SEPTIC INSPECTION REQUEST - Florida Department of Health in Orange County

Septic Inspection Request Form

This form is only for contractors and homeowners to request septic inspections. Any request forms submitted before 4:00pm will be responded to within the next business day. Submissions after hours will be counted as if they were submitted the next day. Florida has a very broad public records law. Most written communication to or from state officials regarding state business are public records, available to the public and media upon request. Your email communications may therefore be subject to public disclosure. Never send confidential or sensitive information via email.

Name(Required)

Please fill in the name of the person requesting the inspection.

First Last

Point of Contact

Please specify if you’re requesting as a company, agent, or homeowner. If working for a company or as an agent specify your organization name.

Phone(Required)

Please record the best phone number to contact you.

Permit Number(Required)

Please record either the corresponding 48-SX-******* or the 26-**** septic permit number.

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Permit Number

Please record the corresponding septic permit number.

Property Address(Required)

Please record the address of the property to be inspected.

Street Address Address Line 2 City ZIP / Postal Code

Type of Inspection

Select the type of inspection being requested.

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Type of Inspection

Describe the type of inspection being requested.

Additional Comments

Please include any additional instructions, questions, or updates related to the inspection here.