MC-18-3215Location Address
Miami Shores Village
10050 NE 2 Ave
Miami Shores FL 33138
305-795-2204
Issue Dater
Parcel Number
9707 NE 5TH AVENUE RD, Miami Shores, FL 33138 1132060180030
:ontacts
Permit NO.: MC -10-18-3215
Permit Type: Mechanical - Residential
Work Classification: Pool Heater
Permit Status. Approved
FExpirati 04/17/2019
OLIVER DI PIETRO Owner ESSIG POOLS INC Contractor
9707 5 AVE, MIAMI SHORES, FL 33138 DANIEL ESSIG
10111 Business DR, MIRAMAR, FL 33025
Business: 3059490000
F- Inspection Requests:
Description: HETAER FOR POOL Valuation: $ 500.00 305-762-4949
1 j Total Sq Feet: 2,450.00 1 1 77
Fees
Amount
Application Fee - Other
$50.00
CCF
$0.60
DBPR Fee
$2.00
DCA Fee
$2.00
Education Surcharge
$0.20
Permit Fee
$50.00
Scanning Fee
$3.00
Technology Fee
$2.50
Total:
$110.30
Payments
Date Paid Amt Paid
Total Fees
$110.30
Check # 2524
10/19/2018 $50.00
Check # 2636
11/07/2018 $60.30
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 41ify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws
regulatinnstru 'on
rnd ring. Futhermore, I authorize the above named contractor to do the work stated.
Owner / Applicant / Contractor / Agent
YDate114-
Date
November 07, 2018 Page 2 of 2
Miami Shores Village RECEIvED
Building Department 0 19 2018
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 201k
BUILDING Master Permit No. 6_Pf 16 32 12
PERMIT APPLICATION Sub Permit No. NIC Ib
BUILDING ❑ ELECTRIC ❑ ROOFING• ❑ REVISION ❑ EXTENSION ❑,RENEWAL
❑PLUMBING dMECHANICAL ❑PUBLICWORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: �� N It,—
City• Miami Shores County Miami Dade Zip:
Folio/Parcel#: �� " 32c�(B ' 0 (SI Q0 3 y Is the Building Historically Designated: Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder): ?f 71 `�i 0- ro Phone#: " 3 a. " Z 3
Address: 9 ]�"0 a �j a
City: f�'� State: �-ku Zip: I3g
Tenant/Lessee Name: Phone#:
Email
CONTRACTOR: Company Name: ESSIG POOLS, INC Phone#: 305-949-0000
Address: 10111 BUSINESS DR
City: MIRAMAR State: FL Zip: 33025
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: $ d�LIyD Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration,Q ❑ New ❑ Repair/Replace ❑ Demolition
Description of Work:
Specify color of color thru tile' ` "f
Submittal Fee $ Permit Fee $ ` CCF $ CO/CC $
Scanning Fee $ Radon Fee $ DBPR $ Notary $
Technology Fee $
Training/Education Fee $ Double Fee $
Structural Reviews $ Bond $
TOTAL FEE NOW DUE $ 6J
(Revised02/24/2014)
p �
Bonding Company's Name (if applicable)
Bonding Company's Address
City ' State
Mortgage Lender's Name (if applicable)
Mortgage Lender'sAddress
. s
City
State
Zip
Zip
Application is hereby made to obtain a permit tojdo 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-FORIMPROVEMENTS, 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 on estimated value exceeding $2500, the applicant must
promise in good faith that a co o the notice of commencement,and construction lien law brochure will be delivered to the person
whose property is subject attachmen . Also, a certified copy of the recorded notice of commencement must be posted at the job site
for the first inspection hich occurs se en (7) days after the building permit is issued. In the absence of such posted notice, the
inspection will not tie ap oved and a Inspection fee will be charged.
OWNER or AGENT
The foregoing instrument was acknowledged before me this
2� day of c9sT 20 f' by
I 1hG1 ;,o -r, U who is personally known to
me or who has produced
I
identification and who did take an oath.
NOTARY
Seal:TNOWY Public State of Florida
Estrella Gomez
• , a My CommIasion GG 182104
Expues 11/21/2021
APPROVED BY
(Revised02/24/2014)
LV jv
as
Signature G`
CONTRA
The foregoing instrument was acknowledged, before me this
�_ day of 20 �, by
DANIEL-ESSIG who is personally known to
me or who has produced PERS I
Notary Public State at Florida
identification and who did take a ctsTow+eaMCMrxMualre:Z
MY Commission GG 1572oo
NOTARY PUBLIC: M� EVIrm IIMM2021
Sign: /L--/
Print: 04-,, ',LRi Z_
Seal: :'`... dIF
y/q�gp�`J�7�yj� ryi0rlda
'.T.'T �,. 1•.o
��ZVit �Vlfyy 't
Examiner Zoning
Structural Review Clerk