Miami-Dade County Clerk of Courts
Code Enforcement Division
UNIFORM CIVIL VIOLATION NOTICE APPEAL
Date
I, request an Administrative hearing to
appeal civil violation notice number(s):
Alleged Violator’s Signature Legal Representative’s Signature
(See Note)
Address: Address:
Area Code + Telephone Number Area Code + Telephone Number
Email Address:
Note: An individual representative not admitted to the practice of law in the State of Florida must
have a notarized “Power of Attorney” signed by the alleged violator to be submitted no later than 10
days prior to the scheduled Appeals hearing, no evidence will be accepted at the hearing after that
date or at the time of the hearing.
CLK/CT. 567 Crt. 12/20
Clerk’s web address: www.miami-dadeclerk.com
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