Pensacola Fl Vpr Form - Safeguard Properties Page 4
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4CITY OF PENSACOLA, FLORIDA
CODE ENFORCEMENT AUTHORITY
VACANT PROPERTY REGISTRATION FORM
RE: Code Enforcement Authority Case No. __________
pertaining to property
located at
.
SECTION 4-6-10 OF THE CODE OF THE CITY OF PENSACOLA, FLORIDA REQUIRES THAT YOU MUST
COMPLETE AND FILE THIS FORM WITHIN TEN (10) DAYS OF YOUR MANDATORY INSPECTION OF
THE PROPERTY WHICH IS THE SUBJECT OF THIS CASE.
RECORDED SECURITY HOLDER EXECUTING THIS FORM:
Name:
Street address:
Mailing address:
E-mail address:
Telephone number:
Fax Number:
Date upon which the property was inspected:
State whether you are confirming that the property is unoccupied or whether your inspection indicated that
the property appears to be unoccupied.
State the responsible party located in Escambia or Santa Rosa County, Florida charged with the security and
maintenance of the property.
Name:
Street address:
Mailing address:
E-mail address:
Telephone number:
Fax Number:
State whether you have foreclosed upon your interest in this property, or whether you are in a foreclosure process,
have listed the property for sale, including short sale, or whether you have accepted a deed in lieu of foreclosure.
______________________________________________________________________________________
______________________________________________________________________________________
YOU MUST FILE THIS FORM WITH THE CITY OF PENSCAOLA CODE ENFORCEMENT OFFICE
WITHIN 10 DAYS OF THE DATE OF YOUR INSPECTION OF THIS PROPERTY.
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