RC-16-3485 (5)NOTE: 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) 315-200 .
APPLICATION FOR MUNICIPAL PERMIT APPLICANTS
THAT REQUIRE PLAN REVIEW FROM MIAMI-DADE FIRE RESCUE
AND/OR ENVIRONMENTAL SERVIC
PROVIDE MUNICIPAL PROCESS NUMBER HERE
LOCATION OF
IMPROVEMENTS
Job Address'73 &) E /c / �. I
CONTRACTOR
INFORMATION
Contractor No.
Last four (4) digi oif Qualifier�INo.
Folio ) / " 'LO V — o I'S- 5 )-3 U
V L Contractor Name OW./ (-QOSCA-U
Lot Block
Na
L'
Subdivision PBpg
AQddrieier
Sg I l l' S 14 5)
i(77�
Metes and bounds
ff i
City �`��� State �Zip�����
TYPE OF
IMPROVEMENTS
[ ] New Construction on
scant 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\aPt
���
Des ription of Work �.
Cl-
MR..R-`QcZ--°— A-{, c&.c
L 6v1
Sq. Ft. Units Floors
Value of Work O
PERMIT TYPE
[ ] MBLD /�
Category �� `'
REVIEW STATUS
[ ] Chg. Contractor
[ ] Re -Issue
[ ] Re -Stamp
[ ] Revision
[ Not Applicable for
Fire
OWNER'S NAME
Owner Q (SS,� \Q �Gt`Z"U
► L 1
Addr ��
'
0 ST
[ ] MELE
City iAMi `to
i C
taterLZip/3313S-
[ ] MPLU
Phone319 a- ( ) 56 1
[ ] MLPG
Last four (4) digits of
Owner's Social Security No. ��
[ ] MMEC
[ ] FIRE
PERSON TO
PICK UP PLANS
Name\ +�_'T-r'-_C\ \,V� \LL,
ARCHITECT /
ENGINEER
Owner q 1
Addres ►`\C IOS ]
A s•40Z•10 L
Cit
n' j f�
• ISM �3 IG[zi p3 O`' I
• �te
L p 1
City � 1 � State(r�Zi �
I
C l
Phone ?fl C� �'"ll
Phone 786 3 0 --13d"'L'�
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:
3rd Request: Date:
O
123 01-192 6/16
BUILDING PERMIT CATEGORIES
CATEGORY DESCRIPTION ti 4 PERMIT TYPE
BUILDING _
01 • GENERAL BUILDING =COMMERCIAL MBLD
02 SUB —GENERAL BUILDING —RESIDENTIAL MBLD
08 ► CANVAS AWNING MBLD
10 ( ' a COMMUNICATION TOWER MBLD
15 DEMOLITION - MBLD
29 METAL AWNING & STORM SHUTTER MBLD
48 t I SCREEN ENCLOSURES t MBLD
51? MURAL SIGNS (NON -ELECTRICAL) __ - MBLD
55' ,SWIMMING POOL , - - MBLD
56 TENNIS COURTS (SURFACE PAVING) MBLD
i 86 TRAILER TIE DOWN Y MBLD
88 ' WALK-IN COOLER MBLD
'' 91 e` % r MARINAS • MBLD
•, 92 �, LOW SLOPE APPLICATIONS (GRAVEL, SMOOTH
' s ` 'MODIFIED, SINGLE PLY) MBLD
95 -- SHINGLES (ASPHALT,,FIBERGLASS) MBLD
96 7 r SHINGLES (METAL ROOFS/WOOD SHINGLES & SHAKE) MBLD
97 - . ' , STAGE.2 VAPOR RECOVERY SYSTEM MBLD
:= :99 SOIL IMPROVEMENT MBLD
J.`0100 BULK STORAGE PROPANE TANK MBLD
0101 ..... REMOVABLE STORM PANELS MBLD
' 0107 — TILE ROOF MBLD
' '0110: : r 'i • WATER MAIN MBLD
0111 SITE PLAN ' MBLD
0112 ( ,INDOOR EVENT/EXHIBIT MBLD
t
ELECTRICAL i r
04 ,� FIRE ALARM SPECIALTY MELE
16 1 SPECIALTY WIRING MELE
38 GENERATORS MELE
40' 1 ) r BUILDING PUBLIC RADIO ENHANCEMENT SYSTEM r MELE
PLUMBING ' f• 1 1
0020 SEWER CONNECTION TO PUBLIC SYSTEM (THIS CATEGORY i
IS USED WHEN NO BUILDING PERMIT EXIST) MPLU r
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
MIAMIDADE
COUNTY
Process Number: M2017007460-0
Folio: 1132060135230
Fee Payer:
Department of Regulatory and Economic Resources
Impact Fee Assessment
Batch: Collection Number:
Site Address: 373 NE 101 ST
Assessment Date: 03/14/2017
Disclaimer Note: ROAD/FIRE/POUPKS impact fees
will increase on 10/1/2017
Online Payment available at:
https://www8.miamidade.gov/apps/rer/ImpactFeesPa yments/default.aspx
Payment can be made by Credit Card, Cash, Check or Cashiers's Check
Payable to Miami Dade County
i Fee Type Dist Id Category Cat Category Description Units
Code Sufix
AREA
UNIT SIZE (SQ FT)
!Fee
I Extended Amount Deferred
Amount
2181 $0.9180 $200.12
Assessment Total Amount: $200.12
Deferral Amount: $0.00
Current Balance Due: $200.12
$0.00
Report run on: March 14, 2017 10:09 AM Page 1 of 1
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