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Property Owner Info
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| First Name: * |
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| Last Name: * |
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| Address: * |
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| Apt/Unit #: |
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| City: * |
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| State: * |
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| Zip Code: * |
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| Daytime Phone: |
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| Evening Phone: |
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| Owner's Email: |
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| Preferred Contact Method: |
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| Contact Person (if different than owner): |
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| Contact Person's Home Phone: |
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| Contact Person's Work Phone: |
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| Contact Person's Cell Phone: |
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| Contact Person's Email: |
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Project Info
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| Have you received a Code Violation?: |
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| Municipality: |
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| Citation # (if any): |
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| Citation Details (if any): |
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| Do you have an upcoming hearing?: |
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| Code Enforcement Officer's Name: |
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Code Violation Info
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Please answer any & all questions
that apply to your project
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I need the following:
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| Permit: |
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| Fine Reduction: |
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| Compliance (after a code violation): |
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| Inspection: |
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| Certification: |
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| Design Professional Coordination: |
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| New Building Permit: |
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| Building Alteration Permit: |
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| Special Inspection: |
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| Zoning Approval: |
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| Variance: |
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| ADA Assistance: |
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| Sign Permit: |
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| Fence Permit: |
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| Plan Coordination: |
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| Document Coordination: |
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| Landscape Compliance: |
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| Vehicle Compliance: |
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| RV Compliance: |
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| Exterior Safety Issue Compliance: |
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| Interior Safety Issue Compliance: |
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| Building Setback Compliance: |
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| Expert Witness Testimony: |
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