Fillable Revision Cover Sheet PDF (The City of Miramar (FL))

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Revision Cover Sheet PDF (The City of Miramar (FL))

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City o Miramar | Building Division
Community & Economic Development Department
2200 Civic Center Place | Miramar, Florida 33025
Tel: 954.602.3200 | Fax: 954.602.3635
www.miramarfl.gov
DATE:
APPLICATION No. _____________________________________
CONTACT NAME:
PROJECT NAME: PHONE No.
:
____
PROJECT ADDRESS: ____________________________________ EMAIL: _________________________________________________
CONTRACTOR NAME: __________________________________
Provide a complete description for the revision, including the marked revision date on plans
___________________________________________________________________________________________________________
___________________________________________________________________________________________________________
Please check the appropriate discipline for the submitted revision.
□ STRUCTURAL
$
Approved:
Disapproved
Disapproved
Date :
Date: :
Date:
□ MECHANICAL
$
Approved:
Disapproved:
Disapproved
Date :
Date:
Date:
Comments from Mechanical Plans Examiner:
□ PLUMBING
$
Approved:
Disapproved:
Disapproved
Date :
Date:
Date:
Comments from Plumbing Plans Examiner:
□ ELECTRICAL
$
Approved:
Disapproved:
Disapproved
Date :
Date:
Date:
Comments from Electrical Plans Examiner:
□ FIRE PREVENTION
$
Approved:
Disapproved:
Disapproved
Date :
Date:
Date:
Comments from Fire Prev. Plans Examiner:
□ ZONING / LANDSCAPING
$
Approved:
Disapproved:
Disapproved
Date :
Date:
Date:
Comments from Plans Examiner:
Rev.74/19
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Revision Cover Sheet PDF (The City of Miramar (FL))

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Completed 13 July 2020

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