RC-16-1989 (3)M IAM RADE
✓
®Reguiato-Wand Economic Resources
Herbert 5. Saffir Perri luing and Inspection Center
t 11805 S.W. 26ii, Street •
Miami, FL 33175-2474
786-315-2100
r miamidade.pov/aermits
CONTACT INFORMATION FOR PERMIT PPLICATION
a •
Dear Applicant:
Please complete the ffollowing_information._you-can-be-notified is required -so you-cabnotified onthe status of your plans.
First Name: (PRINT CLEARLY) fM2-12-'C IV Last Name: (PRINT CLEARLY) OCEe_T
Cellular Number: I - 5R 3--90 22
Office/Home Number:
EMAIL Address: dQr ce-nocl-e.r-E0 nye . Co trv1
Comments:
If you are submitting a municipal plan, pleas rovide 9e1municipaI pquc
application is in the officeset of plans
JI
and ensure the municipal
PLEASE INDICATE IF PLANS ARE
❑ GOV'T PROJECT/ DEPT ❑ GREEN BLDG (NEW CONSTRUCTION ONLY)*
❑ AFFORDABLE/ WORKFORCE HOUSING* ❑ ECONOMIC SIGNIFICANCE*
(*Pursuant to Ordinance 99-140; Ordinance 05-115; and Ordinance 08-51. Project may have additional requirements.)
I ° REQUESTED REVIEWS
❑ ALL' ❑ BLDGDERM ❑ ELEC ❑ ENRG ❑ FIRE
❑ HCAP ❑ LANDSCAPING ❑ MECH ❑ PLUM ❑ PW - ❑ PWCC elc
❑ ROOF ❑ SIGN i ❑. STRU ❑ ZNPR WASD% '' -WIF
❑ PERMIT BY AFFIDAVIT CHECK ® SHORT TERM EVENT AFFIDAVIT CHECK ❑ OPTIONAL PLAN REVIEW
❑BLDG ❑ELEC MECH ❑PLUM ❑STRU
-FOR OFFICE USE ONLY -
TO BE COMPLETED BY BUILDING AND OCCUPANCY REPRESEN
Plica Date: � / J V Clerk Name:
orroc ,(s): /
123_01-117 1/16
OR PLANS PROCESSING SPECIALIST:
Arrival Time: l 10 :
❑ Re -Issue ❑ Plan Revision
Rework
1 Shop Drawing
1
f9o/G ���olSr�NOTE: ALLSHEETS MUT`dE RE WED
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 C 9 —�
PROVIDE MUNICIPAL PROCESS NUMBER HERE
LOCATION OF
IMPROVEMENTS
Job Address 4.4-5 NE' 4" 51:-4-T oimi S HOLES,
CONTRACTOR
INFORMATION
Contractor No. C 6C %s1.4.44.6
four
Last (4) digitsof Qualifier No.
101
P 3; '35
Folio ,1 - 2,2_06 - Old -k- - - 052
of..►h/E2 RUGMANA!
Contractor Name 'j'2iSi rc /C.c oec.J6 /46406eLot
0 of. 2-A Block 5J 2.
Qualifier Name c_...,
Subdivision M,RM, skicecs SccZ PBpg 10 P3 51 -
Address 2:749 112-.cr..4TQw t W4`1
Metes and bounds
City West 90.1m. de.cL StateFL_ Zip 33 L4. t %
TYPE OF
IMPROVEMENTS
[ 1 New Construction on
Vacant Land
[ ] Alteration Interior
[ ] Alteration Exterior
[ ] Relocation of Structure
[ ] Enclosure
[ ]Repair
[ ] Repair Due to Fire
[ ] Demolish
[ ] Shell Only
[]'Addition Attached
[ ] Addition Detached
[ ] Re -Roof
[ ] Foundation Only
[ ] Tent
Current use of property S(I' GLt= ttA&u(L f
Description of Work Pizvv►o010-1 o F ..evo-4 2 Lo.Sp
.4 odd : l; d p✓. % et..-- °I S'EQ ""tf'✓oJewcQn�S
Sq. Ft. 331 '1- Units 1 Floors
Value of Work 0 t -4163o
PERMIT TYPE
[1] MBLD*
Category 0 Z
REVIEW STATUS
[ ] Chg. Contractor
[ ] Re -Issue
[ ] Re -Stamp
[ ] Revision
[ ] Not Applicable for
Fire
OWNER'S NAME
Owner 3)...rtsa r Ocl -ej4 a Arun& .K.do brMi2
Address 44-S NE 94.7" S-rg.€ET
[ ] MELE
CityM:e...":, SIM,/cs State EL Zip 33138
[ ] MPLU
Phone °1 r R - S f 3 ^-`r0 LZ
[ ] MLPG
Last four (4) digits of
Owner's Social Security No.
[ ] MMEC
[ ] FIRE
PERSON TO
PICK UP�PI`cANS
Name "Z Ear T2 r` CCk 2%fE
ARCHITECT /
ENGINEER
Owner FLo2C2 LOPEZ A-acHtrE c
Address 11-4-S Nr:. 94,zh ST eE.T
Address ZS SE 2"d A✓e, zha °100
City in a►'ti i S&O IQS State FL Zip 3'S t3 4
City M -i ex -iv.: State FL Zip 33 tat
Phone 6113- -X43 -90 22
Phone 4.ck Lo pet 307--�S- 225 ci
FIRE SPECIAL
REQUEST PLAN
REVIEW (SRI)
1 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:
3rd 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:
3rd Request: Date:
123_01-192 1/16
Ta."c ea
�.c
BUILDING I ERMIT 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 t 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
PLUMBING
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