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PL-15-1459 *14 Miami Shores Village 10050 N.E.2nd Avenue NE i Arklasttatt OIV6+ Miami Shores,FL 33138-0000 Phone: (305)7952204Fei � R1M Big Loxml' ��t C moi Expiration: 1 l26/2015 Project Address Parcel Number Applicant 1050 NE 105 Street 1122320280060 PHILIPPE ALLUARD Miami Shores, FL 33138-2106 Block: Lot: Owner Information Address Phone Cell PHILIPPE ALLUARD 2655 S LEJUENE Road CORAL GABLES FL 33134- 2655 S LEJUENE Road CORAL GABLES FL 33134- Contractor(s) Phone Cell Phone Valuation:$ 1,500.00 ESSIG POOLS INC 305-949-0000 Total Sq Feet: 779 Type of Work:NEW SWIMMING POOL WITH PAVER DECK 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 $1.20 Invoice# PL-6-15-55969 DBPR Fee $3.38 06/29/2015 Check#:99669 $237.96 $0.00 DCA Fee $3.38 Education Surcharge $0.40 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 authorize the above-named contractor to do the work stated. June 29, 2015 Authorized Signature:Ownergent Date Building Departmentpp icenty June 29,2015 1 Inspection Worksheet Miami Shores Village 10050 N.E.2nd Avenue Miami Shores, FL 16 -05-7� ,I ^ S� Phone: (305)795-2204 Fax: (305)756-8972 "� Inspection Number: INSP-236805 Permit Number: PL-6-15-1459 Scheduled Inspection Date: December 29,2016 Permit Type: Plumbing - Residential Inspector: Hernandez, Rafael Inspection Type: Final Owner: ALLUARD, PHILIPPE Work Classification: Pool - Private Job Address:1050 NE 105 Street Miami Shores, FL 33138-2106 Phone Number Parcel Number 1122320280060 Project: <NONE> Contractor: ESSIG POOLS INC Phone: 305-949-0000 Building Department Comments NEW SWIMMING POOL WITH PAVER DECK Infractio Passed Comments INSPECTOR COMMENTS False Inspector Comments Passed Failed Correction ❑ Needed Re-Inspection ❑ Fee No Additional Inspections can be scheduled until re-inspection fee is paid. December 28,2016 For Inspections please call: (305)762-4949 Page 1 of 25 ' JUN 1 la 717115 Miami Shores Village - -- - -- 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 FBC 20 L� BUILDING Master Permit No ` 1PP15— 145--4 PERMIT APPLICATION Sub Permit No.T L'+ 45--14 S`) F--]BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑■ PLUMBING ❑ MECHANICAL [:]PUBLICWORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: 1050 NE 105 ST City: Miami Shores County: Miami Dade Zip: Folio/Parcel#:11-2232-028-0060 Is the Building Historically Designated:Yes NO X Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER:Name(Fee Simple Titleholder):PHILIPPE ALLUARD Phone#:305-793-7531 Address: 1050 NE 105 ST City: MIAMI SHORES State: FL Zip: 33138 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: 33162 Qualifier Name: DANIEL ESSIG Phone#: State Certification or Registration#: CPC052505 Certificate of Competency#: DESIGNER:Architect/Engineer s `�"1C�! 1 Phone#:�� Addresst>7-45',' 2 e: f — Zip: Value of Work for this Permit:$1,500 Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration Q New ❑ Repair/Replace ❑ Demolition Description of Work: PLUMBING FOR NEW POOL Specify color of co,,Ifr thru tile: .s - Submittal Fee$ Permit Fee$ //� � CCF$ CO/CC$ Scanning Fee$ Radon Fee$ DBPR$ Notary$ Technology Fee$ Training/Education Fee$ Double Fee$ Structural Reviews$ Bond$ Q TOTAL FEE NOW DUE$ l (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 inspec ' wh'ch c)ccurs seven 7 days after the building permit is issued. In the absence of such posted notice, the inspection will n t be ap o %and a reins cti n fee will be charged. I r Signature Signature < OWNER or AG CONTR 0 The foregoing instrument was acknowledged before me thisThe foregoi g instru ent was acknowledged before me this - " day of KI �— I ,20 (� ,by � day of 20 ,by PHILIPPE ALWARD 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 o identification and who did take an oath. N Y PUBLIC: NOTARY PUBLIC: d ig G Sign: Print: ==°s Y DQ0. Print: ;.,,-- PIR September 27,2017 =r, P ?` ,_ MY COi MISSION 0 FF 0 108 ' Seal: Seal: ,e dd�ondad Thru Notary Public Unde wr tars ie EXPIRES.September 27,2017 q.• Bunded Thru tary Public Underwriters ************************************************************************************************************ APPROVED BY Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014)