PL-19-1010Miami Shores Village
10050 NE 2 Ave
Miami Shores FL 33138
305-795-2204
Location Address
NI-e-ur--v—A I
ML�
Issue Date: 05/16/2019
Parcel Number
98 NE 103RD ST, Miami Shores, FL 33138 1132060131570
Contacts
Permit NO.: PL-05-19-1010
Permit Type: Plumbing - Residential
Work Classification: Pool - Private
Permit Status: Approved
Expiration: 11/12/2019
Gonzalo Rey Owner ESSIG POOLS INC Contractor
98 NE 103 ST DANIEL ESSIG
10111 Business DR, MIRAMAR, FL 33025
Business: 3059490000
Description: NEW SWMMING POOL AND DECK Valuation: $ 1,500.00 Inspection Requests:
305-762-4949
Total Sq Feet: 712.00
�j
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 # 3024
05/16/2019 $162.35
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:Iicertify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws
reg�ting, c�structjon zoning. Futhermore, I authorize the above named contractor to do the work stated.
/�j l�'j S114111
tho ized Sig ture: Owner / Applicant / Contra for I / Agent Date
May 16, 2019 Page 2 of 2
Miami Shores Village. R , ,
Building Department MAY 07 �uIJ
10050 N.E.2nd Avenue, Miami Shores, Florida'33138 ^
Tel: (305) 795-2204 Fax: (305) 756-8972
INSPECTION LINE PHONE NUMBER: (305):762-4949 f p "
FBC 201---t
BUILDING Master Permit No. e 'pp- ()S"
PERMIT APPLICATION Sub Permit No. P ` - d �- IC - I 10
❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
MPLUMBING ❑ MECHANICAL ❑PUBLIC WORKS [] CHANGE OF ❑ CANCELLATION ❑;SHOP
CONTRACTOR -DRAWINGS
JOB ADDRESS: v s4
City: Miami Shores Count : Miami Dade Zip:
Folio/ParcelM lJ Is the Building. Historically Designated: Yes NO
Occupancy Type: —I Load: Construction Type: Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder): Cal I D Phone#:
Address: Qi 1 v A—
CC'S
City: State: Zip:
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR: Company Name: ESSIG POOLS, INC Phone#: 305-949-0000
Address: 1011:1 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: Zip:
Value of Work for this Permit: $ 00 Square/Linear Footage of Work:
Type of Work: ❑ {�Addition ❑ Alteration New ❑ Repair/Replace ❑ Demolition
Description of Work:
Specify color of color thru tile:
Submittal Fee $
Scanning Fee $
Technology Fee $_
Structural Reviews $
Permit Fee $
Radon Fee $
Training/Education Fee $
CCF $ CO/CC $
DBPR $ Notary $
Double Fee $
_ Bond $ _
TOTAL FEE NOW DUE $ ( ' 3 (✓,
(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
Zip
City State
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 foregding 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 reinspectlon fee will be charged.
Signature Signature
OWNER or AGENT CONTR
The forgoing instr ment was acknowledged before a this
day of 20 by
tp I �� who Is personally known to
me or who has produced (� �,�� as
Identification and who did take an oath.
NOTARY PUBLIC:
TnfgCegoing instrument was acknowledged before this
�j0 day of _ �� ` 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:
Sign:/ — .01
Sign:
Print: Print:
Seal: Notary Public . State lorida
�' 1d� a •' Commission # GG 304504 Seal:
%' My Comm. Expires Feb 21, 2023
Bonded through National Notary Assn.
APPROVED BY _ 7 /13//12 Plans Examiner
Structural Review
(RevlsedO2/24/2014)
KAREN ROORIGU
Notary Public • State of Florida
•P` Commission # GG 304504
or F` MY Comm. Expires Feb 21, 2023
Bonded thrn:,oti
4:******
Zoning
Clerk