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City of Hialeah 501 Palm Avenue 2nd Floor Hialeah Florida 33010 Office 305. 883. 5825 Fax 305. 883. Property Owner Name Existing Architect/Engineer Name New Architect/Engineer Name Owner Signature STATE OF FLORIDA COUNTY OF MIAMI-DADE Sworn to and subscribed before me this day of 20. An administrative fee of 140. 00 will be charged for the change of professional of record. NEW ARCHITECT / ENGINEER NAME I agree to hold the City of Hialeah its agents and authorized personnel harmless and...

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