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MC-16-2483 (2)Miami Shores Village 10050 N.E. 2nd Avenue NW Miami Shores, FL 33138-0000 Phone: (305)795-2204 Project Address Permit NO. MC-9-16-2483 Permit Type: Mechanical:- Residential Work Classification: Pool :Neater Permit Status:. APPROVED Issue Date: 10/1.7/2016 Expiration: 04/15/2017 Parcel Number Applicant 9190 NW 1 Avenue Miami Shores, FL 1131010160030 Block: Lot: ADAM & ALAYNA MUELLER Owner Information Address Phone CeII ADAM & ALAYNA MUELLER 9190 NW 1 Avenue MIAMI SHORES FL 33150- (786)402-0330 9190 NW 1 Avenue MIAMI SHORES FL 33150- Contractor(s) ESSIG POOLS INC Phone 305-949-0000 CeII Phone Valuation: Total Sq Feet: $ 3,000.00 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 $1.80 $2.00 $2.00 $0.60 $100.00 $3.00 $2.40 $111.80 Pay Date Pay Type Invoice # MC-9-16-61259 10/17/2016 Check #: 300967 09/07/2016 Check #: 300860 Amt Paid Amt Due $ 61.80 $ 50.00 $ 50.00 $ 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 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. October 17, 2016 Authorized Signature: Owner / Applicant / Contractor / Agent Date Building Department Copy October 17, 2016 1