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2. Please use this form to request an inspection at a location in the City of New Smyrna Beach. Fields with an asterisk next to them are required. The Florida Legislature in 2021 passed Senate Bill 60, which amended Florida Statute 125.69 (4)(b), Florida Statute 162.06 (1)(b), and Florida Statute 162.21 (3)(b). Effective July 1, 2021, Florida Statute prohibits Code Compliance officers from investigating anonymous tips unless the violation presents an imminent threat to public health, safety, welfare, or the imminent destruction of habitat or sensitive resource.
4. Please provide your name and contact information.
6. First Name*
7. Last Name*
9. Street Address*
11. City*
12. State*
13. Zip Code*
15. Phone Number
16. Reply E-mail
18. Please provide information about the incident you would like us to investigate.
20. Street Address*
22. Incident Description*
24. Name of Property Owner or Tenant (if known)
26. File Upload

    Please upload related photos, documents, and other related files here.

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

    This field is not part of the form submission.

30. Submit Submit and Print

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