Construction Services Division
1400 N. Boulevard
Tampa, FL 33607
Phone:(813) 274-3100
Fax: (813) 259-1712
Contact Reference Form
Instructions: Please utilize this form to identify the primary contact information for the Private
Provider to which City staff can refer client inquiries regarding specific project details such as, but
not limited to, plan review and inspection comments and interpretations, Private Provider inspection
reports, inspection results by a Private Provider, etc.
Point of Contact Name
Organization Name
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