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MC-16-1171Miami Shores Village 10050 N.E. 2nd Avenue NE Miami Shores, FL 33138-0000 Phone: (305)795-2204 ■ tie Da Permit 'NO. MC-4-46-1171 Permit Type: Mechanical - Residential Work Classification:: Pool Heater Permit Status: APPROVED 7/14/2016 Expiration: 01/10/2017 Parcel Number Applicant 9879 NE 13 Avenue Miami Shores, FL 1132050090490 Block: Lot: JACQUELINE BARRANTES Owner Information Address Phone Cell JACQUELINE BARRANTES 9879 NE 13 Avenue MIAMI SHORES FL 33138- (917)698-2863 9879 NE 13 Avenue MIAMI SHORES FL 33138- Contractor(s) ESSIG POOLS INC Phone 305-949-0000 Cell Phone Valuation: Total Sq Feet: $ 3,500.00 0 Tons: Additional Info: POOL HEATER Classification: Residential Approved: In Review Comments: Date Denied: Scanning: 1 Date Approved: : In Review Type of Work: Fees Due CCF DBPR Fee DCA Fee Education Surcharge Permit Fee Scanning Fee Technology Fee Total: Amount $2.40 $2.00 $2.00 $0.80 $122.50 $3.00 $3.20 $135.90 Pay Date Pay Type Amt Paid Amt Due Invoice # MC-4-16-59603 07/14/2016 Check #: 300733 $ 135.90 $ 0.00 Available Inspections: Inspection Type: Final Review Mechanical 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 cur construction and zoning. Futhermore, I authorize the above -named Authorized Signature: Owner / Applicant / Contractor d that all work will be done in compliance with all applicable laws regulating do the work stated. Agent July 14, 2016 Date Building Department Copy July 14, 2016 1 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 I% s+� BUILDING Master Permit No. 11 (0 ' (f 0 PERMIT APPLICATION Sub Permit No. rrl`c) l BUILDING ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION El RENEWAL El PLUMBING 0 MECHANICAL PUBLIC WORKS ❑ CHANGE OF CANCELLATION SHOP w ' CONTRACTOR DRAWINGS JOB ADDRESS: ��� `yE t 5 AsN=. City: Miami Shores County: Miami Dade Zip: 5� Foiio/Parcei#1 1 32-0 oc cQ c=t'c) is the Building Historicaiiy Designated: Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: ( FFE: OWNER: Name (Fee Simple lITitleholder)J�1)rtiC 1Yr ne#:'1 ll 7 - �� - 2-236; plxJ Address:23S2- L7a—r - City: Micoari MI State: FC— Zip: 3. 1 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 Qualifier Name: DANIEL ESSIG zip: 331625 Phone#: 305-949-0000 State Certification or Registration #: CPC052505 Certificate of Competency #: DESIGNER: Architect/Engineer:'F C 1 1 Y E- ✓lz-i ne#: -el Co �� 24 5 City: State: Zip: 3 i8' -7 Address: 48%J� s1�1 �� t-P vt'� ->T �L Value of Work for this Permit: $ . 5-�=' Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration ,New ❑ Repair/Replace ❑ Demolition Description of Work: POOL.HEATER Specify color of color thru tile: Submittal Fee $ cb Permit Fee $ ) 2 \ CCF $ • 14 d CO/CC $ Scanning Fee $ 3'c Radon Fee $ gC.)DBPR $ a' Notary $ Technology Fee $ 3 • Z0 Training/Education Fee $ 0 - (90 Double Fee $ P Structural Reviews $ 9 Bond $ 0 TOTAL FEE NOW DUE $ 135 » of (Revised02/24/2014) ',' Si' i Bonding Company's Name (if applicable) 1 . r Bonding Company's Address City State Zip Mortgagelender's Name (if applicable) Mortgage Lender's Address City s' t �) 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. + • P "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 $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days. after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. ii Signature _� Signature ��` / , O NER o'er ENT CONT ACTOR The foregoing inst I.: t was acknowledged before me this The foregoing instrument was acknowledged before me this """'"Ir...-1I """'"Ir...-1{ day of I.1 1 rG—l---1 , 20 I (7'3 , by —2-4:21y ofY i l , 20 I , by ..�Ii'`f11' `Ov personally known to DANIEL ESSIG who is personally known to me or who has produced as me or who has produced as identification and who did take an oath. NITARYPUB IC: identification and who did take an �ENYM.y �• •... MiSSi4j.,.4 N �, eAiarn erg ti<( I '*� aoo�ty Si: , II ���' i��� �•w "A: Sig f. Print � . : F0221 : * :� :o : Q..iPrint: Seal: G�7C S`rq E Oti% F\•,$ ~ Seal: \.J YORLENY M. HERNANDEZ MY COMMISSION # FF 022108 o€ EXPIRES: September 27, 2017 %„,oF a... Bonded Thru Notary Public Underwriters *********************************************`k******* ***p************************************************** ** v APPROVED BY ( V_/`I 1 ' 1( Plans Exanylner Zoning (Revised02/24/2014) Structural Review Clerk