Annual/Periodic or Permit Inspection Request Form

250 West Lake Road, Palm Harbor, Florida 34684
Phone: (727) 784-0454

  • Please fill out the form below in its entirety (failure to fill out the form in its entirety may delay the inspection). * Indicates a mandatory field.
  • The date and time you have requested are not scheduled until you are contacted by the Fire Prevention Division.

Please fill-out the form below in full and submit to ensure timely inspection services.

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INSPECTION TYPE

Check the type of inspection required