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Report a Code Violation

<!DOCTYPE html> <html> <head> <meta charset="utf-8" /> <meta name="viewport" content="width=device-width" /> <meta http-equiv="X-UA-Compatible" content="IE=edge"> <title>Report a Code Violation</title> <meta name="description" content="Report a code violation or look up a code enforcement case status or obtain lien payoff information or pay liens in the City of Orlando."> <link href="/WebCodeEnforcement/Content/bootstrap/bootstrap.css" rel="stylesheet"/> <link href="/WebCodeEnforcement/Content/datepicker3.css" rel="stylesheet"/> <link href="/WebCodeEnforcement/Content/Site.css" rel="stylesheet"/> <link href="/WebCodeEnforcement/Content/Footer.css" rel="stylesheet"/> <script src="/WebCodeEnforcement/Scripts/jquery-1.11.1.min.js"></script> <script src="/WebCodeEnforcement/Scripts/jquery-migrate-1.2.1.min.js"></script> <script src="/WebCodeEnforcement/Scripts/Date.min.js"></script> <script src="/WebCodeEnforcement/Scripts/jquery.unobtrusive-ajax.min.js"></script> <script src="/WebCodeEnforcement/Scripts/jquery.validate.min.js"></script> <script src="/WebCodeEnforcement/Scripts/jquery.validate.unobtrusive.bootstrap.min.js"></script> <script src="/WebCodeEnforcement/Scripts/jquery.validate.unobtrusive.min.js"></script> <script src="/WebCodeEnforcement/Scripts/customValidation.js"></script> <script src="/WebCodeEnforcement/Scripts/bootstrap.js"></script> <script src="/WebCodeEnforcement/Scripts/bootstrap-datepicker.js"></script> <!-- Google Tag Manager --> <!-- End Google Tag Manager --> <script> var virtualPath = '/WebCodeEnforcement'; var formSubmitted = false; var validator; $(document).ready(function () { $(':radio').click(function () { this.blur(); }); $('.print').click(function () { window.print(); }); if ($('form').length != 0) { validator = $("form").first().validate({ focusCleanup: true, focusInvalid: false, onkeyup: false }); } }); </script> </head> <body class="home create"> <!-- Google Tag Manager (noscript) --> <!-- End Google Tag Manager (noscript) --> <!-- Navigation Row --> <div id="Top" class="header container"> <div class="row" style="min-width:350px; max-width:1170px; margin-top:0; margin-bottom:0;"> <div class="col-xs-6" style="padding-left:0;"> <div class="logo-container" style="min-width: 270px;text-align:left;"> <a href="http://www.Orlando.gov" target="_blank"> <img class="customerLogo" alt="" src="/WebCodeEnforcement/Content/images/logo_orlando.png" id="headerLogo" /> </a> </div> </div> <div class="col-xs-6" style="padding-right:0;"> </div> <div class="col-xs-6" style="padding-right:0;"> <div class="logout noPrint"> <a class="form-control buttonStyle btn stacked_btn btn-logout" href="/WebCodeEnforcement/">New Search</a> </div> </div> </div> <div class="row" style=""> <div class="" style="padding-left:0;"> <div class="noPrint text-align-right"> </div> </div> </div> </div> <!-- Main Container --> <div class="container content" > <!-- Body content goes here --> <div class="row"> <h1>Report a Code Violation</h1> </div> <div class="row"> <div class="col-xs-12 text-center padding-top-15"> <p>To create a service request, please input the location and a brief summary of the request.</p> </div> </div> <form action="/WebCodeEnforcement/Home/Create" id="CreateServiceRequestForm" method="post"> <div class="row margin-0 margin-top-10"> <div class="col-sm-4 text-right text-respond margin-top-5"> <label class="" for="Location">Location of Violation:</label> </div> <div class="col-sm-6 text-respond"> <input class="col-md-center form-control" data-val="true" data-val-required="Please enter the address or location." id="StreetAddressEntry" maxlength="200" name="Location" placeholder="" style="width:100%" tabindex="1" type="text" value="" /> <br /> <span class="field-validation-valid" data-valmsg-for="Location" data-valmsg-replace="true"></span> </div> </div> <div class="row margin-0 margin-top-10"> <div class="col-sm-4 text-right text-respond margin-top-5"> <label class="" for="Description">Violation Description:</label> </div> <div class="col-sm-6 text-respond"> <textarea class="col-md-center form-control" cols="20" data-val="true" data-val-required="Please enter a description." id="DescriptionEntry" maxlength="1000" name="Description" placeholder="" rows="2" tabindex="1" type="text"> </textarea> <br /> <span class="field-validation-valid" data-valmsg-for="Description" data-valmsg-replace="true"></span> </div> </div> <div class="col-xs-12 text-center padding-top-15"> <p>Required: Please provide contact information in case we need to get more detail about your request.</p> <p>Per Florida Statute 162.21, anyone submitting a code violation report must provide their name and address. We cannot investigate code violation claims without this information.