14-1470-004NOTE: ALL SHEETS MUST BE REVIEWED
MIAMI-DADE COUNTY BUILDING DEPARTMENT
7 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
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PROVIDE MUNICIPAL PROCESS NUMBER HERE
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Job Address Two C 5924 &��a
Contractor No. lbq6
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Description of Work
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Alteration Interior
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Alteration Exterior
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Re-Roof
Relocation of Structure
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Repair Due to Fire
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I 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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15t Request: Date:
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3rd Request: Date:
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1 am requesting Optional Plan Review (OPR) to be scheduled as soon as possible at the rate of $75 for each discipline. Additional
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review fees may apply.
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2nd Request: Date:
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