07-790R-023hermit No. - -�
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CITY OF SOUTH MIAMI
8UILDING DEPARTMENT
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ELECTRICAL
MECHANICAL
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PLUMBING
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STRUCTURAL
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OWNER BLDf2.
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1. Subiact to corviiance An a, aderat ,tat3 and County taws, rules and
rep!ations, tha City of South Waif assumes no ' s;yonsibiiiti €s for the
accu'acy ofior fosul�s from the a plans.
2. Ths oo;y ct u8 2rorj�%E}d u n a-id ;he hermit Card must be available at
=i I" trw +,fig 541 cr .1, I 'sp('C!;» will be conducted
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- Building
Herbert S. Saffir Permitting and Inspection Center
\ — 11805 SW 26th Street
F
l Miami, Florida 33175 -2474
786 -315 -2100
miamidade.gov
REQUESTED REVIEWS
❑ ALL ❑ BLDG �DERM ❑ ELEC ❑ ENRG ❑ FIRE
❑ HCAP ❑ LANDSCAPING ❑ MECH ❑ PLUM ❑ PWKS ❑ PWCC
❑ ROOF ❑ SIGN ❑ STRU ❑ ZNPR
❑ PERMIT BY AFFIDAVIT CHECK ❑ SHORT TERM EVENT AFFIDAVIT CHECK ❑ OPTIONAL PLAN REVIEW
U BLDG U ELEC C)MECH U PLUM U STRU
Dear Applicant:
Please complete the following information for notification on the status of your plans.
Applicant's First Name: (PRINT CLEARLY) �`1 \G �Q� \�. Last Name: (PRINT CLEARLY) CAUV Y�
Cellular Number:` �`l \ 0 ffice/Home Number:
EMAIL Address:
Comments:
NOT NE D S DED YOU WILL BE NOTIFIED VIA EMAIL AND /OR AUTOMATIC
T NCERNING THE STATUS OF YOUR PLANS
-FOR OFFICE USE ONLY-
TO BE CO, L, 4LDING AND OCCUPANCY REPRESENTATIVE OR PLANS PROCESSING TECHNICIAN:
Clerk Name: (-"D J 12�s Arrival Time: .
Application Da t /_ C
Process No(s): t 0 o /
❑ Walk -Thru O op -Off ❑ Rework ❑ Re -Issue
❑ Residential -C mercial ❑ Plan Revision ❑Shop Drawing
TO BE COMPLETED BY PLANS PROCESSING TECHNICIANS:
BLDG UA UD UN HCAP UA UD UN ROOF OA UD UN
DERM UA UD UN LAND UA UD UN SIGN UA UD UN
ELEC OA UD UN MECH UA UD UN STRU UA UD ON
ENRG UA UD UN PLUM UA UD UN ZNPR UA UD UN
Customer Notified By: Date: / / Time:
123_01 -117 12/06
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