MC-19-965Miami Shores Village
10050 NE 2 Ave
Miami Shores FL 33138
305-795-2204
Location Address
Issue Date:10/22/2019
Parcel Number
1167 NE 99TH ST, Miami Shores, FL 33138 1132050180080
Contacts
Permit NO.: MC-05-19-9 6
Permit Type: Mechanical - Residential
Work Classification: Pool Heater
Permit status: Approved
Expiration: 04/20/2020
YOHIR AKERMAN Owner ESSIG POOLS INC Contractor
1167 NE 99 ST, MIAMI SHORES, FL 33138 DANIEL ESSIG
10111 Business DR, MIRAMAR, FL 33025
Business: 3059490000 permits@essigpools.com
Description: NEW SWIMMING POOL HEATER Valuation: $ 3,Inspection Requests:
500.00 305-762-4949
Total Sq Feet: 1,384.00
Fees
Amount
Application Fee - Other
$50.00
CCF
$2.40
DBPR Fee
$2.00
DCA Fee
$2.00
Education Surcharge
$0.80
Permit Fee
$55.00
Scanning Fee
$3.00
Technology Fee
$2.63
Total:
$117.83
Payments
Date Paid Amt Paid
Total Fees
$117.83
Check # 3010
05/02/2019 $50.00
Check # 3303
10/22/2019 $67.83
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 II the foregoing information is accurate and that all work will be done in compliance with all applicable laws
regulating constr do nd zoni g. Fu ermore, I authorize the above named contractor to do the work stated.
�9117-
Authorized S gnatu : Owne / Applicant / Contractor / Agent Date
October 22,
Page 2 of 2
I ED
Miami ShoresVilla a AY 2219
� g
Building Department BY: `�
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 210�
BUILDING Master Permit No. ` V3-1 Ia
slS
PERMIT APPLICATION Sub Permit No. C CAS'
❑BUILDING ❑ZECHANICAL
IC ❑ ROOFING ❑ REVISION ❑ EXTENSION [::]RENEWAL
PLUMBING ❑PUBLIC WORKS ❑ CHANGE OF ❑CANCELLATION [:]I SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: 11 N E q� -
City Miami Shores County: Miami Dade Zip: 3 3l 3
Folio/Parcel#:1.1'32,07' Q 00!&0 Is the Building Historically Designated: Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder): - 0nt r H-l�f �/k ^�` Phone#:
Address: `' �' ti E G%
City:
�(1^,Zt,� i �j1�.u-✓� State: Zip:
Tenant/Lessee Name: Phone#:
Email
CONTRACTOR: Company Name: ESSIG POOLS, INC
-. 10111 BUSINESS DR
City: MIRAMAR state: FL
Qualifier Name: DANIEL ESSIG
State Certification or Registration M CPC052505
DESIGNER: Architect/Engineer:
one#: 305-949-0000
Certificate of Competency #: _
Phone#:
Kip: 33025
Address: City: State
Value of Work for this Per G Square/Linear Footage of Work: _
Type of Work: ❑ Addition Alteration New ❑ Repair/Replace
Y
Description of Work:
Specify color of color thru tile:
Submittal Fee $_ Permit Fee $
Scanning Fee $ Radon Fee $
Zip:
❑ Demolition
CCF $ CO/CC $
DBPR $ Notary $
Technology Fee $ Training/Education Fee $ Double Fee $
Structural Reviews $ Bond $
TOTAL FEE NOW DUE $ (O
(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 low 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.
J*11N� C
Signature Signature
OW ERorAGENT CONTRACT
The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this
day of h rA 20 �Gf by .— I l day of / 20 by
,n'
i If11 r,V /N who is geDANIEL ESSIG
—•-`_ who is personally, known to
me or who has produced as me or who has produced who
KNOWN
as
identification and who did take an o th. identification and who did take an oath.
NOTARY PUBLIC: NOTARY PUBLIC: �.� ���••••� '�,
�� •.
Sig
n:SOICHAF/ �11
• �'•,�OQ. NOTARY Z
• r� : PUBLIC •'• -A
:: �� z '
Print: r� •• pUBLIC M _ ; 7200 , m
572 A Lqq v ; MY COMMISSION : N
Seal: :REdC►SS! N . Q
.11r01r2021,. •gyp
tRJ,'•.,11101P1112� :��0 '.,�'9TF •OF .F\-OQ-
APPROVED BY
Examiner
Zoning
Structural Review
Clerk
(Revlsed02/24/2014)