</p> </div> <div class="row margin-0 margin-top-10"> <div class="col-sm-6 text-right text-respond margin-top-5"> <label class="" for="FirstName">First Name:</label> </div> <div class="col-sm-6 text-respond"> <input class="col-md-center form-control width-auto" data-val="true" data-val-required="Please enter your first name." id="FirstNameEntry" maxlength="30" name="FirstName" placeholder="" tabindex="1" type="text" value="" /> <br /> <span class="field-validation-valid" data-valmsg-for="FirstName" data-valmsg-replace="true"></span> </div> </div> <div class="row margin-0 margin-top-10"> <div class="col-sm-6 text-right text-respond margin-top-5"> <label class="" for="LastName">Last Name:</label> </div> <div class="col-sm-6 text-respond"> <input class="col-md-center form-control width-auto" data-val="true" data-val-required="Please enter your last name." id="LastNameEntry" maxlength="30" name="LastName" placeholder="" tabindex="1" type="text" value="" /> <br /> <span class="field-validation-valid" data-valmsg-for="LastName" data-valmsg-replace="true"></span> </div> </div> <div class="row margin-0 margin-top-10"> <div class="col-sm-6 text-right text-respond margin-top-5"> <label class="" for="StreetAddress">Address:</label> </div> <div class="col-sm-6 text-respond"> <input class="col-md-center form-control width-auto" data-val="true" data-val-required="Please enter the address. Per Florida Statute 162.21, anyone submitting a code violation report must provide their name and address. We cannot investigate code violation claims without this information." id="StreetAddressEntry" maxlength="30" name="StreetAddress" placeholder="" tabindex="1" type="text" value="" /> <br /> <span class="field-validation-valid" data-valmsg-for="StreetAddress" data-valmsg-replace="true"></span> </div> </div> <div class="row margin-0 margin-top-10"> <div class="col-sm-6 text-right text-respond margin-top-5"> <label class="" for="CityZip">City, State, and Zip:</label> </div> <div class="col-sm-6 text-respond"> <input class="col-md-center form-control width-auto" data-val="true" data-val-required="Please enter the City, State, and Zip. Per Florida Statute 162.21, anyone submitting a code violation report must provide their name and address. We cannot investigate code violation claims without this information." id="CityZipEntry" maxlength="30" name="CityZip" placeholder="" tabindex="1" type="text" value="" /> <br /> <span class="field-validation-valid" data-valmsg-for="CityZip" data-valmsg-replace="true"></span> </div> </div> <div class="row margin-0 margin-top-10"> <div class="col-sm-6 text-right text-respond margin-top-5"> <label class="" for="PhoneNumber">Phone Number:</label> </div> <div class="col-sm-6 text-respond"> <input class="col-md-center form-control width-auto" data-val="true" data-val-phone="The Phone Number: field is not a valid phone number." data-val-regex="A 10-digit phone number is required." data-val-regex-pattern="(\d+(.*?)){10}" id="PhoneNumberEntry" maxlength="15" name="PhoneNumber" placeholder="" tabindex="1" type="text" value="" /> <br /> <span class="field-validation-valid" data-valmsg-for="PhoneNumber" data-valmsg-replace="true"></span> </div> </div> <div class="row margin-0 margin-top-10"> <div class="col-sm-6 text-right text-respond margin-top-5"> <label class="" for="EmailAddress">Email Address:</label> </div> <div class="col-sm-6 text-respond"> <input class="col-md-center form-control width-auto" id="EmailAddressEntry" maxlength="50" name="EmailAddress" placeholder="" tabindex="1" type="text" value="" /> <br /> <span class="field-validation-valid" data-valmsg-for="EmailAddress" data-valmsg-replace="true"></span> </div> </div> <div class="row margin-0 margin-top-10 hidden-xs"> <div class="col-xs-6 text-right text-respond margin-top-5"> <label class="" for="RequestCallback">Request Callback:</label> </div> <div class="col-xs-6 text-respond"> <input class="col-md-center form-control width-auto" data-val="true" data-val-required="The Request Callback: field is required." id="RequestCallbackEntry" name="RequestCallback" style="margin-top: 0; box-shadow: none;" tabindex="1" type="checkbox" value="true" /><input name="RequestCallback" type="hidden" value="false" /> <br /> </div> </div> <div class="row col-xs-12 text-center padding-top-15 hidden-sm hidden-md hidden-lg" style="margin: 0"> <div class="text-respond margin-top-5"> <label for="RequestCallback" style="padding-right: 5px">Request Callback:</label> <input class="col-md-center form-control width-auto" id="RequestCallbackEntry" name="RequestCallback" style="margin-top: 0; box-shadow: none; padding-left: 5px;" tabindex="1" type="checkbox" value="true" /><input name="RequestCallback" type="hidden" value="false" /> <br /> </div> </div> <!-- Button --> <div> <div class="row"> <div class="col-xs-12 text-center"> <input type="submit" id="login-button" value="Submit" class="buttonStyle btn form-control clickClass" tabindex="2" /> <input name="__RequestVerificationToken" type="hidden" value="Jan69c4_05rKzmlQZ0poRzfAjRv_ESFyfcS3zHnL5O1u8TLKJXejoIhIgpLi8ha23143reai5jztUWmwQgvt7x38kLjZgXXgo7SO4llvqRU1" /> </div> </div> <div class="row"> <div class="text-center"> </div> </div> </div> </form> </div> <!-- Footer Row --> <div class="row" id="SelectronLogo" style="margin:0 auto;"> <div style="width:100%; text-align:center;" id="SelectronLogo"> <img id="SelectronLogo" alt="" src="/WebCodeEnforcement/Content/images/powered-by-selectron.png" style="width:auto; display:inline-block;" /> </div> </div> <script type="text/javascript"> $(document).ready(function () { $('#PrintButton').click(function () { $('#sectionLogo').hide(); $('#sectionNav').hide(); $('#sectionFooter').hide(); $('.button-bar').hide(); var originalHeight = $(".main-body").height(); $(".main-body").height(500); window.print(); $('#sectionLogo').show(); $('#sectionNav').show(); $('#sectionFooter').show(); $('.button-bar').show(); $(".main-body").height(originalHeight); }); }); </script> </body> </html>

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