14-879-0017Z (o /
NOTE: ALL SHEETS MUST BE REVIT
MIAMI -DADE COUNTY BUILDING DEPARTMENT
Herbert S. Saffir Permitting and Inspection Center
11805 SW 26th Street (Coral Way), • Miami, Florida 33175 -2474 - (786) 315 -21
APPLICATION FOR MUNICIPAL PERMIT APPLICAN S A(,;
THAT REQUIRE PLAN REVIEW FROM MIAMI -DADE FIRE RESCUE
AND /OR DEPARTMENT OF ENVIRONMENTAL RESOURCES MANAGEMENT
PROVIDE MUNICIPAL PROCESS NUMBER HERE
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l 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
$65 per each addition hour in addition to the review fees. Minimum charge one -hour.
1s' Request: Date:
2nd Request:
3`d Request: Date:
Date:
I am requesting Optional Plan Review (OPR) to be scheduled as soon as possible at the rate of $75 for each discipline. Additional
review fees may apply.
1" Request:
2 "d Request:
3`d Request:
Date:
Date:
Date:
Y JO- 1080102Ahl —P.1 Paw Apphm.. d.