone or in writing."