PL-16-805 P51mi>t No.-PL-3-16-805
y� Miami Shores Village Permit Type:Plumbing-Residential
�. 10050 N.E.2nd Avenue NE
Work Clas�ificatian:Pool.-Private
mt
Miami Shores,FL 33138-0000 Per-M, m
Permit Status:APPROVED
Phone: (305)795-2204
LORVID
Issue Date.X1112016 Expiration: 12/28/2016
Project Address Parcel Number Applicant
10565 NE 2 Court 1122310130590 YORNET AND SAMUEL COMERI
Miami Shores, FL Block: Lot:
Owner Information Address Phone Cell
YORNET AND SAMUEL COMERFORD 10565 NE 2 Court (305)751-7467
MIAMI SHORES FL 33138-
10565 NE 2 Court
MIAMI SHORES FL 33138-
Contractor(s) Phone Cell Phone Valuation: $ 1,500. 0
ESSIG POOLS INC 305-949-0000
_u.w.. _� ... _..._.w. _.,.... .._.. .. Total Sq Feet:
Type of Work:PLUMBING FOR NEW POOL. 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
DBPR Fee Invoice# PL-3-16-59160
$3.38 03/25/2016 Check#:300468 r$50.00 $ 187.96
DCA Fee $3.38
Education Surcharge $0.40 07/01/2016 Check#:300694 $ 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 i I agree to perform the work covered hereunder in compliance with all ordinances and regulations
pertaining thereto and in strict conformity with a plan ,drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In
accep'ng this rmit I assume responsibili fo II ork done by either myself, my agent, servants, or employes. I understand that separate permits are
requir for E TRICAL,PLU G,M CH I L,WINDOWS,DOORS,ROOFING and SWIMMING POOL work.
OWN RS AF I AV IT I c rti that the infor tion is accurate and that all work will be done in compliance with all applicable laws regulating
c st ction z ni F r he above-n med contractor to do the work stated.
July 01, 2016
Aut o ' d Signature- w pplicant Contractor / Agent Date
Buildi Dep nt py
July 01, 20fS 1
Miami Shores Village REcEIVFTD�
Building Department R 2 2016
10050 N.E.2nd Avenue, Miami Shores,Florida 33138
Tel:(305)795-2204 Fax:(305)756-8972
INSPECTION LINE PHONE NUMBER:(305),762-4949 t-
FBC 20( ( L(
BUILDING Master Permit No.�� L�'�_�
PERMIT APPLICATION sub Permit No. P G
BUILDING ❑ ELECTRIC ❑ ROOFING REVISION EXTENSION RENEWAL
FN_]PLUMBING ❑ MECHANICAL PUBLIC WORKS ❑ CHANGE OF CANCELLATION SHOP
NKE�
CONTRACTOR DRAWINGS
JOBADDRESS: lx_m- � 2-
City:
-Ci : Miami Shores County: Miami Dade Zi
Folio/Parcel#:� Z'2 ��• Is the Building Historically Designated:Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER: Name(Fee Simple Titleholder) pY T -J Phone
Address:
City: State:
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR:Company Name: ESSIG POOLS, INC Phone#: 305-949-0000
Address: 1800 NE 151 ST 11 !,' .)
City: NORTH MIAMI State: FL Zip: '331625
Qualifier Name: DANIEL ESSIGPhone#: 305-949,0000
_h
State Certification or Registration#: CPC052505 Certificate of Competency#:.
DESIGNER:Architect/Engineer:Y V6L-(VI�- )1 (1'1 &—Y)f�- Phone#•
Address2_(.e_-S S . TccjGI'-(:541 4 q hVkrA� j CityPnC=_rA'C_-1 ";4 State:47L Zip: 3zA-41
Value of.Work for this Permit:$ f S� Square/Linear Footage of Work:
Type of Work:. ❑ Addition'b ❑ Alteration New `'•"
✓^ i � �:Q��Repair/Replace ❑ Demolition
Description of Work. _- �'�� R •
Specify color of color thru tile: �. .�
�� ri"
Submittal Fee$ Permit Fee$ �,��' CCF$ P' 2p CO/CC$
Scanning Fee$ G'� Radon Fee$ DBPR$ Notary$ 55
Technology Fee$ Training/Education Fee$ C) - Double Fee$ 0
Structural Reviews$ Bond$
TOTAL FEE NOW DUE$
(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 IMPROVEMENTSTO'YOUR PROPERTY: iFYOU 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 wrth"'an estin'1afL4d value•exceeding''$2500;'fhe applicant must
promise in,good fditFi;that=a copy of the notice of commencement and,cgnstruction lien,law bpchure.will be del(veredyto the'pefson
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.
Signature Signature �2 Az
OW or AGENT C CTOR
The foregoing in ment was acknowledged before me this The foregoing instrument was acknowledged before me this
day o ✓
f � ,20 I<-' by � /
3 day of 1" � � YC-4 1 • 20 1 Le by
who is personally known to DANIEL ESSIG who is ppnatw%' ngwn to
me or who has produced a"as me or who has produced -Z"-"Ps
Sep
identification and who did take an oath., identification and who,did take an oa: „cam
O•no
A .� .� � vZ•�^
NOT RY PUBLIC: t�����••• . NOT RY PUBLIC• ��:� ,�, n.- ;•
Nk
Si n: o Qte ss�o�9 Sign: �� IDN p••r....•• ``,\.�.
Print ` • a: print:
Sea. ~•-�,;
g j0 5� ..Seal:
Frwrite�••\OQ'��\\\�
O iii
APPROVED BY i .2/'��! Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)