To be filled out by staff or public (not required to be filled out by the public). This document is for follow up in fulfilling the request and contacting the requestor at a later date if the request can not be filled at the time of the request.
Please check with the City Clerk to be sure your request was recieved.

Contact Information

Name:*

Address:

Phone:*

Fax:

E-mail:*

Specific documentation requested

Identify and describe the documents sought.*

Make copies*

Yes

No

If building permit information is requested, please include as much of the following as possible

Real Estate Number:

Lot, Block, Subdivision:

Name of property owner:

Name of business:

Physical location:

Type of work/permit:

---

Please leave everything under this line blank. For Administration Use ONLY!

Administration: Provide a copy of this form to the requestor after completing the first line below.

Name of Person or Department

Date & Time

Request received by:

At:

Request reviewed(Dept Head)by:

At:

Documents located by:

At:

Retrieval time:

At:

Fee calculated by:

At:

Requestor notified by:

At:

Documents picked up by:

At:

Staff - Please, if unable to fulfill the request immediately, attempt to fulfill the requests within one week of the date the request was received from the requestor or contact the requestor within that timeframe to keep them informed of your progress.

Number of Pages:

Number of Copies:

Note: $0.15 for one sided, 14"X 81/2" or less; $0.20 for 2 sided; $1.00 for each page certified plus cost of copies.

Special service charge for extensive use of clerical or supervisory labor or information technology resources

Over 15 min. clerical staff rate of pay (entry level )or charges for DVD’s, CD’s or VHS & audio tapes:

Total Cost:

Note: If request totals less than $1.00 do not collect, round amounts over $1.00 down to the nearest dollar.

PUBLIC RECORDS AND THE LAW: You will find information in Florida’s State Statutes Chapter 119 regarding this law.

07/20/06; cle

Phone: 305-743-0033
Fax: 305-743-3667
City of Marathon, Incorporated 1999
Copyright 2002, 2003 All rights reserved