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PL-18-2393Miami Shores Village 10050 NE 2 Ave Miami Shores FL 33138 305-795-2204 Issue Date:11/15/2018 Location Address Parcel Number 1192 NE 91 TER, Miami Shores, FL 1132050010480 Contacts Permit NO.: pL-9-18-2393 Permit Type: Plumbing - Residential Work Classification: Pool - Private Permit Status: Approved Expiration: 05/14/2019 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: PLUMBING FOR SWIMMING POOL Valuation: $ 1,500.00 Inspection Requests: 305-762-4949 T TotalSq Feet: 0.00 Fees Amount CCF $1.20 DBPR Fee $2.25 DCA Fee $2.00 Education Surcharge $0.40 Permit Fee $150.00 Scanning Fee $3.00 Technology Fee $1.60 Total: $160.45 Payments Date Paid Amt Paid Total Fees $160.45 Check # 2512 09/10/2018 $50.00 Check # 2652 11/15/2018 $110.45 Amount Due: $0.00 Building Department Copy 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 he foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating constructi9nland zoning., Futh rtnore, I authorize the above named contractor to do the work stated. Authorized November 15, / Applicant / Pontradtor / Agent Date Page 2 of 2 E 1� BUILDING PERMIT APPLICATION ❑BUILDING ❑ ELECTRIC � T EI�D Miami Shores Village sE 10 2 18 Building Department BY: 10050 N.E.2nd Avenue, Miami Shores, Florida'33138 Tel: (305) 795-2204 Fax: (305) 756-8972 INSPECTION LINE PHONE NUMBER: (305)362-4949 FBC 201�n v� Master Permit No. Sub Permit No.p( (8 l� ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION [—];SHOP CONTRACTOR DRAWINGS . JOB ADDRESS: I -1 I N C QI ( Is-t City: Miami Shores County: Miami Dade Zip: 33 13� Folio/Parcel#: 11-3Zds ` cy/ ` by6b Is the Building. Historically Designated: Yes NO Occupancy Type: Load: OWNER: Name (Fee Simple Titleholder): Construction Type: Flood Zone: / V / ��[�i BFE: FFE: Phone#: Address: S-r City: I -' �AMI S�fJiLlr� State: �G02�YJf� Zip: Tenant/Lessee Name: Phone#: _796-3401 -1Y?S Email CONTRACTOR: Company Name: ESSIG POOLS, INC A,4,1,P,,. 101 T1 BUSINESS DR City: MIRAMAR State: FL Qualifier Name: DANIEL ESSIG State Certification or Registration #: CPC052505 DESIGNER: Architect/Engineer: Address: Value of Work for this Permit: $ Type of Work: ❑ Addition ❑ Alteration Description of Work: Specify color of color hru tile: Submittal Fee $ CV • COW Permit Fee $ Scanning Fee $ Technology Fee $ Structural Reviews $ Radon Fee $ one#: 305-949-0000 Zip: 33025 one#: Certificate of Competency #: ne#: State: Square/Linear Footage of Work: New ❑ Repair/Replace w CCF $_ DBPR $ Training/Education Fee $ Zip: ❑ Demolition CO/CC $ Notary $ Double Fee $ Bond $ TOTAL FEE NOW DUE $ (Revised02/24/2014) 0 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 toido the work and installations as indicated. I certify that no work or installation has commenced prior Ito 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 approv d a reinspection fee will be charged. or AGENT The foregoing instrument was acknowledged before me this ��---o-3,, dayo,ff � cf 20 1T� . by Uy l"' �Ol4S 1 Cc 7h who is personally known to me or who has produced as Identification and who did take an oath. Seal �,,r+ w%, Notary Public State of Florida Estrella Gomez My Commission GG 162104 Kati Expires 11/21/2021 Signature CONTRACTOR ` The foregoing instrument was acknowledged before me this Q3 day of -7 r(&` 20 11 by DANIEL-ESSIG I who is personally known to me or who has produced i'ERSONALLY'KNOWN as identification and who did take an oath. NOTARY PUBLIC: WON Seal: �.►r"4c Notary Public State of Florida `f Estrella Gomez �{ My Commission GG 162104 gRaf Expires 11/21/2021 APPROVED BY ii ' �- li Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014)