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)