CC-17-727NOTE: ALL SHEETS MUST BE REVIEWED
MIAMI-DADE 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
APPLICATION FOR MUNICIPAL PERMIT APPLICANTS
THAT REQUIRE PLAN REVIEW FROM MIAMI-DADE FIRE RESCUE
AND/OR ENVIRONMENTAL SERVICES" 10�
I �\ ,�� 11
PROVIDE MUNICIPAL,PROCESS NUMBER HERE C I. -sI -7 — ' i ��-
LOCATION OF
IMPROVEMENTS
Job Address 1300 k Z l U L
l.J
CONTRACTOR
INFORMATION
Contractor No. 1 A.
t1 --bob- U
Last four (4) digits of Qualifier No.
Folio
-23L0 Lel J`J
Contractor Name
Lot Block
Qualifier Name
Subdivision PBpg
Address
Metes and bounds
City State Zip
TYPE OF
IMPROVEMENTS
[ ] New Construction on
Vacant Land
Alteration Interior
[ ] Alteration Exterior
[ ] Relocation of Structure
[ ] Enclosure
[ ]Repair
[ ] Repair Due to Fire
[ ] Demolish•�
\\Mrn _
Current use of property O
[ ] Shell Only
Addition Attached i
(C 0 (k_-1Uni]tVS%)
[ ]
[ ] Addition Detached it--
Description of Work q1 1 - 1 1'-1--
[ ] Re -Roof ---
[ ] Foundation Only
r
Sq. Ft. l 10 UnitstsFloors
[ ]Tent
U
Value of Work 05 )I OCO
/PERMIT TYPE
j ] MBLD" 0 I
Category
REVIEW STATUS
[ ] Chg. Contractor
[ ] Re -Issue
[ ] Re Stamp
[ ] Revision
[ ] Not Applicable for
Fire
OWNER'S NAME
1
Owner lVi(LL{ Ufl I V (G 11
Add/ess I 1 NE t913-6-
[ ]MELS
Ci tyt CGYPI Stat- Zip 351 i
[ ] MPLU
Phone ,8I� 3-19
[ ] MLPG
Last four (4) digits of
Owner's Social Security No.
[ ] MMEC
[ ] FIRE
PERSON TO
PICK UP PLANS
Name E3/-(- zSs P tern1S JU J (
ARCHITECT
ENGINEER
Owner
Address
Address{LO6C I N1,01(4 & 1 I I J(
City State Zip
City 1 k C1 \ State-- Zip �32) 1 1a-
Phone
Phone -.ap 31---/-1—)
FIRE SPECIAL
REQUEST PLAN
REVIEW (SRI)
I am requesting a Special Request Plan Review (SRI) to be scheduled as soon as possible. There is a minimum charge of
one-hour. Please contact the Fire Department for current rate.
1st Request: Date:
2nd Request: Date:
3'd Request: Date:
PERA OPTIONAL PLAN
REVIEW (OPR)
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.
1st Request: Date:
2nd Request: Date:
3'd Request: Date:
123_01-192 6/16
BUILDING PERMIT CATEGORIES
CATEGORY DESCRIPTION PERMIT TYPE
BUILDING
01 GENERAL BUILDING -COMMERCIAL MBLD
02 SUB -GENERAL BUILDING -RESIDENTIAL MBLD
08 CANVAS AWNING MBLD
10 COMMUNICATION TOWER MBLD
15 DEMOLITION MBLD
29 METAL AWNING & STORM SHUTTER MBLD
48 SCREEN ENCLOSURES MBLD
51 MURAL SIGNS (NON -ELECTRICAL) MBLD
55 SWIMMING POOL MBLD
56 TENNIS COURTS (SURFACE PAVING) MBLD
86 TRAILER TIE DOWN MBLD
88 WALK-IN COOLER MBLD
91 MARINAS MBLD
92 LOW SLOPE APPLICATIONS (GRAVEL, SMOOTH
MODIFIED, SINGLE PLY) MBLD
95 SHINGLES (ASPHALT, FIBERGLASS) MBLD
96 SHINGLES (METAL ROOFS/WOOD SHINGLES & SHAKE) MBLD
97 STAGE 2 VAPOR RECOVERY SYSTEM MBLD
99 SOIL IMPROVEMENT MBLD
0100 BULK STORAGE PROPANE TANK MBLD
0101 REMOVABLE STORM PANELS MBLD
0107 TILE ROOF MBLD
0110 WATER MAIN MBLD
0111 SITE PLAN MBLD
0112 INDOOR EVENT/EXHIBIT MBLD
ELECTRICAL
04 FIRE ALARM SPECIALTY MELE
16 SPECIALTY WIRING MELE
38 GENERATORS MELE
40 BUILDING PUBLIC RADIO ENHANCEMENT SYSTEM MELE
PLUMBING
0020 SEWER CONNECTION TO PUBLIC SYSTEM (THIS CATEGORY
IS USED WHEN NO BUILDING PERMIT EXIST) MPLU
0024 INTERCEPTOR/GREASE TRAPS (REPLACEMENT OR
INSTALLATION THAT IS NOT PART OF A BUILDING PERMIT) MPLU
LPGX
01 LIQUEFIED PETROLEUM GAS MLPG
02 MISCELLANEOUS MLPG
04 LIQUEFIED PETROL. GAS/STATE MLPG
MECHANICAL
09 ABOVE/BELOW GROUND TANKS/PUMPS
& POLLUTANT STORAGE SYSTEM MMEC
38 COMMERCIAL HOODS MMEC
43 FIRE CHEMICAL MMEC
46 SPRAY BOOTHS MMEC
48 SMOKE CONTROL MMEC
52 RESIDENTIAL ELEVATOR MMEC
FIRE
32 FIRE SPRINKLER FIRE