BPP-19-1378Miami Shores Village
10050 NE 2 Ave
Miami Shores FL 33138
305-795-2204
Permit NO.: BPP-06-19-1378
Pd - .-� {" t Permit Type: Pools/Whirlpools/Hot Tubs
j .�_ U
Work Classification: New
Permit Status: Approved
Issue Date: 06/21/2019 L
Expiration: 12/16/2019
Location Address Parcel Number
1490 NE 101ST ST, Miami Shores, FL 33138 1132050350030
Contacts
LUMA SHORES LLC Owner
3128 DOWNS COVE RD, WINDERMERE, FL 34786
Other: 8635577629 MALLEGRE@ME.COM
ESSIG POOLS INC Contractor
DANIEL ESSIG
10111 Business DR, MIRAMAR, FL 33025
Business: 3059490000
Inspection Requests:
Description: NEW POOL. TO REPLACE EXPIRED PERMIT
Valuation:
$ 29,000.00
BPP-10-18-3208
305-762-4949
Total Scl Feet:
0.00
Amt Paid
Payments
Date Paid
Fees Amount
50% Renewal Fee $435.00
Total Fees
$435.00
Total: $435.00
Check # 3085
06/21/2019
$435.00
Amount Due:
$0.00
Building Department Copy
In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores
Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate
permits are required for ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work.
OWNERS AFFIDAV T: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws
regulating co tru on and onin . Futhermore, I authorize the above named contractor to do the work stated.
1
(� zlIff
/ Applicant / I Contractor / Agent Date
June 21, 2019
Page 2 of 2
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795-2204 Fax: (305) 756-8972
INSPECTION LINE PHONE NUMBER: (305) 762-4949
BUILDING
PERMIT APPLICATION
F-IBUILDING [ ELECTRIC [ ROOFING
C
BY: JUN lI7 pALI
FBC 20
Master Permit No. - 22
Sub Permit No., l R- %-11 -• 1J-7$
(� REVISION [] EXTENSION []RENEWAL
PLUMBING [MECHANICAL []PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: GI v lJ Ei ` fJ 5
City: Miami Shores County. Miami Dade Zip: 331 3
Folio/Parcel#;_O7- .O 2���_ ()b O Is the Building Historically Designated: Yes _ _ NO_
Occupancy Type: Load: II ConstructionType: Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder): Ly�► o� 5L,225 I-LPhone#:
Address; 3 \ [hN✓t t Cowl �- ,L�
City: State:.. - Zip: 3y 7oh
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 Certlficat(on or Registration #: CPC052505 Certificate of Competency M
DESIGNER: Architect/Engineer: Phone#:
Address: City: State:
Value of work for this Permit: $ 2-9 000 Square/Unear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration ElNew ❑ Repair/Replace
Descriptlon of Work: _ N" i p 0 01
Specify color of color thru tile:
Submittal Fee $ Permit Fee $
Scanning Fee $
Technology Fee $
Structural Reviews $
Radon Fee $
Training/Education Fee $
r" k
CCF $ 1 CO/Cc $
DBPR $ Notary $
Double Fee $
Zip:
Demolition
Bond $
TOTAL FEE NOW DUE $
(Revlsed02/24/2014)
Bonding Company's Name (if applicable)
Bonding Company's Pddress
City State
Mortgage Lender's fume If applicable) I
Mortgage Lender'sfilddress
1
City _ State
Zip
Zip
Application is hereb ` made to obtain a permit to do the work and Installations as Indicated. I certify that no work or installation has
commenced prior t 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 T OWNER: YOUR FAILURE TO RECORD A NOTICE .OF COMMENCEMENT MAY
RESULT IN YO R 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 fait that a copy of the notice of commencement and construction lien law brochure will be delivered to the person
whose property is su ject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site
for the first inspectl�n which occurs seven (7) days after the building permit Is Issued. In the absence of such posted notice, the
Inspection will not bG approved and a reinspection fee will be charged.
Signature f�, ,
OWNER or AGENT
The foregoing inst ument was acknowledged before me this
T day of 'S.,At_ , 20 by
who is personally known to
me or who has
Identification and �ho did take an
NOTARY PUBLIC:.}�
Print:
Seal:
I/
APPROVED BY w 1
I
as
Signature i/% /
ell-
CONTRACTO
The foregoing instrument was acknowledged before me this
day of "S•�, 20� by
DANIEL ESSIG who is personally known to
me or who has produced PERSONALLY KNOWN as
Identification and who did take an oath.
NOTARY PUBLIC:
H,4s
1.4 ,1111111/// /
`gip sign:
PUBLC mP'1int: C k�` S llc • • '.��..
• NS ai. = o:: REG # GG 157200
10 'S S c MY COMMISSION : n,
�•.
=� EXPIRES
Plans Examiner Zoning
Structural Review Clerk
(Rev1sed02/24/2014)