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PL-19-710Location Address Miami Shores Village 10050 NE 2 Ave Miami Shores FL 33138 305-795-2204 Issue Date: 05/02/2019 Parcel Number 500 NE 96TH ST, Miami Shores, FL 33138 1132060140700 Contacts Perm NO.: PL -04-19-71 0 Permit Type: Plumbing - Residential Work Classification' Pool - Private Permit Staters: Approved Expiration: 10/29/2019 CAROLINA HENAO Owner ESSIG POOLS INC =Contractor 500 NE 96 DANIEL ESSIG 10111 Business DR, MIRAMAR, FL 33025 Business: 3059490000 Description: NEW SWIMMING POOL AND HEATER Valuation: $ 1,500.00 Ins ecti-4 Requests: F% 30,5-762-444949 Total Sq Feet: 628.00 11 1 Fees Amount Application Fee - Other $50.00 CCF $1.20 DBPR Fee $2.00 DCA Fee $2.00 Education Surcharge $0.40 Plumbing - Pool - Residential $100.00 Scanning Fee $3.00 Technology Fee $3.75 Total: $162.35 Building Department Copy Payments Date Paid Amt Paid Total Fees $162.35 Check # 3009 05/02/2019 $112.35 Check # 2870 04/02/2019 $50.00 Amount Due: $0.00 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 t at all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating cory�tru ion and oning. Futhermore, I authorize the above named contractor to do the work stated. �� � / Applicant / Contractor / Agent May 02, 2019 Page 2 of 2 BUILDING PERMIT APPLICATION BUILDING ❑ ELECTRIC Miami Shores Village APR 02 1019 Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 l Tel: (305) 795-2204 Fax: (305) 756-8972 INSPECTION LINE PHONE NUMBER: (305);762-4949 FBC 20� ►Q� �'(� Master Permit No, EQ Sub Permit No. ROOFING ❑ REVISION ❑ EXTENSION ❑'RENEWAL PLUMBING F-1MECHANICAL ❑PUBLIC WORKS E]CHANGE OF ❑ CANCELLATION ❑'SHOP 1�z _ CONTRACTOR DRAWINGS JOB ADDRESS: Folio/Parcel#:. Is the Building Historically Designated: Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name (Fee S Address: v M city: 11 1 �L-4 ( Y Tenant/Lessee Name: Email: n 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 M. CPC052505 Certificate of Competency #: _ DESIGNER: Architect/Engineer: Phone#: _ Address: City: State: Value of Work for this Permit: $ Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration New ❑ Repair /eplace Description of Work: Ail � 10.6 oun 1 ; +�LoCh+6 Specify color of color thru tile:. Submittal Fee $ Scanning Fee $ Technology Fee $ Structural Reviews $ (Rev1sed02/24/2014) Zip: Demolition Permit Fee $ CCF $ 1 CO/CC $ Radon Fee $ DBPR $ Notary $ Training/Education Fee $ Double Fee $ Bond $ r� 2 TOTAL FEE NOW DUE $ f G_ 3 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 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 'FI NIANCING, 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 ap� �fd and a reinspection fee will be charged. Signa ER or AGENT The foregoing instrument was acknowledged before me this � day of _ iyt� rG�^ 20 111 by A who is -personally known to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: Sign: Sign: ,,`,�HN1IC'0i Print: h Print: (�•vr Seal: - Co�. PUBLIC - -; :REG # GG 157200 ; m = Seal: = PUBLIC = - s ION : r n : : REG # GG 157200: z v : MY COMMISSION = : v : MY COM MISSION ; r EXPIRES r = EXPIRES **xa*xax:**:kxe**x:x<x<:k*x:x:#xa*:k�ex: '�Kx:»1�iFfl! � Nom•,. �'�� ��xO.`` xa x:x: x::lax:ekx:ol:+kx::kx:xex:8ex:ok+k:k:k ek ek 8:+k:k:k xc x::k8:x:8a>k:k:k xa�el:N�a�e7kl�y��,'yk�pi � � i '9 .. •' .'`Z� *�i�+Y �7qa xa ek Xa �e xe x::k APPROVED BY ' ' ••�F•F� OF •• 6.••. O ``� F� a Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) Signature CONTRA The foregoing instrument was acknowledged before me this "71 day of )ho -,&(\ 20 /1 by DANIEL ESSIG who is personally known to me or who has produced PERSONALLY KNOWN as identification and who did take an oath.