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PL-16-801 Permit No. PL-3-16-801 `yKortes°�i Miami Shores Village t Permit Type:Plumbing-Residential s� �r 10050 N.E.2nd Avenue NE r� I I ' Work Classification:Pool -Private Miami Shores,FL 33138-0000 Permit Status:APPROVED Phone: (305)795-2204 toatoA Issue Date:511212016 Expiration: 11/08/2016 Project Address Parcel Number Applicant 1086 NE 96 Street 1132060143480 Miami Shores, FL Block: Lot: ANA ROJAS Owner Information Address Phone Cell ANA ROJAS 1086 NE 96 Street MIAMI SHORES FL 33138-2552 Contractor(s) Phone Cell Phone Valuation: L2,000.00 ESSIG POOLS INC 305-949-0000 Total Sq Feet: Type of Work:PLUMBING FOR NEW POOL AND SPA Available Inspections: Type of Piping: Inspection Type: Additional Info: Main Drain Bond Return: Final Classification:Residential Scanning: 1 Rough Review Plumbing Fees Due Amount Pay Date Pay Type Amt Paid Amt Due CCF $120 Invoice# PL-3-16-59156 DBPR Fee $3.38 DCA Fee $3.38 03/25/2016 Check#:300467 $50.00 $187.96 Education Surcharge $0.40 05/12/2016 Check#:300578 $ 187.96 $0.00 Permit Fee $225.00 Scanning Fee $3.00 Technology Fee $1.60 Total: $237.96 In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans,drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL,PLUMBING,MECHANICAL,WINDOWS,DOORS,ROOFING and SWIMMING POOL work. OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Futhermore, I autho he above-named contractor to do the work stated. May 12, 2016 Authorized Si e:O pplica / Contractor / Agent Date Building Departmen opV May 12, 2016 1 Miami Shores Village RECEIVE!) ' g MAR 2 5 2016 Building Department ' 10050 N.E.2nd Avenue,Miami Shores, Florida 33138 BY: Tel:(305)795-2204 Fax:(305)756-8972 �'T INSPECTION LINE PHONE NUMBER:(305)762-4949 FBC 20 ! BUILDING Master Permit No'F)MG - PERMIT APPLICATION Sub Permit No. Q3 FE-]BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION EXTENSION ❑RENEWAL PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP 1MM==r— CONTRACTOR DRAWINGS JOB ADDRESS: CP t-4 -F— L�;T City: Miami Shores County: Miami Dade Zip: 3 3 13� Folio/Parcel#: 1. 1 3 2 0(e::> b 1 4 2>+B'0 Is the Building Historically Designated:Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name(Fee Simple Titleholder): A I Phone#. Address: I 'fD'�5 C'P t-� Le ST City: M i CA r"'i State: 4C_ Zip. 55 l 3AO Tenant/Lessee Name: Phone#: Email: CONTRACTOR:Company Name: ESSIG POOLS, INC Phone#: 305-949-0000 Address: 1800 NE 151 ST City: NORTH MIAMI State: FL Zip: 331625 Qualifier Name: DANIEL ESSIG Phone#: 305-949-0000 State Certification or Registration#: CPC052505 Certificate of Competency#: DESIGNER:Architect/Engineer:t�'��'-Ay--)� (� Qa✓ ��gy�__ C�✓ine#: "l5� $!p�j�2-� Address: S city: o � ,State:FLZip: �� Value of Work for this Permit:$ 2- Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration New ❑ Repair/Replace ❑ Demolition Description of Work: ��rv,�� no1 �y// _✓1G�� pyo Specify color of color thru tile: Submittal Fee$G0 Permit Fee$ 2 CCF$ ( 2 CO/CC$ Scanning Fee$ 3- Radon Fee$ - �3b DBPR$ Notary$ Technology Fee$ ) - © Training/Education Fee$ © �4 © Double Fee$ Structural Reviews$ Bond$ TOTAL FEE NOW DUE$ 1 � (Revised02/24/2014) Bonding Company's Name(if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name(if applicable) Mortgage Lender's Address City State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRIC, PLUMBING, SIGNS, POOLS, FURNACES, BOILERS, HEATERS,TANKS,AIR CONDITIONERS,ETC..... OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding$2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also,a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature �/`� Signature OWNER or AGENT CONT The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this � Y day of20 , by 2 day of 20 4 by who is personally known to DANIEL ESSIG who is personally known to me or who has produced as me or who has produced as identification and who did take an oath. NY identification and who did take an oath. �" •°°°••• ssR ...... N �t cor�as� •. NO Y PUBLIC: •�pMMISS%•,9'Lq'. T RY PUBLIC: 0ePtembP, %�• Sign- F �� S n: qa % •:� ?�oB `'.` ^. B = de . •. Print: s.c a%dfhlu Q.'' Print °fie •�•nvrik�•.•'R'�v Seal: %6rATEOF Seal: APPROVED BY ��a �l Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014)