PL-17-1659Miami Shores Village
10050 N.E. 2nd Avenue NE
Miami Shores, FL 33138-0000
Phone: (305)795-2204
Project Address
mi
tssue
Permit NO. PL-6-17-16.9
Permit Type: Plumbing Residential
Work Classification: Pool —Private
Permit Status: APPROVED
te: 7/12/2017
Expiration: 01/08/2018
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:
$ 2,500.00
0
Type of Work: POOL PIPING
Type of Piping: POOL
Additional Info:
Bond Return :
Classification: Residential
Scanning: 1
Fees Due
CCF
DBPR Fee
DCA Fee
Education Surcharge
Permit Fee
Scanning Fee
Technology Fee
Total:
Amount
$1.80
$3.38
$3.38
$0.60
$225.00
$3.00
$2.40
$239.56
Pay Date Pay Type
Invoice # PL-6-17-64401
07/12/2017 Check #: 301652 $ 189.56 $ 50.00
06/26/2017 Check #: 301618 $ 50.00 $ 0.00
Amt Paid Amt Due
Available Inspections:
Inspection Type:
Main Drain
Final
Rough
Review Plumbing
1
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, MECHANICA ' INDOWS, DOORS, ROOFING and SWIMMING POOL work.
OWNERS AFFIDAVIT. . nformation is accurate and that all work will be done in compliance with all applicable laws regulating
construction and zon - :..ove-named contractor to do the work stated.
I e
g. . u
the4 all the
errt1 , I aut
reg
rize
July 12, 2017
Authoriz=,• S' . nature: Owne / Applicant / Contractor / Agent
Date
Building Department Copy
July 12, 2017
1
BUILDING
PERMIT APPLICATION
BUILDING ❑ ELECTRIC
❑■ PLUMBING ❑ MECHANICAL
JOB ADDRESS:
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
Master Permit No.
Sub Permit No.
❑ ROOFING ❑ REVISION
RECEIVED
JUN267017
aAQk
FBC 20151
I31-q-A,-!I9-0
❑ EXTENSION ❑RENEWAL
❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
nir Ave:
City: Miami Shores County:
Folio/Parce14: 1I-320S - 005 — v`110
Occupancy Type: Load: Construction Type:
Miami Dade Zip: 33/.3�
Is the Building Historically Yes NO
Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder): -75-c-t•c-1L, ��.i-. ��tre,t.}.2S
Address: ci -, 1 ) 3 AVE-
City: IMicM; Ski -5
State:
Phone#: ` /7- " 6/t — 21(o3
Zip: 3317g/
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: FL Zip: 331625
305-949-0000
Phone#:
State Certification or Registration #: CPC052505 Certificate of Competency #:
DESIGNER: Architect/Engineer: l//--4A \non -,Ur Phone#: L. - 23 S - 2'15 i
Address: 46 4-C9 5vO 7( 94 City:►�i .-. , State: ( Zip: 33 I S')
Value of Work for this Permit: $ Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration V2 J.-A2c, `l L LA".... ,i, ''eavrvm. , —J 10 I 1r
1 O (J
,.7_ i
Description of Work:
PI
❑ New ❑ Repair/Replace ❑ Demolition
Specify color of color thru tile:
Submittal Fee $ Permit Fee $ a27c
Scanning Fee $ Radon Fee $
Technology Fee $ Training/Education Fee $
Structural Reviews $
CCF $ CO/CC $
DBPR $ Notary $
Double Fee $
Bond $
TOTAL FEE NOW DUE $ 19G `
(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 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 permitwith 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.
Signature
,20 11 ,by
JGt C k [ T v 1-e. Y YCI71. kwho is personally known to
./WNER or AGENT
The foregoing instrument was acknowledged before me this
KI day of . Y v 1
me or who has produced
ide
NO
Sign
Print:
Seal:
ification an
ho did to
ath.
:R • B r
it.! YO' ENY M. HERNANDEZ
����I��`rrMMl• e,tember27,2017
II ��•rP Bonder Notary'u� ..•
as
APPROVED BY
The foregoing instrument was acknowledged before me this
14- day of IN ..f—w".1 I , 20
DANIEL ESSIG
by
who is personally known to
me or who h'as produced as
identification and who did
NOTARY UB IC:
Si
Print:
Seal:
6 Plans Examiner
M,HERNANQE
C ' MMISSION # FF 022108
EXPIRES: September 27, 2017
Bonded Thru Notary Public Underwriters
Zoning
(Revised02/24/2014)
Structural Review
Clerk