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FCC 601
Main Form
FCC Application for Wireless
Telecommunications Bureau
Radio Service Authorization
Approved by OMB
3060 - 0798
See instructions for
public burden estimate
Submitted 12/15/2004
at 11 :04AM
File Number:
0001971898
1) Radio Service Code; PW
1a) Existing
Radio Service
Code:
2) Application Purpose: New
3a) If this request is for a Developmental License, Deplonstration License, or a Special Temporary Authorization (STA),
enter the code and attach the required exhibit as described in the instructions. Otherwise enter N (Not Applicable).
( ki)jait $ (~{IA
3b) If this request is for Special Temporary Authority due to an emergency situation, enter'Y'; otherwise enter 'N'. Refer to
Rule 1.915 for an explanation of situations considered to be an emergency.
( )Yes No
4) If this request is for an Amendment or Withdrawal, enter the file number of the pending application currently on file with
the FCC.
File Number
5) if this request is for a Modification, Renewal Only, Renewal/Modification, Cancellation of License, Consolidate Call
Signs, Duplicate License, or Administrative Update, enter the call sign of the existing FCC license.
CaII Sign:
6) If this request is for a New, Amendment, Renewal Only, or RenewallModification, enter the requested authorization
expiration date (this item is optional).
7) Is this request "major" as defined in Section 1.929 of the Commission's Rules when read in conjunction with the
applicable radio service rules found in Parts 22 and 90 of the Commission's Rules? (NOTE: This question only applies to
certain site -specific applications. See the instructions for applicability and full text of Section 1.929)
( )Yes No
8a) Does this filing request a Waiver of the Commission's Rules?
If 'Yes', attach an exhibit providing the rule numbers and expanding circumstances.
(N)Yes No
8b) If a feeable waiver request is attached, multiply the number of stations (call signs) times the number of rule sections
and enter the result.
8c) Are the frequencies or parameters requested In this filing covered by grandfathered privileges, previously approved by
waiver, or functionally integrated with an existing station?
( N)yes t(o
9) Are attachments being filed with this application?
(Y)Yes No
Applicant Information
10) FCC Registration Number (FRN): 0012318713
11) Licensee is a(n): Governmental Entity
12) First Name (if individual): IMI: I Last Name:
Suffix:
13) Entity Name (if other than individual): City of Miami - Dept of Fire -Rescue
14) Name of Real Party in Interest of Applicant (if different from applicant):
15) Taxpayer Identification Number of Real Party in Interest:
16) Attention To: Fire Chief
17) P.O. Box: And/Or 18) Street Address: 1151 NW 7th St - 3rd Floor
19) City; Miami 20) State; FL 21) Zip Code: 33196
22) Telephone Number: (306)416.6414 23) FAX Number:
24) E-Mail Address:
Contact Information (If different than applicant)
25) First Name: William
Last Name: Baker
Suffix:
L26) Entity Name: Information Station Specialists
27) P.O. Box:
r
And/Or
28) Street Address: 3388 88th Ave
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129) City: Zeeland
1130) State: MI
1131) Zip Code: 49464
32) Telephone Number: (616)772-2300
33) FAX Number:
34) E-Mail Address:
Regulatory Status
35) This filing Is for authorization to provide or use the following type(s) of radio service offering (enter
all that apply):
(} common Carrier
O Non -Common Carrier
( Yee) Private, internal
communications
() Broadcast Services
() Sand Manager
Type of Radio Service
36) This filing is for authorization to provide the following type(s) of radio service (enter all that apply):
( ) Fixed
( Yes) Mobile
O gadiolocation
O Satellite (sound)
( ) Broadcast Services
37) Interconnected Service? ( N)Yes No
Fee Status
38) Is the Applicant exempt from FCC application fees?
39) Is the Applicant exempt from FCC regulatory fees?
( Y)Yes No
( Y}Yes No
Alien Ownership Questions (If any answer is Yes, attach exhibit explaining
circumstances.)
40) Is the applicant a foreign government or the representative of any foreign government?
( N)
yes
No
41) Is the applicant an alien or the representative of an alien?
( N)
Yes
No
42) Is the applicant a corporation organized under the laws of any foreign government?
(N)
Yes
No
43) Is the applicant a corporation of which more than one -fifth of the capital stock is owned of record or voted by aliens or their
representatives or by a foreign government or representative thereof or by any corporation organized under the laws of a foreign
country?
(N)
Yes
No
44) Is the applicant directly or indirectly controlled by any other corporation of which more than one-fourth of the capital stock is
owned of record or voted by aliens, their representatives, or by a foreign government or representative thereof, or by any
corporation organized under the laws of a foreign country?
