* Required Field

Instructions
Please enter your contact information, and click the Submit button to request information or comment on this permit.

NOTE: Filing written comments does not entitle you to a Chapter 120, Florida Statutes, administrative hearing challenging the intended District action.

Additional note: A person who has submitted an objection (or comment) is not required to attend a meeting to have their objection (or comment) considered by the District's decision maker.
Permitting Public Input Capture
Permit# :
Project Name :
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I have concerns about this application.
      (Are you interested in receiving written notification of the District's intended decision on this project? Yes No)
I oppose this application.
      (You will receive written notification of the District's intended decision on this project.)
I support this application.
      (Are you interested in receiving written notification of the District's intended decision on this project? Yes No)
*First Name
Middle Name
*Last Name
* Address
* City
* State
* Zip Code
Phone Number Ext.
* Email
Comments
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Attachments
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