MC-17-2553` SCORES y,
e
FLORtOp'
Project Address
Miami Shores Village
10050 N.E. 2nd Avenue NE
Miami Shores, FL 33138-0000
Phone: (305)795-2204
Parcel Number Applicant
844 NE 98 Street 1132060142560
Miami Shores, FL 33138- Block: Lot: MICHAEL LONGMAN
Owner
MICHAEL LONGMAN
844 NE 98 Street
MIAMI SHORES FL 33138-
Contractor(s) Phone Cell Phone
ESSIG POOLS INC 305-949-0000
Additional Info: HEAT PUMP FOR POOL
Classification: Residential
Approved: In Review
Comments:
Date Denied:
Scanning: 1
Fees Due
Amount
CCF
$1.80
DBPR Fee
$2.00
DCA Fee
$2.00
Education Surcharge
$0.60
Permit Fee
$105.00
Scanning Fee
$3.00
Technology Fee
$2.40
Total:
$116.80
Date Approved:: In Review
Type of Work:
Phone
(305)757-9790
Valuation: $ 3,000.00
Total Sq Feet: 0
Pay Date Pay Type Amt Paid Amt Due
Invoice # MC-10-17-65468
11/02/2017 Check #: 301892 $ 66.80 $ 50.00
10/26/2017 Check #: 301876 $ 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 AFFIP"A T. I cprtify that allfhe foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating
construction ar d zo ng. F ithe ore, Tifuthorize the above -named contractor to do the work stated.
November 02, 2017
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Building/ Department Copy
November 02, 2017 1
Miami Shores Village
6U 2 0, 017
BUILDING
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
FBC 201
Master Permit N� �� -
Sub Permit No. -51
2�
❑■ BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
❑PLUMBING MECHANICAL [:]PUBLICWORKS [:]CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: 4 4 IN =::r �� r
p
City: Miami Shores County: Miami Dade Zip:
Folio/Parcel#: Is the Building Historically Designated: Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder): 1� ` L�14�� l� n� �Yy!— Phone#:
Address: ��y lj GIB 5 T
City: AA State: I zip: 331.?S
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR: Company Name: Essig Pools, Inc Phone#: 305-949-0000
Address: 1800 NE 151 St
City. North Miami State: FI zip: 33162
Qualifier Name: Daniel Essig
Phone#:
State Certification or Registration M. CPC052505 Certificate of Competency #:
DESIGNER: Architect/Engineer: Phone#:
Address: City: State: Zip:
Value of Work for this Permit: $ _ 3y00 Square/Linear Footage of Work:
Type of Work: ❑ Addition
// �I❑ Alteration I'❑ New ❑ Repair/Replace ❑ Demolition
Description of Work: W,'41 wM f0
Specify color of color thru tile:
Submittal Fee $ Permit Fee $
Scanning Fee $ Radon Fee $
LVV CCF$
Technology Fee $ Training/Education Fee $
Structural Reviews $
DBPR $
CO/CC $
Notary $
Double Fee $
Bond $
TOTAL FEE NOW DUE $ '
(Revised02/24/2014)
Bonding Company's Name (if applicable)
Bonding Company's Address
City
State
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
City
State
Zip
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 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.
Signature
OWNER or AGENT
The foregoing instrument was acknowledged before me this
2 day of20 1 by
who is personally known to
me or who has produced
identification and who did take an oath.
NOTA Y
UBLIC:
Sign:
-yv NJ
Print:
WkENYYM'..HERNANDEZ
Seal: 'J-!Z-&orW&4
MY CDMMISsON # GG 109423
EXPIRES: September 27,2021
ThN Notary ?ublic Underwriters
Signature"
CONTRA
The foregoing instrument was acknowledged before me this
ZS day of CX--rCD 20 L - by
Daniel Essig who is personally known to
as me or who has produced
identification and who did take an
NOTARY PUBLIC:
Si
Print: iv"a
Seat:
as
--MYCOMMISSIOK#GG 109423
Bonded Tivu Notary Public Underwriters
APPROVED BY : aids Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)