(N)
Yes
No
Basic Qualification Questions (If any answer is Yes, attach exhibit explaining
circumstances.)
45) Has the applicant or any party to this application or amendment had any FCC station authorization, license, or construction
permit revoked or had any application for an initial, modification or renewal of FCC station authorization, license, construction permit
denied by the Commission?
(N)
Yes
No
46) Has the applicant or any party to this application or amendment, or any party directly or indirectly controlling the applicant, ever
been convicted of a felony by any state or federal court?
(N)
Yes
No
47) Has any court finally adjudged the applicant or any party directly or indirectly controlling the applicant guilty of unlawfully
monopolizing or attempting unlawfully to monopolize radio communication, directly or Indirectly, through control of manufacture or
sale of radio apparatus, exclusive traffic arrangement, or any other means or unfair methods of competition?
( N)
Yes
No
48) Is the applicant or any party directly or indirectly controlling the applicant, currently a party In any pending matter referred to In
the preceding two Items?
r
Yes
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Aeronautical Advisory Station (Unicorn) Certification
49) O i certify that the station will be located on property of the airport to be served, and, In cases where the airport does not have a control
tower, RCO, or FAA flight service station, that I have notified the owner of the airport and all aviation service organizations located at the
airport within ten days prior to application.
50) Race, Ethnicity, Gender of ApplicantlLicensee (Optional)
Race:
Ethnicity:
Gender:
American Indian or Alaska
Native:
Hispanic or Latino:
Female:
Asian:
Not Hispanic or
Latino:
Male:
Black or African -
American:
Native Hawaiian or Other Pacific
Islander:
White:
General Certification Statements
1) The applicant waives any claim to the use of any particular frequency or of the electromagnetic spectrum as against the
regulatory power of the United States because of the previous use of the same, whether by license or otherwise, and requests an
authorization In accordance with this application.
2) The applicant certifies that grant of this application would not cause the applicant to be In violation of any pertinent cross -
ownership, attribution, or spectrum cap rule.*
*If the applicant has sought a waiver of any such rule in connection with this application, it may make this certification subject to
the outcome of the waiver request.
3) The applicant certifies that all statements made in this application and In the exhibits, attachments, or documents Incorporated
by reference are material, are part of this application, and are true, complete, correct, and made In good faith.
4) The applicant certifies that neither the applicant nor any other party to the application is subject to a denial of Federal benefits
pursuant to Section 6301 of the Anti -Drug Abuse Act of 1988, 21 U.S.C. § 862, because of a conviction for possession or
distribution of a controlled substance. This certification does not apply to applications flied In services exempted under Section
1.2002(c) of the rules, 47 CFR § 1.2002(c). See Section 1.2002(b) of the rules, 47 CFR § 1.2002(b) for the definition of 'party to the
application' as used In this certification.
6) The applicant certifies that It either (1) has current Form 602 on file with the Commission, (2) is filing an update Form 602
simultaneously with this application, or (3) is not required to file Form 602 under the Commission's Rules.
6) The applicant certifies that the facilities, operations, and transmitters for which this authorization Is hereby requested are
either: (1) categorically excluded from routine environmental evaluation for RE exposure as set forth in 47 C.F.R. § 1.1307{b); or,
(2) have been found not to cause human exposure to levels of radiafrequency radiation in excess of the limits specified in 47
C.F.R. §§ 1.1310 and 2.1093; or, (3) are the subject of one or more Environmental Assessments filed with the Commission,
Signature
51) Typed or Printed Name of Party Authorized to Sign
First Name: Joseph MI: R Last Name: Fernandez Suffix:
52) Title: Assistant Fire Chief
Signature: Joseph R Fernandez 53) Date: 12/16/04
Failure To Sign This Application May Result In Dismissal Of The Application And Forfeiture Of Any Fees Paid
Upon grant of this license application, the licensee may be subject to certain construction or coverage requirements. Failure to meet the
construction or coverage requirements will result in termination of the license. Consult appropriate FCC regulations to determine the
construction or coverage requirements that apply to the type of license requested in this application.
