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PL-19-1595Miami Shores Village 10050 NE 2 Ave Miami Shores FL 33138 305-795-2204 Location Address Issue Date: 07/25/2019 Parcel Number 10816 NW 2ND AVE, Miami Shores, FL 33168 1121360020160 Contacts Permit NO.: PL-07-19-1595 Permit Type: Plumbing - Residential Work Classification: Pool - Private Permit Status: Approved Expiration: 01/21/2020 FLOYD MARTINEZ Owner 10816 2 AVE, MIAMI SHORES, FL 33168 Other: 2023094959 ESSIG POOLS INC Contractor DANIEL ESSIG 10111 Business DR, MIRAMAR, FL 33025 Business: 3059490000 Inspection Description: PLUMBING FOR NEW SWIMMING POOL & DECK Valuation: $ 1,500.00 Inspection Requests: 4949 TotalSq Feet: 0.00 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 # 3121 07/11/2019 $50.00 Check # 3140 07/25/2019 $112.35 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: I ce ify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating co ru tion and J\ z ing. Futherm e, I aut orize the above named contractor to do the work stated. 7 �2-1 l C7 Authorized ign ture: Owne / Applicant / Contractor / Agent Date July 25, 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: (30S) 762-4949 BUILDING PERMIT APPLICATION ❑BUILDING ❑ ELECTRIC ❑ ROOFING 1.5 FBC 20 Master Permit No.��— 0 %— I1 1 Sub Permit No. L. o-7 -) t I I Sr ❑ REVISION ❑ EXTENSION ❑RENEWAL PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑SHOP CONTRACTOR DRAWINGS � JOB ADDRESS: O O` W N w /7 6s � Folio/Parcel#:1 i Occupancy Type: (2 C OWNER: Name -(Fee Simple Titleholder): Address: W City: Q� Tenant/Lessee Name: Email: 1.� Is the Building. Historically Designated: Yes NO Construction Type: Flood Zone: BFE: FFE: �ZAou d o►.� �e,2, Phone#: (Jv Z L)()l JS State: VL Zip: 1 Phone#: 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 Certification or Registration #: CPC052505 Certificate of Competency #: DESIGNER: Architect/Engineer: Phone#: Address: -City: State Zip: Value of Work for this Permit: 1 boo Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration Dg.New ❑ Repair /Replace Demolition Description of Work: ` t—N- 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 $ TOTAL FEE NOW DUE $ 112 • 3 S (Rev1sed02/24/2014) r 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 Zi 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 --z OWNERorAGENT The foregoing instrument was acknowledged before � this day of_wl lJl.� 20 by ��� Is personally known to me or who has producedV?,,'�c.7 11743Ak`\-� as identification and who did take an oath Signature / CONTR The foregoing instrument was acknowledged before a this . n 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: NOTARY PUBLIC: Sign: Si Print: Print: Seal: Y v� , KAREN RODRIGn". �►R B`. ;�: Notary Public State o��jir vu •.; KAREN RODRIGUEZ ,af Commission # GG 3'= Notary Public State of Florida '� M Comm. Expires Feo Commission x GG 304504 ovrti:: Y����' **� **y * *** I Dl�tYdh�ltu #':iAt •'.For N My Comm. Expires Feb 21, 2023 ***f :*sk�l�bYi�'cat#ir"bt��fM9�1°dlWtl�aRnycY�� APPROVED BY �•��' Zy� Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014)