CC-16-24 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)315-2000
APPLICATION FOR MUNICIPAL PERMIT APPLICANTS
THAT REQUIRE PLAN REVIEW FROM MIAMI-DADE FIRE RESCUE
AND/OR ENVIRONMENTAL SERVICES
01 too Li5q O
PROVIDE MUNICIPAL PROCESS NUMBER HERE
LLP Job Address 113®®11/46 �11�°`'� �� 33�� ccz Contractor No.
'z Folio /� ® ®�JO ^ ® o o Last four(4)digits of Qualifier No.
o 2 o Contractor Name
I o Lot Block o Qualifier Name
o a Subdivision PBpg o LL
., o Z Address
Metes and bounds City State_Zip
[ ] New Construction on [ ] Demolish Current use of property 1410;r/2W17040'`
Vacant Land [ ] Shell Only
Z kj Alteration Interior [ ] Addition Attached
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02 [ ] Alteration Exterior [ ] Addition Detached Description Work &
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�o [ ] Relocation of Structure [ ] Re-Roof
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[ ] Enclosure [ ] Foundation Only
[ ] Repair [ ] Tent Sq.Ft. l�JB -Units-Floors-
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[ ] Repair Due to Fire Value of WorkIV
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MBLD* y [ ] Chg.Contractor W Owner
W Category F [ ] Re-Issue 2 Address
[
z] MELE y [ ] Re-Stamp City State_Zip
` [ J MPLU
2 [ j Revision Phone
o= [ J MLPG
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[ ] MMEC [ ] Not Applicable for Last four(4)digits of
[ ] FIRE Fire Owner's Social Security No.
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o Name r' A/'l� Owner ��
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z g Address �� 7 �� ��®�P 8 z Address! ® �
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Y `City / State Zip 7 z City 1Lf//J.t��/ State' Zip ��J,1
a no' Phone . � ��° ¢CC
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z 1 am requesting a Special Request Plan Review(SRI)to be scheduled as soon as possible at the rate of$209 for the first hour
a g and$71.50 per each additional hour in addition to the review fees.Minimum charge one-hour.
V n._Co
Lu y w� 111 Request: Date:
LLw� 2"d Request: Date:
oc
31d Request: Date:
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g 1 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.
0
o 111 Request: Date:
L
o2"d Request: Date:
I31'Request: Date:
a
123_01-192 9H5
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
P
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 a
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
Miami Shores Village ���ri�
JAN 0 7 2015
Building Department
10050 N.E.2nd Avenue,Miami Shores,Florida 33138 fBY:
Tel:(305)795-2204 Fax:(305)756-8972
INSPECTION LINE PHONE NUMBER:(305)762-4949
FBC 20/1/
BUILDING Master Permit No.62 16— 2
PERMIT APPLICATION Sub Permit No.
QBUILDING ❑ELECTRIC ❑ ROOFING ❑ REVISION ❑EXTENSION ❑RENEWAL
❑PLUMBING ❑MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
Jos ADDRESS: Wiegand-Le Cafe- 11300 NE 2nd Ave
City Miami Shores County Miami Dade Zip:
Folio/Parcel#: //',s36 - j26749 - 414*099 Is the Building Historically Designated:Yes NO X
Occupancy Type: Load: Construction Type: res Flood Zone: BFE: FFE:
41
OWNER:Name(Fee Simple Titleholder):Barry University Tei 3 one#:305-899-3�J95 3 7
Address:11300 NE 2nd Avenue
city: Miami Shores State: FL Zip: 33161
Tenant/Lessee Name: Phone#:
Email: lyao@barry.edu
CONTRACTOR:Company Name: Phone#:
Address:
City State: Zip:
Qualifier Name: Phone#:
State Certification or Registration#: Certificate of Competency#:
DESIGNER:Architect/Engineer: Phone#:
Address• City: State Zip:
Value of Work for this Permit:$ �f®®40• ®® Square/Linear Footage of Work: �=S®
Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace ❑ Demolition
Description of Work: OL//L7 0A/
Specify color of color thru tile:
Submittal Fee$ 2 -64!� Permit Fee$ CCF$ CO/Cc$
Scanning Fee$ Radon Fee$ DBPR S Notary$
Technology Fee$ Training/Educadon Fee$ Double Fee$
Structural Reviews$ Bond$
TOTAL FEE NOW DUE$
(Revised02/24/2014)
NOV 2 5 2015
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