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PL-17-795Project Address Miami Shores Village 10050 N.E. 2nd Avenue NE Miami Shores, FL 33138-0000 Phone: (305)795-2204 Permit Permit NO. PL -3-17-795 Permit Type: Plumbing - Residential Work Classification: Pool - Private Permit Status: APPROVED Issue Date: 3/31/2017 Expiration: 09/27/2017 Parcel Number Applicant 960 NE 97 Street Miami Shores, FL 33138- 1132060143160 Block: Lot: UCHENNA UKAZIM Owner Information UCHENNA UKAZIM Address 960 NE 97 Street MIAMI SHORES FL 33138- 960 NE 97 Street MIAMI SHORES FL 33138- Contractor(s) ESSIG POOLS INC Phone 305-949-0000 CeII Phone Phone (561)901-3471 CeII Valuation: Total Sq Feet: $ 1,500.00 0 Type of Work: PERMIT RENEWAL FOR POOL RENOVATION Type of Piping: Additional Info: PERMIT RENEWAL FOR POOL RENOVATION Bond Return : Classification: Residential Scanning: 1 Fees Due CCF DBPR Fee DCA Fee Education Surcharge Permit Fee Scanning Fee Technology Fee Amount $1.20 $3.38 $3.38 $0.40 $225.00 $3.00 $1.60 Total: $237.96 Pay Date Pay Type Invoice # PL -3-17-63424 03/31/2017 Check #: 301423 03/22/2017 Check #: 301381 Amt Paid Amt Due $ 187.96 $ 50.00 $ 50.00 $ 0.00 Available Inspections: Inspection Type: Main Drain Final Rough Review Plumbing 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 SWIMMIG POOL work. OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate - d tl at all) orl( will done in compliance with all applicable laws regulating construction and zoning. Futhermore, I authorize the above-named contractor t Authorized Signature: Owner / Applicant / Contractor Building Department Copy March 31, 2017 Date March 31, 2017 1 BUILDING PERMIT APPLICATION El BUILDING 0 ELECTRIC II PLUMBING JOB ADDRESS: City: 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 MR 2 2 2017 BY:. FBC 20 Master Permit No.. ? 11—'79 3 Sub Permit No. PL 1 7-7 9 5 ❑ EXTENSION NEWAL 0 ROOFING 0 REVISION ❑ MECHANICAL ❑ PUBLIC WORKS ❑ CHANGE OF CONTRACTOR %loO iu E 'a ❑ CANCELLATION ❑ SHOP DRAWINGS Miami Shores County: Miami Dade Zip: 3313, Folio/Parcel#: 1 1- 37.0 Ca-- 0 "3) Is the Building Historically Designated: Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder) V , � Address: `1(00 uC 5 5T City: Phone#: S%( - '201 " 3 State: Zip: 3313f( Tenant/Lessee Name: Phone#: Email: CONTRACTOR: Company Name: ESSIG POOLS, INC Address: 1800 NE 151 ST Phone#: 305-949-0000 City: NORTH MIAMI State: FL Qualifier Name: DANIEL ESSIG State Certification or Registration #: CPC052505 DESIGNER: Architect/Engineer: Vv2a4-04.1A 1 Address: Yet Zip: 331625 Phone#: 305-949-0000 Certificate of Competency #: 1, �A^^ Phone#: 7Tit[' 23} - 2-'! ',- City: {0..#11; State: F ( Zip: 3318 r Value of Work for this Permit: $ 1 I`J 0 0 Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration Description of Work: P".1-41 i i ?q ;w»L\ 'PIvrr0b;./•sj ❑ New ❑ Repair/Replace ❑ Demolition ?lai f4.114vc,srf ►r\ ) -('L Ib- t401 Specify color of color`thru tile: Submittal Fee $ W +Ut Scanning Fee $ 6 •C -X. / Radon Fee $ � " 3k9 DBPR $ �' +O �S Technology Fee $ ' . 0 Training/Education Fee $ 0 • 4° Permit Fee $ CCF$ • 2O CO/CC $ Notary $ Double Fee $ Structural Reviews $ Bond $ Ip`'' TOTAL FEE NOW DUE $ t @ R- ` 9% (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 J 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 • ap• oved • • a reinspecti. • - will be charged. 5( Signature Signature OWNER or AGENT C The foregoing instrume t was acknowledged before me this 19— dtay of i le-ct--t- , 20 I i , by i---(D-(D day of I " n l-oL. L—c.-- 1-----t- , 20 t- by � 1�-' LY i� p DANIEL ESSIG who is ersonally known to me or who has produced as me or who has produced as identification and who did take an oat identification and who did talon oath. The foregoing instrument was acknowledged before me this who is personally known to NO Sign A Y,PUBLIC: 1 a 1,1 N 'A w �„,,„ ..!