PL-16-2814 Miami Shores Village Permit rjoe: t tt ,Rmidential
10050 N.E.2nd Avenue NE � l4far 1 s�cetr t�
Poo1� �Fivat b
Miami Shores,FL 33138-0000 'e r
,.
Perna*Status:APPROVED
hFs Phone: (305)795 2204
)esus Date. 1013112016 Expiration: 04/29/201 7
Project Address Parcel Number Applicant
9730 NE 5 Avenue Road 1132060171470
JOHN&MARIE PERIKLES
Miami Shores, FL Block: Lot:
Owner Information Address Phone Cell
JOHN&MARIE PERIKLES 9730 NE 5 Avenue Road (786)236-0254
MIAMI SHORES FL 33138-
Contractor(s) Phone Cell Phone Valuation: $ 2,000.00
ESSIG POOLS INC 305-949-0000
Total Sq Feet: 1062
Type of Work:PLUMBING FOR NEW POOL AND SPA Available Inspections:
Type of Piping: Inspection Type:
Additional Info:PLUMBING FOR NEW POOL AND SPA Main Drain
Bond Return: Final
Classification:Residential Scanning:1 Rough
Review Plumbing
Fees Due Amount Pay Date Pay Type Amt Paid Amt Due
CCF $1.20 Invoice# PL-10-16-61680
DBPR Fee $3.38 10/17/2016 Check#:300946 $50.00 $187.96
DCA Fee $3.38
Education Surcharge $0.40 10/31/2016 Check#:301019 $ 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 t t al ring information is accurate and that all work will be done in compliance with all applicable laws regulating
construction and zoning. Futhe or a bere the above-named contractor to do the work stated.
October 31, 2016
Authorized Sig ature:Owner / Applicant / Contra / Agent Date
Building Department Copy
October 31,2016 1
Miami Shores Village OCT 17 o s
Building Department - —
10050 N.E.2nd Avenue,Miami Shores,Florida 33138
Tel:(305)795-2204 Fax:(305)756-8972
INSPECTION LINE PHONE NUMBER:(305)762-4949 ITI
FBC 201A
BUILDING Master Permit No.Lyp 1(-0 -
PERMIT
(-0 -PERMIT APPLICATION Sub Permit No. (p1 U- 2-819 .
BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION E:]RENEWAL
QPLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: 'r-75C) c� � 1`01
City: Miami Shores County: Miami Dade Zip:
Folio/Parcel ) 1 32C7 L-,P ® 1-7 1 9'''= .� is trig Building Historically Designated:Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER:Name(Fee Simple Titleholder):M/C=A r
V II 'P"'j K"lC- S Phone# ZJL..P -oZSl-"
Address: 973 C--,) NE� S
City:
c—LZ 3,Q S qNo-� State: tl— Zip: �3 3
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. "( Phone#:
Lz®
339-9-
Address: �)" "`/a "1 Gty: State: - Zip:
Value of Work for this Permit:$ —2, uare Linear Footage of Work: ( e lP2—
Type of Work: ❑ Addition ❑ Alteration New ❑ Repair/Replace ^❑ Demolition
Description of Work: �l�-�•,�►�'► �� ✓'�' -J lA��' ` �"� , "' ` � _
Specify color of color thru tile:
Submittal Fee$ 'P.7 0 Permit Fee$ CCF$ c�Z• 2 CO/CC$
2
Scanning Fee$ Radon Fee$ • $� DBPR$ J-3 Notary$
Technology Fee$ I • � Training/Education Fee$
y 0 Double Fee$
Structural Reviews$ Bond$
TOTAL FEE NOW DUE$ I F �--
(Rev1sed02/24/2014)
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 re* s ection fee will be charged.
Signature Signature
OWNER or AGENT CONTRACT
The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this
Off' day of T 20 1 (,— ,by day of d - 20 L ---f ,by
S .who is personally known to DANIEL ESSIG who is personally known to
me or who has produced--• Dv' VCV tL-�L-IC=f-sN G me or who has produced as
identification and who did take an oath (DZ4' ' '-identification and who did takegoat
N Y PUBLIC: N l�ap —® NO PUBLUX: 2a1nH.pUco YORLENYM HERN.ANDE
r MY COMM!SSION#Ft�u22 i i);
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APPROVED BY ls(J ��Z�4L Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)