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2. 
3. Roof Permit Application
   12340 NE 8 AVE North Miami, FL 33161 Phone: 305-895-9820 Fax: 305-895-9822 Permit Office Hours: 7:30 to 3:00 Monday to Friday Inspection Request: Inspect@northmiamifl.gov
5. Contact Person:*
6. Phone #:*
7. E-Mail Address*
9. Job Site Address
11. Address*
13. City*
14. State*
15. Zip Code*
17. Folio Number:*
18. Builder*

    1. Contractor
    2. Owner
19. Property Type*
    -- Select One --CommercialResidential

    Select your property type
23. ALL INFORMATION MUST BE FILLED IN BY THE APPLICANT IN ACCORDANCE WHIT F.S. 712.135
    Application has been made to obtain a permit to do the work and installation as indicated. I certify that no work or installation has commenced prior to the issuance of permit and that all work will be performed to meet the standards of all laws regulating construction in the City of North Miami. Florida. I understand that a separate application/sign off will be required to secure Electrical, Plumbing, Signs, Pools, Boilers, Tanks, Air Conditioners, Roofing, Shutters, Windows, Doors, etc.
25. Contractor Information:
27. Company Name:
    Enter your contractor company name
28. Phone Number:
    Enter contractor phone number
29. Email:
    Enter contractor email address
31. Address
33. City
34. State
35. Zip Code
39. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMEN
41. Owner Information:
43. Full Name:*
    Enter Owner's full name
44. Phone:*
    Enter owner's phone number
45. Email:*
    Enter owner's email
47. Address*
49. City*
50. State*
51. Zip Code*
55. Roof Type*
    -- Select One --Low SlopeShinglesTileMetal RoofsWaterproofingOther

    Please select material type for your roof
56. If Other
    roof type or combination
57. Roof Square Feet*
    Please enter Roof total square feet
58. Job Cost*
    Please enter total estimated job cost
60. Scope of Work*
    Please describe your work in as much detail as possible
64. Contractor
65. Property Owner
67. Print Name of Qualifier:
68. Print Owner Name:*
70. License Number:
71. Owner's Address: (if different)
73. Signature of the Qualifier:
74. Signature of Owner:
76. On this date
    On this date
    before me the undersigned personally appeared and whose name is subscribed to and within the Instrument, and that he/she acknowledges that he/she executed it. Instrument, and that he/she acknowledges that he/she executed it.
77. On this date
    On this date
    before me the undersigned personally appeared and whose name is subscribed to and within the Instrument, and that he/she acknowledges that he/she executed it. Instrument, and that he/she acknowledges that he/she executed it.
79. Notary Public State of Florida
80. Notary Public State of Florida
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83. Print Only

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