13-748R-002�ID 01 � 0 css 1(
NOTE: ALL SHEET MUST BE REVIEWED
MIAMI -FADE COUNTY DEPARTMENT OF REGULATORY AND ECONOMIC RESOURCES
Herbert S. Saffir Permitting and Inspection Center
11805 SW 26th Street (Coral Way) - Miami, Florida 33175 -2474 - (786) 315 -2000
+PPLICATION FOR MUNICIPAL PERMIT APPLICANTS
THAT REQUIRE PLAN REVIEW FROM MIAMI -DADE FIRE RESCUE
AND /OR ENVIRONMENTAL SERVICES
J Z ., I am requesting a Special Request Plan Review (SRI) to be scheduled as soon as possible at the rate of $209 for the first hour
a 5 ¢ and $71.50 per each additional hour in addition to the review fees. Minimum charge one -hour.
yarn
N w � 1-1 Request: Date:
LLw ¢ 2n0 Request: Date:
31" Request: Date:
I am requesting Optional Plan Review (OPR) to be scheduled as soon as possible at the rate of $75 for each discipline.
i Additional review fees may apply.
CC CL
0
o � 15' Request: Date:
P
a–
o 2"d Request: Date: cc
LU 31i Request: Date:
0.
123_01 -192 4/14
PROVIDE MUNICIPAL PROCESS
NUMBER HERE
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[ ] New Construction on
[ ] Demolish
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[ ] Shell Only
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[ j Alteration Interior
[ ] Addition Attached
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[ ] Alteration Exterior
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[ ] Relocation of Structure
[ ] Re -Roof
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[ ] Foundation Only
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[ ] Tent
[ ] Repair Due to Fire
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J Z ., I am requesting a Special Request Plan Review (SRI) to be scheduled as soon as possible at the rate of $209 for the first hour
a 5 ¢ and $71.50 per each additional hour in addition to the review fees. Minimum charge one -hour.
yarn
N w � 1-1 Request: Date:
LLw ¢ 2n0 Request: Date:
31" Request: Date:
I am requesting Optional Plan Review (OPR) to be scheduled as soon as possible at the rate of $75 for each discipline.
i Additional review fees may apply.
CC CL
0
o � 15' Request: Date:
P
a–
o 2"d Request: Date: cc
LU 31i Request: Date:
0.
123_01 -192 4/14