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2. 
3. Engineering Permit Application - Work Within a Public Right‐of‐Way
   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. Job Address*
7. City*
8. State*
9. Zip Code*
11. Folio Number:*
12. Property Type*
    -- Select One --CommercialResidential

    Select your property type
14. Contractor Information:
16. Company Name:
    Enter your contractor company name
17. Phone Number:
    Enter contractor phone number
18. Email:
    Enter contractor email address
20. Nature of Work to be Accomplished for:*
    Please describe your work in as much detail possible
22. Estimated Cost:
23. If Road Cut, How Many Lineal Feet:
24. Type

    1. New
    2. Repair
    3. Replace
26. Qualifier Print Name
28. Signature of the Qualifier:
29. APPROVED:
    Director Of Public works / Designee
Leave This Blank:


32. Print Only

* indicates a required field