WILLFUL FALSE STATEMENTS MADE ON THIS FORM OR ANY ATTACHMENTS ARE PUNISHABLE BY FINE AND/OR
IMPRISONMENT (U.S. Code, Title 16, Section 1001) AND/OR REVOCATION OF ANY STATION LICENSE OR CONSTRUCTION PERMIT
(U.S. Code, Title 47, § 312(a)(1)), AND/OR FORFEITURE (U.S, Code, Title 47, § 503),
FCC 601
Schedule D
Wireless Telecommunications Services Schedule for
Station Locations and Antenna Structures
Approved by OMB
3060 -
0798
See 601 Main Form instructions
for public burden estimate
11) Action Requested: (A) Add Mod Del
2) Location Number: 1
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3) Location Description Code:
F Fixed
If 4) Area of Operation Code:
6) FCC Antenna Structure Registration # or
NIA (FAA Notification not Required): N/A
7) Latitude (DD-MM-SS,S):
25 -48 -35.0
NAD83
(N)N or
9) Street Address, Name of Landing Area, or Other Location Description:
NW 7th Avenue at NW36th Avenue - Flrestation 6
10) City: Miami
13) Elevation of Site AMSL (meters)
('a' in antenna structure example):
9.0
11) State: FL
jS} Location Name:
8) Longitude (DDD-MM-SS.S): NAD83
(w))eoryy
80 -12 -26.0
12) County: MIAMI-DADE
14) Overall Ht AGL Without Appurtenances
(meters) ('b' in antenna structure example):
6.3
15) Overall Ht AGL With Appurtenances (meters)
('c' in antenna structure example):
9.3
16) Support Structure Type: POLE -
17) Location Number:
(only for Area of
Operation Code 'A')
Pole used only to mount an antenna
18) Radius (km):
21) Maximum Latitude (DD-MM-SS.S):
Use for rectangle only (Northwest corner)
19) Airport Identifier:
20) Site Status:
NAD83
Ott ora
22) Maximum Longitude (DDD-MM-
SS.S):
Use for rectangle only (Northeast
corner)
23) Do you propose to operate in an area that requires frequency coordination with Canada ?
24) Description: (only for Area of Operation Code 'O')
25) Number of Units: () Hand Held
NAD83
OE or
w
°Yee Mo
() Mobile () 'Temporary Fixed
26) Would a Commission grant of Authorization for this location be an
action which may have a significant
environmental effect? See Section 1.1307 of 47 CFR,
If 'Yes', submit an environmental assessment as required by 47 CFR,
Sections 1.1308 and 1,1311.
( ) Aircraft ( ) itinerant
(N)Yes No
27) If the proposed site Is located in one of the quiet zones listed in Item 17 of the Instructions, provide the date (mm/dd/yy) the proper
authority was notified:
FCC 601
Schedule H
Technical Data Schedule for the
Private Land Mobile Broadcast Auxiliary
Radio Services (Parts 90 and 74)
Approved by OMB
3060 - 0798
See 601 Main Form
Instructions for public
burden estimate
Eligibility
1) Rule Section: 90.20
2) Describe Activity:
Travelers information Station
Frequency Coordinator Information (if not self -coordinated)
3) Frequency Coordination Number
4) Name of Frequency Coordinator
5) Telephone Number
17) Has this application been successfully coordinated?
6) Coordination Date
jOYestNo
Extended Implementation (Slow Growth
8) Are you requesting a new or modified extended Implementation plan?
If 'Yes', attach an exhibit with a justification and a proposed station construction schedule,
()Yes(No
Associated Call Signs (Attach additional sheets if required)
Broadcast Auxiliary Only
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flf there Is an associated Parent Station,
complete items 10-12,
r
13) If there is no associated parent station, this applicant is a: ( )
Etroadcast Network Entity Television Cable Operator
Motion Picture Producer Television Producer
ilStation:10) Facility Id of Parentlf 11) Radio Service ofI112} City and State of Parent Station
Parent Station: II Principal Community:
14) State of Primary Operation:
Control Point(s) (Other than at the transmitter) (Attched additional sheets if required)
16)
Control Point
Number
15)
Action
A/M/D
A
17)
Location
Street Address, City or Town, County, State
444 SW 2nd Ave, Mtaml, Miami -Dade, FL
18)
Telephone
Number
(305)416-1036
Antenna Information
19)
Action:
(A/M/D)
A
20)
Location
Number:
21)
Antenna
Number:
1
22)
AAT
(meters)
23)
Antenna Ht.
(meters)
9.3
24)
Azimuth Ht.
(degrees)
360.0
25)
Beamwidth
(degrees)
360.0
26)
Polarization
V
27)
Gain(db)
-6.0
28)
Action:
(A/M/D)
A
Frequency information
29)
Location
Number:
1
30)
31)
32)
33)
34)
35)
36)
37)
Antenna
Frequency (MHz)
Station
No, of
No. of Paging
Output
ERP
Emission
Emission
Number:
ir-------,
Class
Units
Receivers
Power
(watts)
Action:
(A/M/D)
Designators
Attachment List
00001.68000
FB ji1
10.000
10.000
A
6K00A3E
Attachment
Type
Other
Date
12/15/04
Description
Coordination and eligibility
information
Contents
0179823995545754173721116.pdf
1
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