PL-17-2510Miami Shores Village
10050 N.E. 2nd Avenue NE
Miami Shores, FL 33138-0000
Phone: (305)795-2204
Permit NO. PL-10-17-2510
Permit Type: Plumbing - Residential
o work Classification: Pool - Private
Permit Status: APPROVED
Issue Date: 1012612017 1 Expiration: 04/24/2018
Project Address Parcel Number Applicant
844 NE 98 Street 1132060142560 MICHAEL LONGMAN
Miami Shores, FL 33138- Block: Lot:
Owner Information Address Phone Cell
MICHAEL LONGMAN 844 NE 98 Street (305)757-9790
MIAMI SHORES FL 33138-
Contractor(s) Phone Cell Phone
ESSIG POOLS INC 305-949-0000
)e of Work: PLUMBING FOR POOL AND HEATER
De of Piping:
ditional Info: PLUMBING FOR POOL AND HEATER
nd Return :
issification: Residential Scanning: 1
Fees Due
Amount
CCF
$1.20
DBPR Fee
$3.38
DCA Fee
$2.25
Education Surcharge
$0.40
Permit Fee
$225.00
Scanning Fee
$3.00
Technology Fee
$1.60
Total:
$236.83
Valuation: $ 2,000.00
Total Sq Feet: 0
Pav Date Pav Tvae Amt Paid Amt Due
Invoice # PL-10-17-65423
10/20/2017 Check* 301863 $ 50.00 $ 186.83
10/26/2017 Check #: 301876 $ 186.83 $ 0.00
Avauaoie inspections:
Inspection Type:
Main Drain
Final
m
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 SWWMING POOL work.
OWNERS AFFIDAVIT: I certify that all the foregoing information iscur2$ an that,all wor ill be done in compliance with all applicable laws regulating
construction and zoning. Futhermore, I authorize the above -named c ntra r t th orksoted.
October 26, 2017
Authorized Signature: Owner / Applicant /
Building Department Copy
October 26, 2017
4-
Miami Shores Village i' tMVED
Building Department o 20 2017
10050 N.E.2nd Avenue, Miami Shores, Florida 33138 r
Tel: (305) 795-2204 Fax: (305) 756-8972
INSPECTION LINE PHONE NUMBER: (305) 762-4949 S�
FBC 20 jLk
BUILDING Master Permit No. F)PP I-:4 — 2 S�
PERMIT APPLICATION Sub Permit No. el 1--.=, -2S10
❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
❑■ PLUMBING ❑ MECHANICAL [_]PUBLICWORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: ' li N G g Sr
City: Miami Shores County: Miami Dade Zip: -33 (3�
Folio/Parcel#: ) (- 31O Lo - CIS - Zj�6y Is the Building Historically Designated: Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder): Phone#: 3'T - I T 7 , 1'71D
Address: 4`i " ti ':�9 Ir Sr
City: NA- i -,. M , 51"' .+ s State: V:�- 1 zip: 37 r 3 r_
Tenant/Lessee Name:
Email:
Phone#:
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 #: CPC052505 Certificate of Competency #:
DESIGNER: Architect/Engineer: Phone#:
Address: City: State: Zip:
Value of Work for this Permit: $ Zn b ,--, Square/Linear Footage of Work:
Type of Work: ❑ Addition El Alteration L 7 New ❑ Repair/Replace ❑ Demolition
Description of Work: 9k-'Kb4 byo a
Specify color of color thru tile:
Submittal Fee $ Permit Fee $ CCF $ I �v CO/CC $
Scanning Fee $ Radon Fee $ DBPR $ Notary
Technology Fee $ ` ' W Training/Education Fee $ Q V Double Fee $
Structural Reviews $
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
Zi
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.
Signatur��l l� v I/ Signature L
OWNER or AGENT CONTR OR
The foregoing instrument was acknowledged before me this
24' day of �—F _ 20 L--1 by
Hof✓vTtho is personally known to
me or who has produced �` as
identification and who did take an
Print:
Seal: ,c"'�""�, YORLENYERNANDEZ
;Is.ei+ ,gN1 ISSION # GG 109423
' EXPIRES: September 27, 2021
:•,pos_b�:+ �_ Bottled Thru Notary public
********
APPROVED BY
The foregoing instrument was acknowledged before me this
"1 day of e'--4r , 20 i - by
Daniel Essig , who is personally known to
me or who has produced
identification and who did
Print:
Seal:
Plans Examiner Zoning
Structural Review
Clerk
(Revised02/24/2014)