CODE COMPLIANCE UNIT
VIOLATION COMPLAINT FORM

Date Complaint Observed

Time Complaint Observed

Street Address
(or Cross Streets)

Type of Violation

Abandoned or Unlicensed Vehicle Work without Permit Other (please specify below)

Junk or Trash on Developed Property Overgrowth of Weeds or Grass

For Vehicle violations indicate the Make, Model, Color and Year of Vehicle

If you want to be contacted with information on the status of this violation,
please fill out the information below.

Name

Street Address

City

Zipcode

Phone Number

Email

Please note that all information provided is public information subject to Florida Law