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2. Only complaints appearing to be a violation of the Santa Rosa County Land Development Code, a Santa Rosa County Ordinance or the Florida Building Code will be investigated. Quality of work is not under the authority of this Department.

   
   

   Note - Per Florida Statute 162, Anonymous complaints will not be processed. The complainant must provide valid name and address (phone number and email optional) below for the complaint to be valid.

4. Contact Information
6. Full Name*
8. Address*
10. City*
11. State*
12. Zip Code*
14. Phone
15. Email
17. Are you represented by legal counsel?

    1. Yes
    2. No
19. If so, please provide your attorney's information:
23. Violater's Information
25. Violater's Name
27. Address*
29. City*
30. State
31. Zip Code
33. Phone
37. Property Owner's Information (if Different from Violator)
39. Owner's Name
41. Address
43. City
44. State
45. Zip Code
49. Complaint Information
51. Location or Address of Complaint or Violation*
53. Description of Complaint or Violation*
57. Attach Picture
    Please make sure the total size of all pictures is less than 10 mb. Please compress your pictures as needed to meet this requirement.
59. Attachment 1:
61. Attachment 2:
63. Attachment 3:
65. Attachment 4:
67. Because of Statute of Limitations, please do not delay in consulting with an attorney or initiating any actions to preserve your civil remedies in this matter. The Department cannot be your legal Representative. Matters which involve monetary recovery or questions of restitution for damages are civil in nature and should be addressed to the court with appropriate jurisdiction.
    
    Florida Statues 837.06, False Official Statement: Whoever knowingly makes a false statement in writing with the intent to mislead a public servant in the performance of his official duty shall be guilty of a misdemeanor of second degree.
    
    Note - Anonymous complaints will not be processed. The complainant must provide valid contact information (name, address, phone number) below for the complaint to be valid.
Leave This Blank:


69. 1. Receive an email copy of this form.
70. Email address

    This field is not part of the form submission.

71. Submit

* indicates a required field