Solar Systems Disclosure Form

City of Miami BeachHigh Velocity Hurricane Zone (HVHZ)

Solar SystemsElectronic Permit Application

Property Owner's Solar System Disclosure Form

Master Permit Number: Process Number:

Contractor's Name:

Job Address:

"The installation of roof mounted photovoltaic or thermal solar support systemstypically require roof system penetrations to allow attachment to the structure whichmay create additional long-term roof system maintenance requirements and/orjeopardize roof system manufacturer's warranties.Roof mounted solar systems generally require removal and reinstallation of solarpanels/arrays in order to perform routine roof system maintenance, repair, orreplacement."

The owner's signature in the designate space indicates that the above information hasbeen explained to the property owner.

Owner's Name:

Owner's Signature:

Date:

Contractor's Signature:

Date:

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