MC-19-966Miami Shores Village
10050 NE 2 Ave
Miami Shores FL 33138
305-795-2204
Location Address Parcel Number
500 NE 96TH ST, Miami Shores, FL 33138 1132060140700
Contacts
Permit NO.: MC -06-19-966'
Permit Type: Mechanical - Residential
work Classifration: Pool 'Heater
Permit Status: ApplEed-
Issue Date, Expiration: 10/29/2019
CAROLINA HENAO Owner £SSIG POOLS INC Contractor
500 NE 96 DANIEL ESSIG
10111 Business DR, MIRAMAR, FL 33025
Business: 3059490000 permits@essigpools.com
Ins ection Requests
Description: NEW SWIMMING POOL HEATER Valuation: $3,500.00 305 762-n Re
Total Sq Feet: 628.00 11 1
Fees
Amount
Application Fee - Other
$50.00
CCF
$2.40
DBPR fee
$2.00
DCA Fee
$2.00
Education Surcharge
$0.80
Permit Fee
$55.00
Scanning Fee
$3.00
Technology Fee
$2.63
Total:
$117.83
Payments
Date Paid Amt Paid
Total Fees
$117.83
Check # 3009
05/02/2019 $50.00
Credit Card
08/30/2019 $67.83
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 cent at all the foregoing information is accurate and that all work will be done in compliance with all applicable laws
regulating constructs anding. Futher uthorize the above named contractor to do the work stated. ! ,
Owner 1 Applicant I Contractor 1 Agent
September 04, 2019 Page 2 of 2
BUILDING
PERMIT APPLICATION
❑BUILDING ❑ ELECTRIC
PLUMBING��/ECHANICAL
Miami Shores Village
MAY10 2 219
Building Department BY: 1.
10050 N.E.2nd Avenue, Miami Shores, Flor:.ida'33138
Tel: (305) 795-2204 Fax: (305) 756-8972
INSPECTION LINE PHONE NUMBER: (305);762-4949
EBC 20n1`tv'
Master Permit No. iyP 04 —19-709
Sub Permit No. IVI G Uc-.)' 11 - I 6
❑ ROOFING Ej REVISION ❑ EXTENSION ❑RENEWAL
F-1 PUBLIC WORKS [::]CHANGE OF CANCELLATION ❑;SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: ' o 6 1 I
q(t sl�-
City• Miami Shores
County'
Miami Dade Zip:
3V 34�1
Folio/Parcel#: 1,- 3/Q(a- b I L1 - n-400
Is the Building. Historically Designated: Yes
NO
Occupancy Type: Load:
Construction Type:
Flood Zone: BFE:
FFE:
OWNER: Name (Fee Simple Titleholder):
I [t it s f 1 Phone#:
Address: '�-V 0 '/ j C Gl
4 )
i
33 3f
City: Mi wM I �Lvy '�- S
State:
�%� Zip�
Tenant/Lessee Name:
Phone#: 3 0
S -fib L 60
Email:
CONTRACTOR: Company Name: ESSIG POOLS, INC Phone#: 305-949-0000
o,,,Arocc. 1011:1 BUSINESS DR
City: MIRAMAR State: FL
Qualifier Name: DANIEL ESSIG
State Certification or Registration M CPC052505
A-V 11
Phone#:
cate of Competency #: _
DESIGNER: Architect/Engineer: Phone#: _
Address: City: State:
Value of Work for this Per it: $ 00 Square/Linear Footage of Work:
Type of Work: ❑ Additi Altera ' lew ❑ Repair/Replace
Description of Work: C90
Specify color of color thru tile:
Submittal Fee $ �5070 1 Permit Fee $
Scanning Fee $ Radon Fee $
Technology Fee $ Training/Education Fee $
Structural Reviews $
(Rev1sed02/24/2014)
CCF $_
DBPR $
33025
Zip:
❑ Demolition
CO/CC $ •
Notary $
Double Fee $ _
Bond $ �^ �j
TOTAL FEE NOW DUE $ /^ 6j ✓
Bonding Company's. Name (if applicable)
Bonding Com pa ny's: Address
City State
Zip
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
City State
Zip
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 foregding 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 appr^id and a relnspectlon fee will be charged.
or AGENT
The foregoing instrument was acknowledged before me this
Z day of 20 by
FAQ who is personall
me or who has produced
Identification and who did take an oath.
as
Signature
G�
CONTRAC R
The foregoing instrument was acknowledged before me this
-A_ day of r • 20 by
DANIEL ESSIG who is personall=y k—n—olwwnn to
me or who has produced PERSONALLY KNOWN
as
identification and who did take an oath.
NOTARY PUBLIC: ��,MICIII NOTARY PUBLIC:
NOTARY��`� '. .`� Q.Z��."... gF�,yl •:
` O . NOTARY • 9
Sign: ` ro : PUBLIC ���
fin;
Print: Ci(n�ti .
EG # GG 157200 • ,�� = _ ,EQ •REG # GG
• ' tin t'hAv r MMIRSION : N
Seal:
APPROVED BY C
Structural Review Clerk
(Rev1sed02/24/2014)