BPP-15-2274°11105
SSS lG
BUILDING
PERMIT APPLICATION
El BUILDING ❑ ELECTRIC
❑PLUMBING ❑ MECHANICAL
JOB ADDRESS: 271 NE 95 St
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
SEP 0 8 2015
FBC 20
Master Permit No. BPP -4-14-831
Sub Permit N
❑ ROOFING ❑ REVISION D EXTENSION
El PUBLIC WORKS D CHANGE OF
CONTRACTOR
❑ CANCELLATION ❑ SHOP
DRAWINGS
City: Miami Shores
County:
Miami Dade Zip:
Folio/Parcel#:1132060133950
Occupancy Type: Load:
Is the Building Historically Designated: Yes NO X
Construction Type: Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder): NOMADBRUSELLS, LLC
Address:271 NE 95 ST
Phone#: 704-408-0784
City: MIAMI SHORES State: FL
Tenant/Lessee Name:
Email:
Phone#:
Zip: 33138
CONTRACTOR: Company Name: ESSIG POOLS, INC
Address: 1800 NE 151 ST
Phone#: 305-949-0000
City: NORTH MIAMI •
Qualifier Name: DANIEL ESSIG
State: FL
zip: 33162
Phone#:
State Certification or Registration #: CPC052505 Certificate of Competency #:
DESIGNER: Architect/Engineer: PFEIFFER ENGINEERING Phone#: 786-235-2435
Address: 8754 SW 206 LANE City: CUTLER BAY State: FL zip: 33189
Value of Work for this Permit: $ 30,000
Square/Linear Footage of Work: 777
Type of Work: 0 Addition 0 Alteration ❑■ New ❑ Repair/Replace ❑ Demolition
Description of Work: RENEWAL OF BPP -4-14-831 (NEW SWIMMING POOL AND PAVER DECK)
Specify color of color thru tile:
Submittal Fee $ Permit Fee $ Clap
Scanning Fee $ Radon Fee $
Technology Fee $ Training/Education Fee $
Structural Reviews $
(Revised02/24/2014)
CCF $ CO/CC $
DBPR $ Notary $
Double Fee $
Bond $
TOTAL FEE NOW DUE $ CIS T GJ
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: l 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.
Signatur
The foregoing instrument was acknowledged before me this
day of , 20 , by
WALTER DE WEE T , who is personally known to
me or who has produced
identification and who did take an oat
I ( /°`rte MI A
. �j -� i ♦ ee't��g/�! may,,..
Print: � Wit 11
N •�' :� P BLI
ERNANDEZ
The foregoing instru ent was acknowledged before me this
of 20 � , by
DANIEL ESSIG -- , who is perso�lly known to
as
ab me or who has produced
identification and who did tak
7, 2017
Seal:
APPROVED BY
(Revised02/24/2014)
Ll
NO
Sign:
Print:
Seal:
PUBLIC:
no
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r_S. September 27, 2017
.�.� ,� i� Underwriters
#####4******####################################################
Plans Examiner Zoning
Structural Review Clerk
Project Address
Miami Shores Village
10050 N.E. 2nd Avenue NE
Miami Shores, FL 33138-0000
Phone: (305)795-2204
Permit rvo. BPP -9-1 5-2274
Permit Type: Poo I&WhirlpoolslHot Tubs
r rri i Work Classification: New
Permit Status: APPROVED
Issue Date: 911512015
Expiration: 03/13/2016
Parcel Number
Applicant
271 NE 95 Street
Miami Shores, FL
1132060133950
Block: Lot:
NOMADBRUSELLS LLC
Owner Information
Address
Phone
Cell
Contractor(s)
ESSIG POOLS INC
Phone Cell Phone
305-949-0000
Valuation:
$ 30,000.00
Total Sq Feet: 777
Approved: In Review
Comments:
Date Approved: : In Review
Date Denied:
Type of Work: Swimming Pool
Additional Info: RENEWAL OF EXPIRED BPP -4-14-831
Classification: Residential
Occupancy:
Bond Return :
Scanning: 3
Fees Due
CCF
DBPR Fee
DCA Fee
Education Surcharge
Permit Fee
Scanning Fee
Technology Fee
Total:
Amount
$18.00
$13.50
$13.50
$6.00
$900.00
$9.00
$24.00
$984.00
Pay Date Pay Type Amt Paid Amt Due
Invoice # BPP -9-15-57001
09/15/2015 Check #: 99786 $ 984.00 $ 0.00
Available Inspections:
Inspection Type:
Fence
Final
Pool Deck
Wall Steel
Review Planning
Review Building
Review Plumbing
Review Electrical
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.
Building
September 15, 2015
Contractor / Agent
September 15, 2015
Date
1