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Compliance Investigation Form
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Name of Person Making Request: � 4
Address: Phone#
Investigation Type: `
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Location(Address)of Violation:
Phone Number: Property Owner/Manager:
Request Taken by: / Investigator: �CC/I/�M
Action Taken:
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F:\Code Enfore meat\Compliance investimion Fmm.doc Oct 92009
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CITY OF ATLANTIC BEACH
CODE ENFORCEMENT DIVISION
800 Seminole Road
Atlantic Beach, Florida 32233
PHONE: 247.5855
COURTESY
NOTICE OF VIOLATION
DATE 'Y/1�I/`/ TIME
/ 77 OWNER�IX.CUPMN'
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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. J�J
YOU CAN COMPLY BY
WIT N � OICE— YT -
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.
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DUDE ENFORCEMENT OFFICER
RECEIVED BY