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MC-18-1214Miami Shores Village 10050 N.E. 2nd Avenue NE Miami Shores, FL 33138-0000 Phone: (305)795-2204 ect -- Project Address Permit NO. MC-5-18-1214 Permit Type: Mechanical - Residential Per it Work Classification: Pool Heater Permit Status: APPROVED Parcel Number issue Date: 5/22/2018 1 Expiration: 11/18/2018 Applicant 671 NE 105 Street 1122310120100 CAROL INVEST USA INC Miami Shores, FL 33138-2053 Block: Lot: Owner Information Address Phone Cell CAROL INVEST USA INC 671 NE 105 Street (305)747-3098 MIAMI SHORES FL 33138- 671 NE 105 Street MIAMI SHORES FL 33138- Contractor(s) Phone Cell Phone ESSIG POOLS INC 305-949-0000 Tons: Additional Info: POOL HEATER Classification: Residential Approved: In Review Comments: Date Approved:: In Review Date Denied: Type of Work: POOL HEATER Scanning: 1 Fees Due Amount CCF $1.80 DBPR Fee $2.00 DCA Fee $2.00 Education Surcharge $0.60 Permit Fee $105.00 Scanning Fee $3.00 Technology Fee $2.40 Total: $116.80 Valuation: $ 3,000.00 Total Sq Feet: 1224 Pay Date Pay Type Amt Paid Amt Due Invoice # MC-5-18-67459 05/22/2018 Check #: 2304 $ 66.80 $ 50.00 05/07/2018 Check #: 2271 $ 50.00 $ 0.00 Available Inspections: Inspection Type: Final Review Mechanical 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 all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Futhermore, I authorize the above -named contractor to do the work stated. May 22, 2018 Authorized Signature: Owner / Applicant / Contractor / Agent Building Department Copy May 22, Miami Shores Village 10050 NE 2 Ave Miami Shores FL 33138 305-795-2204 Location Address Issue Date: 05/22/2018 Parcel Number 671 NE 105 ST, Miami Shores, FL 33138-2053 1122310120100 Contacts Permit NO.: MC-5-18-1214 Permit Type: Mechanical - Residential Work Classification: Pool Heater Permit Status: Applied Expiration: 02/12/2020 CAROL INVEST USA INC Owner CAROL INVEST USA INC Applicant 671 NE 105 ST, MIAMI SHORES, FL 33138 671 NE 105 ST, MIAMI SHORES, FL 33138 Other:3057473098 Other:3057473098 ESSIG POOLS INC Contractor DANIEL ESSIG 10111 Business DR, MIRAMAR, FL 33025 Business: 3059490000 permits@essigpools.com Description: POOL HEATER Valuation: $ 3,000.00 Ins ection Requests: 305-762-4949 Total 5q Feet: 1,224.00 Fees Amount CCF $1.80 DBPR Fee $2.00 DCA Fee $2.00 Education Surcharge $0.60 Permit Fee $105.00 Scanning Fee $3.00 Technology Fee $2.40 Total: $116.80 Building Department Copy Payments Date Paid Amt Paid Total Fees $116.80 Check # 2304 05/22/2018 $66.80 Check # 2271 05/07/2018 $50.00 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 certify tha all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating constr 7tiand zoning. thermore, I authorize the above named contractor to do the work stated. Authorized S'gnat re: Ownir / Applicant / Contractor / Agent Date October 01, 2019 Page 2 of 2 [�]ji- rri Miami Shores Village MAY 07 t Building Department C 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 No. 1 PERMIT APPLICATION Sub Permit No. q ❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING [MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: � N � � o S � I City /Miami Shores County Miami Dade Zip: Folio/Parcel#: �I �3 — t2 —( C)� Is the Building Historically Designated: Yes NO d Occupancy Type: Load: Construction Type: FloodZone1: BFE: FFE: OWNER: Name (Fee Simple Titleholder): C A©I. LNUG� SA I►VC . Phone#: Address• 99� �(.SCfa� _ 4B� U � e02. is e k-- City: 1 NK 1 State• — "La �t'la zip: 33 (32 Tenant/Lessee Name: Email: one#: CONTRACTOR: Company Name: ESSIG POOLS, INC Phone#: Address: 10111 BUSINESS DR 305-949-0000 City: MIRAMAR State: FL zip Qualifier Name: DANIEL ESSIG Phone#: _ State Certification or Registration #: CPC052505 Certificate of Competency #: DESIGNER: Architect/Engineer: ne#: 33025 State Zip: Value of Work for this Permit: $ V� Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace ❑ Demolition Description of Work: ���u�e^� Specify color of color thru tile: ' ` Y% Submittal Fee $ Permit Fee $ CCF $ CO/CC $ Scanning Fee $ Radon Fee $ � C� DBPR $ « ' Notary $ Technology Fee $ Training/Education Fee $ Double Fee $ Bond $ Structural Reviews $ (o TOTAL FEE NOW DUE $-0 (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 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 Signature v OWNER r GENT CONTRACT The foregoing instrument was Aacknowledged before me this 0:�> day of 1'�Gl 20 �g by LvLCO �fJ22t, who is personally known to me or who has produced identification and who did take an oath. NOTARY PUBLIC: in ff I u o 1 I v-&V Seal: �'►"'0 Notary Public State of Florida Estrella Gomez My Commission GG 162104 4-1 Expires 11/21/2021 APPROVED BY as The foregoing instrument was acknowledged before me this 03 day of 14 20 _ (8 by DANIEL ESSIG who is personally known to me or who has produced PERSONALLY KNOWN as identification and who did take an oath. Seal: 4p�' � Notary Public State of Florida Estrella Gomez a My Commission GG 162104 of ft Expires 11/ 1/ 0�� iJQ*: *2 t******** +k �'******** Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014)