CE 221 SEMINOLE RD. J
P LAS r/c
CITY OF ATLANTIC BEACH
CODE ENFORCEMENT DIVISION
800 Seminole Road
Atlantic Beach, Florida 32233
PHONE: 247-5855
COURTESY
NQTICE OF VIOLATION
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DATE / TIME
OWNER I CXVUPANT
TM} Y
ADDRESS
THE INSPECTION MADE OF THE ABOVE PREMISES
THIS DATE DISCLOSED YOU WERE IN VIOLATION OF
ORDINANCE:
OF THE CODE OF THE CITY OF ATLANTIC BEACH,
FLORIDA.
YOU CAN COMPLY BY
WITHIN '" -X"' DAYS OF THIS NOTICE
THIS IS A COURTESY NOTICE IN ORDER TO MAKE
YOU AWARE OF A VIOLATION OF THE CITY CODE
OF ATLANTIC BEACH. IF YOU HAVE ANY QUESTIONS
OR WOULD LIKE ADDITIONAL INFORMATION
PERTAINING TO THIS NOTICE, PLEASE CALL
ATLANTIC BEACH CODE ENFORCEMENT OFFICE.
0
CODE ENFORCEMENT OFFICER j
t
RECEIVED BY
.it Compliance Investigation Form
f Request: Time of Request:
e.07 ft-
Investigation# Date o q
Location (Address) of Violation:
Property Owner/Manager:
VIOLATIONS: 'J
Action Taken:
Compliance:
Name of Person Making Request/Complaint:
Phone#
Address:
Investigation Type
April 25 2013
F:\Code Enforcement\Compliance Investigation Form.doc