10-101R-001NOTE: ALL -SHEETS MUST BE REVIEWED
MIAMI -DADE COUNTY BUILDING DEPARTMENT
Herbert S. Saffir Permitting and Inspection Center
11805 SW 26th Street (Coral Way), • Miami, Florida 33175 -2474 • (786) 315 -2100
APPLICATION FOR MUNICIPAL PERMIT APPLICANTS
THAT REQUIRE PLAN REVIEW FROM MIAMI -DADE FIRE RESCUE
AND /OR DEPARTMENT OF ENVIRONMENTAL RESOURCES MANAGEMENT
PROVIDE MUNICIPAL PROCESS NUMBER HERE via , d O fie? °Z
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Contractor No. F7 UQOCd S -7 �
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Metes and bounds
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[ New Construction on Demolish
Shell Only
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Current use of property
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Vacant Land [ ] Addition Attached
[+/ Alteration Interior
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[ ] Alteration Exterior [ ] Re -Roof
Description of Work t)tSLt>n�
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[ j Relocation of Structure [ ] Foundation -Only
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[ ] Repair
[ ] Repair Due to Fire
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am requesting a Special Request Plan Review (SRI) to be scheduled as soon as possible at the rate of $190 for the first hour and
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$65 per each addition hour in addition to the review fees. Minimum charge one -hour.
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1st Request: Date:
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3`d Request:
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Optional Plan Review be t ' ratepf r each discipline. Additional
I am requesting (OPR) to scheduled as soon
fees may
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review apply.
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1" Request: Date:
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