BPP-18-3208Miami Shores Village
10050 NE 2 Ave
Miami Shores FL 33138
305-795-2204
Permit No.: BPP-10-18-3208
(1), 1 ,, -, f "► -I— L Permit Type: Pools/Whirlpools/Hot Tubs
Y-'*'(� I_r I 1 1L IS, Work Classification: New
Permit Status: Approved
Issue Date:10/24/2018 1 Expiration: 04/17/2019
Location Address Parcel Number
1490 NE 101ST ST, Miami Shores, FL 33138 1132050350030
Contacts
LUMA SHORES LLC Owner ESSIG POOLS INC Contractor
3128 DOWNS COVE RD, WINDERMERE, FL 34786 DANIEL ESSIG
Other: 8635577629 MALLEGRE@ME.COM 10111 Business DR, MIRAMAR, FL 33025
Business: 3059490000
_
Description: NEW POOL TO REPLACE BPP17-1540 Valuation: $ 29,000.00 Inspection Requests:
305-762-4949
Total Sq Feet: 374.00 11
..j
Fees
Amount
Application Fee - Other
$50.00
Permit Fee
$385.00
Total:
$435.00
Building Department Copy
Payments
Date Paid Amt Paid
Total Fees
$435.00
Check # 2609
10/24/2018 $385.00
Check # 2595
10/19/2018 $50.00
Amount Due:
$0.00
In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores
Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate
permits are required for ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work.
OWNERS AFFIDAVIT: I certify t all the foregoing information is accurate and that all work will be done in compliance with all applicable laws
regulating consKction and ;;�ning. uthermore, I aythorize the above named contractor to do the work stated.
ice" Zt=' j • l �
nature:9 ner 1 / Applicant
/ Agent
Date
October 24, 2018 Page 2 of 2
4o1 Miami Shores Village
RECE, ,�U
Building Department OCT 1$'Lola
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795-2204 Fax: (305) 756-8972 G'.4 +1
INSPECTION LINE PHONE NUMBER: (305) 762-4949
FBC 2019
BUILDING Master Permit No. spp-&-trTsm
PERMIT APPLICATION . b Q e I _ 206
OBUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: 1490 NE 101 ST
City: Miami Shores County: Miami Dade Zip:
Folio/Parcel#:11-3205-035-0030 Is the Building Historically Designated: Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder): LUMA SHORES LLC Phone#:863-557-7629
Address:3128 DOWNS COVE RD
City: WINDERMERE State: FLORIDA Zip: 34786
Tenant/Lessee Name:
Email
CONTRACTOR: Company Name: ESSIG POOLS, INC.
Address: 10111 BUSINESS DR.
City: MIRAMAR State: FLORIDA
Qualifier Name: DANIEL ESSIG
Phone#:
Phone#: 305-949-0000
Zip: 33025
Phone#:
State Certification or Registration #: CPC052505 Certificate of Competency #:
DESIGNER: Architect/Engineer: Phone#:
Address: City: State: Zip:
Value of Work for this Permit: $ Q �� Square/Linear Footage of Work:
Type of Work: ❑ Addition El Alteration /❑New ElRepair/Replace c^ ElDemolition
gAl
Description of Work: 1 O
NEW POOL
Specify color of color thru tile:
Submittal Fee $ Permit Fee $ CCF $ CO/CC $
Scanning Fee $
Technology Fee $
Structural Reviews $
Radon Fee $
Training/Education Fee $
DBPR $
Notary $,
Double Fee $
Bond $
(Revised02/24/2014)
TOTAL FEE NOW DUE $ .� 0 � , rA�)
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 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 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 approved and a reinspection fee will be charged.
Signature
OWNER or AGENT
The foregoing instrument was acknowledged before me this
19 day of OCTOBER , 20 18 by
MARC ALLEGRE who is personally known to
Signature
CONTRKeT R
The foregoing instrument was acknowledged before me this
19 day of OCTOBER 20 18 by
DANIEL ESSIG , who is personally known to
me or who has produced as me or who has produced as
identification and who take an oath. \\\111111►It��identification and who did take an oath.
,Al�S1LAGQ,., i�iAIOTARYPU ``��5�( GQgI��////i
NOTARY PUB ` 4SSIOAf
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Sig Si • w,pX. ik
tint: TRELLA G EZ = Vic; ts2ior pri ELLA GOME #4162104 ; 4
Seal:�. Seal: �j� •••.•
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*«�**r*■***s*errs****«*�*****.*r*r***rr***t�****.:*�**********r�*****�«�**.************.�.***«****.«********�
APPROVED BY Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)