MC-18-2395Miami Shores Village
10050 NE 2 Ave
Miami Shores FL 33138
305-795-2204
Location Address
Permit NO.: MC-9-1"395
rA
Permit Type: Mechanical - Residential
� D�-- Work Classification: Pool Heater
Permit Status: Approved
Issue Date:11/15/201s I Expiration: 05/14/2019
Parcel Number
1192 NE 91 TER, Miami.Shores, FL 1132050010480
Contacts
NICHOLAS PATON Owner NICHOLAS PATON Applicant
1192 NE 91 TER, MIAMI SHORES, FL 33138 1192 NE 91 TER, MIAMI SHORES, FL 33138
Other:7863019433 NDPATON@GMAIL.COM Other:7863019433 NDPATON@GMAIL.COM
ESSIG POOLS INC Contractor
DANIEL ESSIG
10111 Business DR, MIRAMAR, FL 33025
Business: 3059490000
Description: POOL HEATER Valuation: $ 1,500.00 Inspection Requests:
305-762-4949
Total Sq Feet: 0.00
Fees
Amount
CCF
$1.20
DBPR Fee
$2.00
DCA Fee
$2.00
Education Surcharge
$0.40
Permit Fee
$100.00
Scanning Fee
$3.00
Technology Fee
$2.50
Total:
$111.10
Building Department Copy
Payments
Date Paid Amt Paid
Total Fees
$111.10
Check # 2652
11/15/2018 $61.10
Deposit
09/10/2018 $50.00
Amount Due:
$0.00
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 koning. Futhermore, I authorize the above named contractor to do the work stated.
31�m
Owner / Applicant /
/ Agent
Date
November 15, 2018 Page 2 of 2
BUILDING
Miami Shores Village
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
P 10 018
FBC =9 CAL ---
Master Permit No. P ( e `25 12-
PERMIT APPLICATION Sub Permit No. NC I
❑BUILDING
❑ ELECTRIC
ROOFING ,
❑ REVISION
❑ EXTENSION
'RENEWAL
❑PLUMBING
�/IECHANICAL
❑PUBLICWORKS
❑ CHANGE OF
❑ CANCELLATION
❑ SHOP
CONTRACTOR
DRAWINGS
JOB ADDRESS:
p, `
I I l-L � G q
I S F
City;
Miami Shores
County:
Miami Dade
Zip:
Folio/Parcel#:
(90 6Clt-lD
Is.the Building Historically Designated: Yes
NO
Occupancy Type:
Load:
Construction Type: Flood Zone: - BFE:
FFE:
OWNER: Name (Fee Simple Titleholder):
�Ji LA4kS
�u �
Phone#:3fSC9
Address: Z N`,-�-
City: IM w,
+ � .�r-�-,S
State:
(
Zip: -33 1 3 A
Tenant/Lessee Name:
Email:
CONTRACTOR: Company Name: ESSIG POOLS, INC
Address: 10111 BUSINESS DR
hone#: 305-949-0000
City: MIRAMAR State: FL Zip: 33025
Qualifier Name: DANIEL ESSIG Phone#:
State Certification or Registration #: CPC052505 Certificate of Competency #:
DESIGNER: Architect/Engineer: Phony#:
Address: City: State: Zip:
Value of Work for this Permit: $ I-0 d Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration BSI New ❑ Repair/Replace ❑ Demolition
i_L� \
Description of Work: 9 � t., V--
Specify color of color thru tile: 1
Submittal Fee $ � Permit Fee $ 1. U CCF $ CO/CC $
Scanning Fee $
Radon Fee $
Technology Fee $ Training/Education Fee $
Structural Reviews $ _
DBPR $
Notary $
Double Fee $
Bond $
TOTAL FEE NOW DUE $ j 0
(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 appro and reinspection fee will be charged.
OWNER o[ AGENT
The foregoing instrument was acknowledged before me this
—(D day of 20 19 by
Ni"Llsb`^ who is personally known to
me or who has produced
identification and who did take an oath.
NOTARY PUBLIC:
as
Signature
CONTRACTOR
The foregoing instrument was acknowledged before me this
_6 day of -7�YUly 20 f! O 6y
DANIEL ESSIG who is personally known to
me or who has produced PERSONALLY KNOWN
as
identification and who did take an oath.
NOTARY Puouc:
Sig .
Print
Pr' t:
Seal: E?:�di
Notary Public State of Flonda
Estrella Gomez
Seal:
ipOr "�
Notary Public State of Florida
Estrella Gomez
My Commiss�on GG 162104
•
�iorw
My Commis on GG 162104
Expires
Expires 11121/2021
11/2112021
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APPROVED BY
Examiner
�
Zoning
Structural Review Clerk
(Revised02/24/2014)