2. First Name*
3. Last Name*
5. Address1*
7. City*
8. State*
9. Zip*
11. Email*
12. Tel*
14. Notice
    IMPORTANT NOTICE – To better respond to your request, we ask that you complete this form. The requesting party assumes all responsibility for the accuracy and completeness of the property description information provided to the City, including the folio number, property address, and legal description. Note that folio numbers can have more than one corresponding address, and all relevant addresses must be listed.
16. FOLIO NUMBER*
    FOLIO NUMBER (TAX ID) or LEGAL DESCRIPTION (LOT, BLOCK & SUBDIVISION)
18. PROPERTY ADDRESS*
19. CURRENT OWNER or BUSINESS NAME*
21. Permit*

    1. OPEN Permit Information
    2. ALL Permit Information
22. Describe
    COPIES of specific Permit, Inspection and/or Plan data for a specific location
23. Delivery

    1. EMAILED
    2. PICKED UP
    3. MAILED USPS (Postage rates apply)
25. *Verified by Electronic Database as of 2001, information prior to 2001 will require a deposit for additional research depending on the complexity of the request. Duplication of Records. The City shall collect the actual cost for reproducing records consistent with Chapter 119, Florida Statutes. Basic fees for duplication of public records are as follows: $.15 cents each one sided sheet up to 8.5" x 14" / $.20 each two sided sheet up to 8.5" x 14" / Certified copies $1.00 per sheet. Copies of Building Plans are based on the actual cost incurred for reproduction and will require a deposit to cover this cost. Copies made to CD/DVD are $1.00 each. If the nature or volume of public records requested to be inspected, examined or copied requires extensive use of information technology resources or extensive clerical or supervisory assistance by personnel, additional charges for research time may be applied (30 minutes or longer).
27. Warning Note: Requests for public records that include copies of architectural works may be subject to copyright or “original works of authorship” protection in accordance with United States Code, Title 17, Chapter 1. Your request for copies and receiving said “works” may result in a violation of this Code which is subject to Federal prosecution.
Leave This Blank:


29. 1. Receive an email copy of this form.
30. Email address

    This field is not part of the form submission.

31. Submit

* indicates a required field