PL-20-315Miami Shores Village
10050 NE 2 Ave
Miami Shores FL 33138
305-795-2204
Location Address
Issue Date: 02/14/2020
Parcel Number
1490 NE 101ST ST, Miami Shores, FL 33138 1132050350030
Contacts
LUMA SHORES LLC Owner
Marc Allegre
3470 East Coast Ave East Coast Ave 1413, Miami, FL 33137
Business: 8635577629 MALLEGRE@ME.COM
Mobile: 8635577629
Home: 8635577629
Other: 8635577629
Permit NO.: PL-02-20-315
Permit Type: Plumbing - Residential
Work Classification: Pool - Private
Permit Status: Approved
Expiration: 08/12/2020
ESSIG POOLS INC Contractor
DANIEL ESSIG
10111 Business DR, MIRAMAR, FL 33025
Business: 3059490000 permits@essigpools.com
inspection Requests:
Description: NEW POOL. TO REPLACE EXPIRED PERMIT Valuation: $ 1,500.00 inspec ion Re
PL-10-18-3209
49
Total Sq Feet: 0.00
Fees Amount
Payments
Date Paid Amt Paid
50% Renewal Fee $75.00
Total Fees
$75.00
Check # 3530
02/14/2020 $75.00
Total: $75.00
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 erall the foreg ng inf rmation is accurate and that all work will be done in compliance with all applicable laws
regulating construction and zoniy�F thmche, I a , horize �,he above named contractor to do the work stated.
y
Authorized Signature: Owner I / Applicant/ Contractor / Agent
February 14, 2020
Date
Page 2 of 2
'P Miami Shores Village RECEIVED 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
FBC 20
BUILDING Master Permit Noibd-U9 • G - 13-IS
PERMIT APPLICATION Z"20- g&bPermit No.
❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION RENEWAL
� PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS [:]CHANGE OF ❑ CANCELLATION ❑ SHOP
"`777"' ��\ J� j y % CONTRACTOR DRAWINGS
JOB ADDRESS: t/ ► V C� GD 1
City: MiamiShores
CCounty: Miami Dade Zip:
Folio/Parcel#: I) �ac��03 W 30 Is the Building Historically Designated: Yes NO
Occupancy Type: � Load: Construction Type: Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder):
Address: i 7 1 2-
hone#:�3 SS -I _u 2 C,
City: State: Zip: 311 / �(o
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR: Company Name:
R'1:1
vs
hone#:k _
City: f_A t ((a(Yl (C` State:: Ziip�p�� �/-��/�1z�y�
Qualifier Name ��,kLA
C� `� Phone#:3b S `7
State Certification or Registration #.�, _f L— V J O' Z> L) J Certificate of Competency #:
DESIGNER: Architect/Engineer: Phone#:
Address: City: State: Zip:
OValue of Work for this Permit: $ (D Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration �z New ❑ Repair/Replac ❑ Demolition
Description of Work: ya� �
�—0 �1Yl 1 (1 n� C) 0Cp I �' `✓e C_\`/.
Specify color of color thru tile:
Submittal Fee $ Permit Fee $ CCF $ CO/CC $
Scanning Fee $ Radon Fee $ DBPR $ Notary
Technology Fee $ Training/Education Fee $ Double Fee $
Structural Reviews $
Bond $
(Revised02/24/2014)
TOTAL FEE NOW DUE $ ,:] 5 • p
Qonding 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 attachmVn. Also, a certified copy of the recorded notice of commencement must be posted at the job site
for the first inspection which occursven (7) days after the building permit is issued. In the absence of such posted notice, the
inspection will not be approved and anspection fee will be charged.
Signature
OWNER or AGENT
The foregoing instrument was acknowledged before me this
day of �p 20 Z0 , by
✓ r who is personally known to
me or who has produced �-as
identification and who did take an oath.
NOTARY PUBLIC
Sign:_
Print:
Signature
CONTRACTO
The foregoing instrument
was acknowledged before
me this
_ dppayl of 7 20 4y , by
who is personally k own to
me or who has produced �Q/It/�)(1K r� as
identification and who did take an oath.
NOTARY PUBLIC:
Sign:V__// __,,ZAJ
Print- z
Seal: y�s�Pua�1ct/zosl � 1 esSea:
Moary Puealc sa. oF1,ft
Ely CmnmisSion 00 1157Z00
APPROVED BY ����� �' Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)