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NOTE: ALL SHEETS MUST BE REVIEWED - Miami-Dade County

NOTE: ALL SHEETS MUST BE REVIEWEDMIAMI- dade County DEPARTMENT OF REGULATORY AND ECONOMIC RESOURCESH erbert S. Saffir Permitting and Inspection Center11805 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 SERVICESPROVIDE MUNICIPAL PROCESS NUMBER HERELOCATION OFIMPROVEMENTSJob Address _____Folio _____Lot _____Block _____Subdivision _____PBpg _____Metes and bounds _____CONTRACTORINFORMATIONC ontractor No. _____Last four (4) digits of Qualifier No. _____Contractor Name _____Qualifier Name _____Address _____City _____State ____Zip _____TYPE OFIMPROVEMENTS[ ] 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[ ] TentCurrent use of property _____Description of Work _____Sq.

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 …

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