PLC-18-3209Miami Shores Village
10050 NE 2 Ave
Miami Shores FL 33138
305-795-2204
Location Address
Issue Date:10/24/2018
Parcel Number
1490 NE 101ST ST, Miami Shores, FL 33138 1132050350030
Contacts
Permit No.: PLC-10-18-3209
Permit Type: Plumbing - Commercial
Work Classification: Pool - Public
Permit Status: Approved
Expiration: 04/17/2019
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
Description: NEW POOL TO REPLACE PL17-1542 Valuation: $ 1,500.00 Inspection Requests:
305-762-4949
TotalSq Feet: 374.00
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Fees Amount
Application Fee - Other $50.00
Permit Fee (Manual) $62.50
Total: $112.50
Payments Date Paid
Amt Paid
Total Fees
$112.50
Check # 2609 10/24/2018
$62.50
Check # 2595 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.
OWNERI, I
regulati g q)onstructign an(
rtify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws
ning. Futhermore, I autho ize the above named contractor to do the work stated.
/0 Z / cr
Owner / Applicant / Contractor / Agent Date
October 24, 2018 Page 2 of 2
J
BUILDING
PERMIT APPLICATION
Miami Shores Village R 7Ct>1vED
Building Department OCT 192018
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 9 208
Master Permit No. BPP
Sub Permit No. PL44'—� 6 - 3209
❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
QPLUMBING ❑ 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: Phone#:
Email:
CONTRACTOR: Company Name: ESSIG POOLS, INC.
Address: 10111 BUSINESS DR.
Phone#: 305-949-0000
City: MIRAMAR State: FLORIDA Zip: 33025
Qualifier Name: DANIEL ESSIG Phone#:
State Certification or Registration #: CPC052505 Certificate of Competency #:
DESIGNER: Architect/Engineer: Phone#:.
Address: City: State: Zip:
Value of Work for this Permit: $ I S O O . Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration ❑ New /��❑ Repair/Replace ❑ Demolition
(�
Description of Work: � �0 r� 10 U, acV Q Z—
PLUMBING FOR NEW POOL
Specify color of color thru tile:,
Submittal Fee $ Permit Fee $
Scanning Fee $ Radon Fee $
Technology Fee $ Training/Education Fee $
Structural Reviews $
CCF $_
DBPR $
CO/CC $
Notary $
Double Fee $
Bond $
TOTAL FEE NOW DUE $ 62_
(Revised02/24/2014)
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
WE
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. /n the absence of such posted notice, the
inspection will not be approved and a reinspection fee will be charged.
Signature
OW
The foregoing instrument was acknowledged before me this
19 day of OCTOBER 20 18 by
MARC ALLEGRE who is personally known to
me or who has produced
identification and who did take an oath.
NOTARY P
S4nt:S,
Seal:
Signature ` /
CONTRACT G
The foregoing instrument was acknowledged before me this
19 day of OCTOBER 20 18 by
DANIEL ESSIG who is personally known to
as me or who has produced
1``N/ identification and who did take
IA
XAAAQOM,4�// NOTARY PUBLIC:
90, � • ign:
''�` LA GO M E
�CaGf621®i rint:
�• Seal:
APPROVED BY c� ���� �� Plans Examiner
as
an oath.
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,Oa �r3
y�4�iy�k�. s�ia�.�.�pD►
Zoning
Structural Review
(Revised02/24/2014)
Clerk