PL-16-3246Miami Shores Village
10050 N.E. 2nd Avenue NW
Miami Shores, FL 33138-0000
Phone: (305)795-2204
Project Address
Issue'
Permit NO. PL-11-16-3246
Permit Type: Plumbing - Residential
Work Classification: Pool - Private
Permit Status: APPROVED
te: 12/29/2016
Expiration: 06/27/2017
Parcel Number
Applicant
25 NW 108 Street
Miami Shores, FL 33168-4310
1121360110300
Block: Lot:
MARCO VELASQUEZ MAGNA VI
Owner Information
Address
Phone
Cell
MARCO VELASQUEZ MAGNA VIERIA 25 NE 108 Street
MIAMI SHORES FL 33168-4310
25 NE 108 Street
MIAMI SHORES FL 33168-4310
Contractor(s)
ESSIG POOLS INC
Phone Cell Phone
305-949-0000
Valuation:
Total Sq Feet:
$ 1,500.00
880
Type of Work: PLUMBING FOR NEW POOL
Type of Piping:
Additional Info: PLUMBING FOR NEW POOL
Bond Return :
Classification: Residential
Scanning: 1
Fees Due
CCF
DBPR Fee
DCA Fee
Education Surcharge
Permit Fee
Scanning Fee
Technology Fee
Total:
Amount
$1.20
$3.38
$3.38
$0.40
$225.00
$3.00
$1.60
$237.96
Pay Date Pay Type
Invoice # PL-11-16-62209
12/29/2016 Check #: 301135 $ 187.96 $ 50.00
11/30/2016 Check #: 301069 $ 50.00 $ 0.00
Amt Paid Amt Due
Available Inspections:
Inspection Type:
Main Drain
Final
Rough
Review Plumbing
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.
December 29, 2016
Authorized Signature: Owner / Applicant / Contractor / Agent
Date
Building Department Copy
December 29, 2016 1
T
Miami Shores Village
NOV 30 2016
BY1
FBC 201(-4 rr(( rr
BUILDING Master Permit No. g v P « - 3z - I `A
PERMIT APPLICATION
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
Sub Permit No. pi : Z Lq Cp
❑ BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑ RENEWAL
Op PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
',� l CONTRACTOR DRAWINGS
JOB ADDRESS: y� 2� I 3
City: Miami Shores
Folic,/ rarcel#: 1 12 3 C.P -CA
Occupancy Type: Load:
County:
Miami Dade Zip:(3�
i6 inc b'iiikug ftuavikauy vcmgnaacu. Yes
IYV
Construction Type: Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder): Nl ✓Lo " C ` Z Z Phone#: - -1 0 31-l -1
Address: ij
City:11 I c� �✓Y� 1 ��'1��
Tenant/Lessee Name:
Email:
Phony#: 305 949-0000
State:
zip:
Phone#:
CONTRACTOR: Company Name: ESSIG POOLS, INC
Address: 1800 NE 151 ST
City: NORTH MIAMI State: FL
Qualifier Name: DANIEL ESSIG
State Certification or Registration #: CPC052505
Zip: 331625
Phone#: 305-949-0000
Certificate of Competency #:
DESIGNER: Architect/Engineer: Phone#:`Zo ' 2-3
Address: 8 7-S' N1 3 13�
City: �J�� State: Zip:._
•
ti Value of Wofk for this Permit: $ . t
Square/Linear Footage of Work ••,, • 8
',Type'of Work +❑,Addition• .�.❑ Alteration New ❑ Repair/Replace n Demolition
Description of Worrk:.
Specify color of color thru tile:
Submittal Fee $ tC)
Scanning Fee $ 3
Technology Fee $ ( 'a
Structural Reviews $
Permit Fee $ 2 2-S CCF $ �7 r' CO/CC $
Radon Fee $ 3" S 3 DBPR $ 3 •3 G Notary $
Training/Education Fee $ Q ' (f6 Double Fee $
Bond $ 0
(Revised02/24/2014)
TOTAL FEE NOW DUE $
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 constitction 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 �6nd a reinspection fee will be charged.
Signature_
The foregoing i
A day of �—e:D , 20 ) c.
blLCC' VC IC:73(I_ i�G-h i� nil is
YORLENY
•
me or who has pro
identification and
NOTA
trument was acknowledged before me this The foregoing instrument was acknowledged before me this
by 2-1 day of sHo�� —� , 20 < <7 , by
,koo. to DANIEL ESSIG , who is personally known to
Sign U ��►l�l��, �.—
Print:
Seal:
*******************************************
APPROVED BY p -7 �('` Plans Examiner
me or who has produced
identification and who did to oath.
NOT1RY PUBLI f :
Seal:
as
• r, '
*************************************************************
,
•
• Zoning
(Revised02/24/2014)
Structural Review
Clerk