• piping `" "'am; •RLE M. HERNANDEZ .sY{MISSION # FF 022108 • F•••• P.' S: September 27 2017 ••q;, ;�Bonded °,• An/Notary Pub Underwriters nderwrilers Print: Seal: i 11� ***************************************** APPROVED BY Ply 3-2-3-1=K N Si Y PUBLIC: III.►!.... e' YORLENY I:1. 'N,NDEZ 41, MY COMMISSI,7 . FF 022108 EXPIRES: Sep', :,er 27, 2017 Eod„°' Bonded Thru Notary Public Underwriters Print: Seal: ap ************************************************************ Plans Examiner Zoning Structural Review Clerk 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 BUILDING PERMIT APPLICATION BUILDING E ELECTRIC ROOFING RECI7 2 0 21)16 FBC 2(0' 14 g=J Master Permit No.-RIMNO3 Sub Permit No? L(Z-1 CI 0 REVISION 0 EXTENSION 0RENEWAL •PLUMBING ❑ MECHANICAL 0PUBLIC WORKS n CHANGE OF 0 CANCELLATION 0 SHOP CONTRACTOR DRAWINGS JOB ADDRESS: t=9. NE: -7 I City: Miami Shores County: Miami Dade Folio/Parce;#:1 132. C] Cc, 'C 1 4 3 / c --P cp Is he Gulling Historicaiiy Des* Occupancy Type: Load: Construction Type: Flood Zone: OWNER: Name (Fee Simple Titleholder):v C-1.--/Crl Y-) ' V 1 Z.I Address: 9 CZ' C=� -9 ren '�'13� City: 1\/1 I -===irY�t � i! �� l State: 'FC--"�Zip:�. Tenant/Lessee Name:Phone#: Email: CONTRACTOR: Company Name: ESSIG POOLS, INC Address: 1800 NE 151 ST ", Phone#: 305-949-0000 City: NORTH MIAMI Qualifier Name: DANIEL ESSIG State Certification or Registration #: CPC• State: FL Phone#: zip: 331625 305-949-0000 i Certificate of Competency #: 1DESIGNER: Architect/Engineer: ��4.. -(rl +n {` 4 if: Vi rYy� Phone#: `°°I" 113 Address: -2- 5 S' - �c - r ' 1 5 h is i i iC ty: tl-� State: T'L Zip: 3- 1 Value of Work for this Permit: $ t . 5. D Type of Work: ❑ Addition t ❑ Alteration ❑ New Repair/Replace n Demolition Square/Linear Footage of Work: •Description'of Work: Specify color of color thru tile: W/ Submittal Fee $ .CJZ Permit Fee $ 2'5-' CCF $ `, ;Of . CO/CC $ Scanning Fee $ 3` 4) 0 • Radon Fee $ 3 • 3g DBPR $ 3. 33--_ Notary $ Technology Fee $ ' • 17 0 Training/Education Fee $ D - Li D Double Fee $ Structural Reviews $ Bond $ II' TOTAL FEE NOW DUE $ ``l. CU (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: ¥6UR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY *�ti a RESULT IN YOUR PA IN!G TV 1 E FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINAN f' ONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE MENC r`'�� T." Notice to Applicant: As a conditio 4,4, -.6.1cuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a c•,•i; . \fnotice of commencement and construction lien law brochure will be delivered to the person whose property is subject t•yi •lir ► nt. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection l , ,\ .:., urs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be .),e,,\I and a reinspection fee will be charged. Signature OWNER or AGENT The foregoing instrument was acknowledged before me this L.1— day of M �VC-!-1 , 20 1 , by vGl'�✓1rlC! C* -'"—OZ— I fv1who is personally known to .tome or who has produced 2�� 0\uC1-1.7101. as identification and who did take an oath *• NOTARY PUBLIC: �1 iXN Sign: Sign: Print: .w— S Signature 144s The foregoing i.nstrum i;, *, • •ac 7 knowledged before me this _off... 0.,,. 20 4 .by VQ N me" who has produced , who is personally known to identification and who did take an oath. NO 'Y PUBLI Sig Print: Seal: as ..: ;; YORLENYMMERNANDEZ �, •*= MY COMMISSION # FF 022108 tt�' EXPIRES: Starr Po C Und 2017 Notary Pudic Underwriters ************************************************************************************************************ APPROVED BY (Revised02/24/2014) Plans Examiner Structural Review Zoning Clerk