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BPP-17-1007BUILDING PERMIT APPLICATION 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 13Y v FBcf�C20 l`4 Master Permit No. BT 1 I - 100- Sub Permit No. ❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION RENEWAL ❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP (� /� / �r CONTRACTOR DRAWINGS JOB ADDRESS: L ` \ City: Miami Shores County: Miami Dade Zip: Folio/Parcel#: Is the Building Historically Designated: Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder): Address:::\ 7 dY City: 1 I L L(Phone#: �S S r' State: f L. Tenant/Lessee Name: ?rG e cc Email: c'Qc.411)?33--6 T3/kr /kr Phone#: os 3 � CONTRACTOR: Company Name: �I Ec5; Address: 12 CCD �1 £ City: U I State: 1— L Qualifier Name: Phone#: D-�-, ( or Registration #: �L-�� s� Zip: La 2_ Phone#: S State Certification Certificate of Competency #: DESIGNER: Architect/Engineer: Phone#: Address: r, �,r� City: State: Zip: Value of Work for this Permit: $ -301 OOC) • i� Square/Linear Footage of Work: 9 Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace ❑ Demolition Description of Work: 1? )-2 i C7%.19r- -4 S T 2 2 LJ Specify color of color thru tile: Ol Submittal Fee $ Permit Fee $ ((- CCF $ 1 e • co co,cc $ Scanning Fee $ • W Radon Fee $ 13 .50 DBPR $13 ' 5D Technology Fee $ C./ , Training/Education Fee $ 6 • c Structural Reviews $ (Revised02/24/2014) Notary$ 5- i) Double Fee $ AD - Bond $ 5ei TOTAL FEE NOW DUE $ ! (-2 • CO 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. Signatu :.,.aiI/araW • NER orfAGENT The foregoing instrument was acknowledged before me this 1 day of P\fr i 1 , 20 ( , by A—CI l-tKU' e1,41ii=sb7faNy known to me or who has produced �CY' ggiD —S27 �� identific.tion and w NOTARY PUBLIC: NOT Signature CONTRACTOR The foregoing instrme ` was acknowledged before me this day of of �� , 20 77��yy�--L II (mss SI s""'meeor who has produced identification and who did take an oath. Sign: Print: Seal: '•EXPIRES: November 2, 2020 �:?oF F��`'• Bonded Thru Notary Public Underwriters ***************************** APPROVED BY (Revised02/24/2014) by o is personally known to Sign: Print: Seal: as ilNIICI.'R7P2 PANNI V,/INM1i� I' y4,i�.cni� 40 '.r : ION#FF 11108 I AF°: `0P.. Bonded Thai,,, • ..T�, . .- : I. ************************************************************************ 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 NO. BPP -4-17-1007 P Permit Type: Pools/Whirlpools/Hot irlp►ools/Hot Tubs er m Work Classification: New Permit Status: APPROVED Parcel Number Issue Date: 6/29/2017 1 Expiration: 12/26/2017 Applicant 271 NE 95 Street Miami Shores, FL 1132060133950 Block: Lot: NOMADBRUSELLS LLC Owner Information Address Phone Cell Contractor(s) ESSIG POOLS INC Phone 305-949-0000 Cell Phone Valuation: Total Sq Feet: $ 30,000.00 777 Approved: In Review Comments: Date Approved:: In Review Date Denied: Type of Work: Swimming Pool Additional Info: NEW SWIMMING POOL AND PAVER DEC Classification: Residential Occupancy: Private Bond Return : Scanning: 4 Fees Due CCF DBPR Fee DCA Fee Education Surcharge Notary Fee Permit Fee Scanning Fee Technology Fee Total: Amount $18.00 $13.50 $13.50 $6.00 $5.00 $900.00 $12.00 $24.00 $992.00 Pay Date Pay Type Invoice # BPP -4-17-63664 04/11/2017 Credit Card 06/29/2017 Credit Card Amt Paid Amt Due $ 50.00 $ 942.00 $ 942.00 $ 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. Auj� zed Sig , t r r� " r s • r - / Applicant / Contractor / Agent ent Copy June 29, 2017 Date June 2 1 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-280759 Permit Number: BPP -4-17-1007 Scheduled Inspection Date: December 28, 2017 Inspector: Naranjo, Ismael Owner: Job Address: 271 NE 95 Street Miami Shores, FL Project: <NONE> Contractor: ESSIG POOLS INC Permit Type: Pools/Whirlpools/Hot Tubs Inspection Type: Final Work Classification: New Phone Number (704)408-0784 Parcel Number 1132060133950 Phone: 305-949-0000 Building Department Comments NEW SWIMMING POOL AND PAVER DECK ON SAND BASE PERMIT CANCELLED WITH PERMIT#BPP-9-15-2274 Infractio Passed Comments INSPECTOR COMMENTS False Passed Failed Correction Needed Re -Inspection Fee No Additional Inspections can be scheduled until re -inspection fee is paid. Inspector Comments GATE ON THE LEFT SIDE OF THE HOUSE IS OPEN AND PERMIT BOX IS ABOVE THE POOL MACHINERY f<6/J7) cid (s -Q - December 27, 2017 For Inspections please call: (305)762-4949 Page 3 of 30