1

Resident's Name

 *

Resident's Name

2

Resident's Address

 *

Resident's Address

3

Resident's Address 2

Resident's Address 2

4

City

 *

City

5

State

 *

State(Select State) Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming

6

Zip

 *

Zip

7

Resident's Phone

 *

Resident's Phone ext.

8

Resident's Email

 *

Resident's Email

9

Date permit is being requested to begin & end (NOT to exceed 7 days)

 *

Date permit is being requested to begin & end (NOT to exceed 7 days)

Start Date

End Date

10

Type of moving vehicle

 *

Type of moving vehicle

Submitting this request does NOT guarantee a permit will be issue.  If you do not receive a call and/or an email from Zoning & Code Compliance regarding your permit within 2 business days please call 941-575-3352 or email CodePermits@pgorda.us

 

1. To receive a copy of your submission, please fill out your email address below and submit.
2. Email Address

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