City of Groveland
Rental Registration Form
OFFICE PHONE: 352-429-2141 EMAIL: PERMITTING@GROVELAND-FL.GOV FAX: 352-429-3046
RENTAL PROPERTY ADDRESS:
Primary Tenant Name: ____________________________________________________________________
Date of Occupancy: ____________________________ Number of Occupants: ______________________
Inspection completed before new tenant occupancy?PLEASE ALLOW TWO (2) BUSINESS DAYS TO
BE CONTACTED BY CODE ENFORCEMENT OFFICER
Please complete the appropriate information below (please print): (INCOMPLETE FORMS WILL BE RETURNED)
INDIVIDUAL OWNER
Owner’s Name: _____________________________________________________________
E-mail Address: ____________________________________ Phone: _____________________________
Address: _______________________________________________________________________________
PARTNERSHIP
Partnership/Company Name: ______________________________________________________________
List the name, business address and phone number of each partner:
_______________________________________________________________________________________
_______________________________________________________________________________________
E-mail Address: __________________________________
CORPORATION
Corporation Name: _______________________________________________________________________
Mailing address: _________________________________________________________________________
Business location: ________________________________________________________________________
Local Person in Charge: _________________________________ Phone number: ____________________
List names of all officers, directors and trustees: ___________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
E-mail Address: __________________________________
PROPERTY MANAGER
Property Management Company: _______________________________________________________
Address: _________________________________________________________________
Agent’s Name: __________________________________ Phone Number: ______________________
E-mail Address: __________________________________
Signature of Owner/Agent: ________________________________________ Date: __________________
CASE #
Revised August 2019
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