PL-18-3214Miami Shores Village
10050 NE 2 Ave
Miami Shores FL 33138
305-795-2204
Location Address
9707 NE STH AVENUE RD, Miami Shores, FL 33138
Contacts
L J- L f U'L'1'
ilssue;Date:11/07/2018
Parcel Number
1132060180030
Permit NO.: PL -10-18.3214
Permit Type: Plumbing - Residential
Work Classification: Pool - Private
Permit status: Approved
Expiration: 04/ 17/ 2 019
Description: PLUMBING FOR SWIMMING POOL Valuation: $ 1,500.00 Inspection Requests:
305-762-4949
Total Sq Feet: 2,450.00
Fees
OLIVER DI PIETRO Owner
9707 5 AVE, MIAMI SHORES, FL 33138
ESSIG POOLS INC Contractor
DANIEL ESSIG
10111 Business DR, MIRAMAR, FL 33025
Business: 3059490000
$50.00
CCF
Description: PLUMBING FOR SWIMMING POOL Valuation: $ 1,500.00 Inspection Requests:
305-762-4949
Total Sq Feet: 2,450.00
Fees
Amount
Application Fee - Other
$50.00
CCF
$1.20
DBPR Fee
$2.00
DCA Fee
$2.00
Education Surcharge
$0.40
Permit Fee (Manual)
$50.00
Scanning Fee
$3.00
Technology Fee (Manual)
$2.50
Total:
$111.10
Payments Date Paid
Amt Paid
Total Fees
$111.10
Check # 2636 11/07/2018
$61.10
Check # 2524 10/19/2018
$50.00
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 the foregoing information is accurate and that all work will be done in compliance with all applicable laws
regulating truction a d zoni g. Futhermore, I authorize the above named contractor to do the work stated.
Autho ized gnatur : Owner / Applicant / Contractor / Agent Date
November 07, 2018 Page 2 of 2
Miami Shores Village
Building Department RECEIVED
10050 N.E.2nd Avenue, Miami Shores, Florida 33138 OCT 19 2018
Tel: (305) 795-2204 Fax: (305) 756-8972
INSPECTION LINE PHONE NUMBER: (30S)'J62-4949 Ck
FBC 20 ,Z
BUILDING Master, Permit No. � P [g^ 92
PERMIT APPLICATION Sub Permit No.
❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
PLUMBING F-1MECHANICAL ❑ PUBLIC WORKS F-1CHANGE OF E]CANCELLATION ❑ SHOP
r��
CONTRACTOR DRAWINGS
Q
JOB ADDRESS: qn �jC-,
City Miami Shores Countv Miami Dade Zip•
Folio/Parcel#: 320 6 — O l8 "0030 Is the Building Historically Designated: Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: / FFE: _
Phnne#:
OWNER: Name (Fee Simple Titleholder)Sh I
Address: ��-17 -F Lk ) L:, J nvc - N-1--
City: ctm l t56e5 State:
Tenant/Lessee Name:
Email
CONTRACTOR: Company Name: ESSIG POOLS, INC
10111 BUSINESS DR
p: 33 � .S S
ne#:
hone#: 305-949-0000
Address:
City: MIRAMAR state: FL zip
Qualifier Name: DANIEL ESSIG Phone#: _
State Certification or Registration #: CPC052505 Certificate of Competency #:
DESIGNER: Architect/Engineer: Phone#: _
33025
Address• City: State Zip:
Value of Work for this Permit: $ 1 sy Square/Linear Footage of Work:
Type of Work: ❑ Addition
Description of Work:
i
❑ Alteration 0 New
❑ Repair/Replace ❑ Demolition
••'wa'".. ,+"arm "•✓'•... \.�.,!�.^",,. ss ,-r.,r....
Specify color- of -color thru •tile:
Submittal Fee $ Permit Fee $ ( (n, � e7 CCF $ -D CO/CC $
Scanning Fee $ Radon Fee $ DBPR $
ail Notary $
Technology Fee $ 0 Training/Education Fee $ o • q o Double Fee $
Structural Reviews $ Bond $
TOTAL FEE NOW DUE $
(Revised02/24/2014)
310
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 thisl 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 coo the notice of commencement and construction lien law brochure will be delivered to the person
whose property is subject to ttachme t. Also, a certified copy of the recorded notice of commencement must be posted at the job site
for the first inspection wh h occurs even (7) days after the building permit is issued. In the absence of such posted notice, the
a
inspection will not be appr ved a reinspection fee will be charged.
Signatu
OWNER or AGENT
The foregoing instrument was acknowledged before me this
�_ day ofU US� 20 e by
(LIMA il M who is personally known to
me or who has produced
identification and who did take an oath.
NOTARYfLIC:
as
Signature I�M�
r CONTRAC;Re--�—
The foregoing instrument was acknowledged before me this
�day of St 20 18 by
DANIEL ESSIG who is personally known to
me or who has produced PERSONALLY KNOWN as
identification and who did take an oath.
NOTARY P,HBLFC: D
t'G"sr�e�k V oaf
Kr: � s 1 4
m C
Seal. or
Notary Public
State ofJFlond*� Estrella Gomez
Commission GG 1
Seal: a� '
+
Notary PU o State of Florida
Estrella Gomel
My Commission GG 162104
�My
Expires 11!21/2021.";
Expires 11!21/2021
i
**************************************************** ***********
APPROVED BY
Plans Examiner
Zoning
Structural Review Clerk
(Revised02/24/2014)