PL-16-2482 (2)Miami Shores Village
10050 N.E. 2nd Avenue NW
Miami Shores, FL 33138-0000
Phone: (305)795-2204
Project Address
Perrhit NO. PL-9-16-2482
Permit Type: Plumbing -Residential'
Work Ctassfflcatlon: PPS- Private
Permit Status: APPROVED
Issue Date: 10/17/2016 Expiration: 04/15/2017
Parcel Number
Applicant
9190 NW 1 Avenue
Miami Shores, FL
1131010160030
Block: Lot:
ADAM & ALAYNA MUELLER
Owner Information
Address
Phone
Cell
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
Cell Phone
Valuation:
Total Sq Feet:
$ 1,500.00
0
Type of Work: PLUMBING FOR NEW POOL
Type of Piping:
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
$1.20
$3.38
$3.38
$0.40
$225.00
$3.00
$1.60
$237.96
Pay Date Pay Type Amt Paid Amt Due
Invoice # PL-9-16-61258
09/07/2016 Check #: 300860 $ 50.00 $ 187.96
10/17/2016 Check #: 300967 $ 187.96 $ 0.00
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.
October 17, 2016
Authorized Signature: Owner / Applicant / Contractor / Agent
Date
Building Department Copy
October 17, 2016 1